Open mfpl reconstruction

nabernhardt

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here is what I have come up with 29881, 29873
for the Open possibly 27422 or 27427? Or maybe way off.
thanks for all suggestions
PROCEDURE: Lateral portals established. Chondromalacia was trimmed in the medial compartment and the medial aspect of the patellofemoral joint. She had a partial posterior horn tear of the medial meniscus. It was trimmed to a stable base. Identified her previous embrocation lateral release. I revised the lateral release and improved the tracking. Small open incision over the medial femoral condyle and the adductor tubercle was made. Over a guidewire, I drilled a pinhole that was 25 mm. I secured the semitendinosus graft with a 7 x 20 mm biosphere screw. I tunneled it underneath the skin to the medial aspect of the patella. I did a full thickness approach to the medial side of the patella. Two 5 mm drill holes were made from medial to lateral. In an anatomic position, I passed the two limbs
of the semitendinosus allograft used for the medial patellofemoral reconstruction. On the lateral side, I took the sutures and sewed them down with the knee in 60 degrees of flexion and/or the anatomic position.
 

nabernhardt

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just me again. Still thinking that now it would be more appropriate to use 27422. Has anyone had experience with this type of surgery? Thanks.
 

jdemar

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27422 is what I use for MPFL reconstruction (dissection is carried to the vastus medialis muscle/tendon to where it attaches to the patella).

27427 is ligamnet reconstruction extra articular = iliotibial band.
27428 is ....................................intra articular = collateral or cruciate.

or 27429 for both extra AND articular. As always, operative note must justify codes.

Help this helps!
 
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