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Posterolateral Corner Reconstruction CPT: A Comprehensive Guide for Medical Coders
The intricacies of medical coding can be daunting, especially when dealing with complex procedures like posterolateral corner (PLC) reconstruction of the knee. This comprehensive guide will dissect the CPT codes associated with PLC reconstruction, providing clarity and understanding for medical coders, billing specialists, and anyone involved in the financial aspects of orthopedic surgery. We'll delve into the specifics of the procedure, the relevant CPT codes, modifiers, and potential pitfalls to avoid inaccurate billing. By the end of this post, you'll have a firm grasp of accurately coding posterolateral corner reconstruction procedures.
Understanding Posterolateral Corner Reconstruction
Before diving into the CPT codes, it's crucial to understand the procedure itself. The posterolateral corner of the knee is a complex anatomical structure composed of ligaments, tendons, and the lateral head of the gastrocnemius muscle. Injuries to this area can result in instability and significant functional limitations. PLC reconstruction is a surgical procedure aimed at restoring the stability and function of the posterolateral corner. This often involves repairing or reconstructing damaged ligaments such as the popliteus tendon, popliteofibular ligament, and lateral collateral ligament. The complexity of the procedure varies depending on the extent of the injury.
Identifying the Relevant CPT Codes for Posterolateral Corner Reconstruction
Unfortunately, there isn't one single CPT code specifically for “posterolateral corner reconstruction.” The coding depends heavily on the specific surgical techniques employed and the structures repaired or reconstructed. This necessitates a meticulous review of the operative report to identify the precise procedures performed. Commonly used CPT codes may include, but are not limited to:
27418: This code is often used for Arthroscopy, knee, surgical; with debridement and/or removal of loose bodies and/or exploration. While not specifically for PLC reconstruction, it may be used in conjunction with other codes if arthroscopy is part of the procedure.
27422: This code describes Arthroscopy, knee, surgical; with repair of meniscus, any part or parts. If meniscal repair is part of the PLC reconstruction, this code would be applicable.
27447: This code covers Arthroscopy, knee, surgical; with reconstruction of anterior cruciate ligament. While not directly related to PLC, it might be included if ACL reconstruction is performed concurrently.
29885: This code is for open procedures, usually used for reconstruction of ligament and/or tendon injuries surrounding the knee. It might be appropriate for substantial open PLC repair.
Important Note: The choice of CPT code(s) requires a detailed understanding of the surgical procedure and the specific structures addressed during the surgery. Simply choosing a code based on a general description is inaccurate and can lead to denied claims.
Utilizing CPT Modifiers for Accuracy
Using the correct CPT modifiers is just as critical as selecting the right CPT code. Modifiers provide additional information about the circumstances of the service, clarifying the procedure performed and helping ensure accurate reimbursement. Some commonly used modifiers in PLC reconstruction coding include:
-59: Distinct procedural service. Use this modifier if the PLC reconstruction is performed independently of other procedures.
-51: Multiple procedures. This modifier is used when multiple procedures are performed during the same operative session, preventing multiple procedure payment reductions.
-62: Two surgeons. Use this if two surgeons performed the procedure.
-78: Unsuccessful procedure. This modifier is rarely used for PLC reconstruction but would be appropriate if the attempt at reconstruction failed due to unforeseen factors.
It's essential to consult the most current CPT codebook and modifier guidelines to ensure accurate usage.
Avoiding Common Coding Errors in Posterolateral Corner Reconstruction
Several common errors can lead to denied claims or inaccurate reimbursement. These include:
Incomplete documentation: The operative report must clearly describe the specific surgical techniques and structures addressed. Vague or incomplete documentation makes accurate coding impossible.
Incorrect code selection: Choosing the wrong CPT code based on a general description rather than the specifics of the procedure.
Missing or incorrect modifiers: Failure to use necessary modifiers can result in reduced payment or claim denial.
Unbundling or bundling: Unbundling (separately billing procedures that should be bundled) or bundling (billing bundled procedures separately) are both major errors.
Lack of up-to-date knowledge of CPT codes and guidelines: Staying current with coding changes is vital to maintain accuracy.
Conclusion
Accurate coding for posterolateral corner reconstruction is crucial for proper reimbursement and efficient healthcare financial management. By understanding the anatomy of the posterolateral corner, meticulously reviewing the operative report, correctly selecting CPT codes, and utilizing appropriate modifiers, medical coders can ensure accurate billing and avoid costly errors. Always refer to the latest CPT codebook and seek guidance when unsure. Remember, accurate coding isn't just about numbers; it’s about ensuring fair compensation for the complex surgical work performed.
Frequently Asked Questions (FAQs)
1. Are there any specific codes for different types of PLC reconstruction techniques? Not directly. The chosen CPT codes reflect the procedures performed, regardless of the specific technique used (e.g., allograft vs. autograft). The operative report should detail the technique.
2. What if the PLC reconstruction is part of a larger knee surgery? Appropriate CPT codes for all components of the surgery should be used, along with modifier -51 (multiple procedures) to prevent payment reductions.
3. Can I use a single CPT code for a combined PLC and ACL reconstruction? No. Separate CPT codes are needed for each procedure, along with modifier -51.
4. What resources can help me stay updated on CPT code changes? The American Medical Association (AMA) website and reputable medical coding resources provide the latest CPT code information and updates.
5. If a claim is denied, what should I do? Carefully review the denial reason. If the denial is due to coding errors, correct the codes and resubmit the claim with supporting documentation. If the denial is due to other reasons, contact the payer for clarification.
| posterolateral corner reconstruction cpt: Revision ACL Reconstruction Robert G. Marx, 2013-09-05 Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. Revision ACL Reconstruction: Indications and Technique provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations. |
| posterolateral corner reconstruction cpt: Advanced Reconstruction: Knee Jay R. Lieberman, MD, Daniel J. Berry, MD, Frederick Azar, MD, 2018-08-30 The world's leading knee reconstruction and sports medicine surgeons guide you to manage the toughest cases you'll see. Step-by-step guidance for more than 70 advanced reconstruction techniques. |
| posterolateral corner reconstruction cpt: Sports Medicine Robert A. Arciero, 2004 This portable references provide succinct information on the most common orthopaedic procedures. |
| posterolateral corner reconstruction cpt: Postgraduate Orthopaedics Paul A. Banaszkiewicz, Deiary F. Kader, 2012-08-16 The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth). |
| posterolateral corner reconstruction cpt: Orthopaedics for Physician Assistants Sara D Rynders, Jennifer Hart, 2013-04-12 The first reference of its kind designed specifically for PAs, Orthopaedics for Physician Assistants is a comprehensive, portable handbook that helps you master orthopaedic physical examination and history taking, imaging interpretation and diagnosis, and treatment strategies - essential knowledge that directly affects your patient care. Authors Sara Rynders and Jennifer Hart present precisely the diagnostic and procedural information you need with this easy-to-use, PA-focused orthopaedic resource! Learn how to interpret and correlate lab and diagnostic procedures, reach an accurate diagnosis, formulate effective treatment plans, and implement therapeutic strategies. Quickly grasp pertinent information with brief, bulleted text enhanced with clear diagrams and images. Easily follow the guidelines for each procedure thanks to consistent headings in each chapter and a handy outline format. See how to perform 14 key joint injections with online videos demonstrating elbow joint injection, knee joint injection, medial epicondyle injection, subacromial injection, digital block, and more. Access the entire text and illustrations online at www.expertconsult.com. |
| posterolateral corner reconstruction cpt: Recent Advances in Arthroscopic Surgery Hiran Amarasekera, 2018-10-10 This book is aimed at providing an overview of arthroscopic joint surgery involving major joints in the body. It discusses all aspects of arthroscopy including complex surgical procedures, feasibility of performing surgery as an OPD procedure, and complications associated with these surgeries. The chapters are organised in regional basis and presented in an easy-to-understand format. This book will benefit all sports medicine physicians, orthopaedic surgeons and trainees, physiotherapists, and all clinicians involved in treating joint diseases. The combination of the authors' shared experiences with facts and presentation of figures and photographs will help the reader in understanding the complex principles involved. This can be used as a text for an individual or a must have reference book for any medical library. |
| posterolateral corner reconstruction cpt: Essential Foot and Ankle Surgical Techniques Christopher F. Hyer, Gregory C. Berlet, Terrence M. Philbin, Patrick E. Bull, Mark A. Prissel, 2019-07-23 This comprehensive textbook brings together a unique vision and multidisciplinary approach – embracing and combining MD, DO and DPM foot and ankle training disciplines – into a singular focus on improving and mastering surgical treatment of foot and ankle disorders. It opens with a chapter presenting the specific preoperative considerations and protocols commonly followed by foot and ankle surgeons of all specialties. Divided into three main thematic sections detailing the forefoot, midfoot and hindfoot, each subsequent chapter follows a consistent chapter format presenting case examples, key surgical set-up and equipment needs and step-by-step clinical pearls for surgical excellence. Post-operative care and rehabilitation recommendations are also included for a well-rounded presentation of care from start to finish. Both common and complex pathologies and injuries are discussed, from bunion and hammertoe management to the Charcot foot and ankle, total ankle replacement, arthroscopy and arthroplasty techniques, amputations and biologics. Generous figures and intraoperative photos illustrate the procedures in vivid detail. The subspecialty of foot and ankle surgery is a highly specialized one, which is constantly evolving and improving. This speaks to the complexity of the foot and ankle complex, the multiple levels and articulations of the foot and the variety of pathologies encountered. This textbook leans on the unique experience and training of the OFAC attending surgeons and past fellows to reveal the pearls and keys to the efficient surgical treatment of the full gamut of foot and ankle pathologies. Ideally suited for residents and students whether MD, DO or DPM, Essential Foot and Ankle Surgical Techniques - EFAST for short - is a dynamic, multidisciplinary resource that covers the full range of pathologies and injuries an orthopedic surgeon or podiatrist would encounter in daily practice. |
| posterolateral corner reconstruction cpt: The Anterior Cruciate Ligament: Reconstruction and Basic Science E-Book Chadwick Prodromos, 2017-05-31 The Anterior Cruciate Ligament: Reconstruction and Basic Science, 2nd Edition, by Dr. Chadwick Prodromos, provides the expert guidance you need to effectively select the right procedure and equipment, prevent complications, and improve outcomes for every patient. Written and edited by world leaders in hamstring, allograft, and bone-patellar tendon-bone (BTB) ACL reconstruction, this revised reference is a must-have resource for the full range of anterior cruciate ligament reconstruction techniques, plus fixation devices, rehabilitation, revision ACLR surgery, and much more! - Covers the latest clinical and technical information on pain control, genetics and biologics, the use of ultrasound, and much more. - EBook access features an exhaustive ACL bibliography database more than 5000 available articles. - Features dozens of new chapters that offer up-to-date information on pain control after ACLR, single vs. double bundle repairs, genetics and collagen type, all-inside techniques, biologics, pediatrics, ACL ganglion cysts, prognosis for ACLR success, allografts vs. autografts, and more. - Provides the experience and insight of a dream team of ACL experts, including James Andrews on sports medicine, Frank Noyes on HTO and ACLR, and Andrew Amis on the benefits of the older femoral tunnel placement technique. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices. |
| posterolateral corner reconstruction cpt: CPT Professional 2022 American Medical Association, 2021-09-17 CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services. |
| posterolateral corner reconstruction cpt: Injection Procedures Todd P. Stitik, 2010-10-23 This practical guide is ideal for healthcare professionals, including family medicine and sports medicine physicians, who wish to integrate peripheral joint and soft tissue injection procedures into their practices. Emphasis is placed on helping clinicians perform injections with accuracy and efficiency. Procedures are presented in a step-by-step fashion. A wealth of illustrations adds clarity, and fluoroscopic images are featured where applicable. Billing and coding are covered in order to aid readers in obtaining reimbursement. Chart documentation designed to improve patient management and medical-legal protection is presented via ready-to-use templates that can be inserted into office notes. Key information on needle gauge sizes and medication dosages is summarized in an easily accessible table. A useful discussion on conducting clinical trials is outlined as well. |
| posterolateral corner reconstruction cpt: Textbook of Plastic and Reconstructive Surgery Deepak K. Kalaskar, Peter E M Butler, Shadi Ghali, 2016-08-02 Written by experts from London’s renowned Royal Free Hospital, Textbook of Plastic and Reconstructive Surgery offers a comprehensive overview of the vast topic of reconstructive plastic surgery and its various subspecialties for introductory plastic surgery and surgical science courses. The book comprises five sections covering the fundamental principles of plastic surgery, cancer, burns and trauma, paediatric plastic surgery and aesthetic surgery, and covers the breadth of knowledge that students need to further their career in this exciting field. Additional coverage of areas in which reconstructive surgery techniques are called upon includes abdominal wall reconstruction, ear reconstruction and genital reconstruction. A chapter on aesthetic surgery includes facial aesthetic surgery and blepharoplasty, aesthetic breast surgery, body contouring and the evolution of hair transplantation.The broad scope of this volume and attention to often neglected specialisms such as military plastic surgery make this a unique contribution to the field. Heavily illustrated throughout, Textbook of Plastic and Reconstructive Surgery is essential reading for anyone interested in furthering their knowledge of this exciting field. This book was produced as part of JISC's Institution as e-Textbook Publisher project. Find out more at https://www.jisc.ac.uk/rd/projects/institution-as-e-textbook-publisher |
| posterolateral corner reconstruction cpt: Treatment of Chronic Pain by Interventional Approaches Timothy R. Deer, Michael S. Leong, Asokumar Buvanendran, Philip S. Kim, Sunil J. Panchal, 2014-12-08 From reviews of Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches is a major textbook... [I]t should be a part of all departmental libraries and in the reference collection of pain fellows and pain practitioners. In fact, this text could be to pain as Miller is to general anesthesia. Journal of Neurosurgical Anesthesiology Edited by master clinician-experts appointed by the American Academy of Pain Medicine, this is a soft cover version of the Interventional sections of the acclaimed Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches. It is intended as a primary reference for busy clinicians who seek up-to-date and authoritative information about interventional approaches to treating chronic pain. State-of-the-art coverage of full range of techniques: neural blockades, neurolysis blocks, and neurostimulation Review of clinically relevant anatomy and physiology Key Points preview contents of each chapter |
| posterolateral corner reconstruction cpt: Radiological English Ramón Ribes, Pablo R. Ros, 2006-12-02 This is an introductory book to radiological English on the basis that there are a lot of radiologists, radiology residents, radiology nurses, radiology students, and radiographers worldwide whose English level is indeterminate because their reading skills are much higher than their fluency. It is intended to help those health care professionals who need English for their work but do not speak English on a day-to-day basis. |
| posterolateral corner reconstruction cpt: The ASCRS Manual of Colon and Rectal Surgery David E. Beck, John L. Rombeau, Michael J. Stamos, Steven D. Wexner, 2009-06-12 The ASCRS Textbook of Surgery of the Colon and Rectum offers a comprehensive textbook designed to provide state of the art information to residents in training and fully trained surgeons seeking recertification. The textbook also supports the mission of the ASCRS to be the world’s authority on colon and rectal disease. The combination of junior and senior authors selected from the membership of the ASCRS for each chapter will provide a comprehensive summary of each topic and allow the touch of experience to focus and temper the material. This approach should provide the reader with a very open minded, evidence based approach to all aspects of colorectal disease. Derived from the textbook, The ASCRS Manual of Surgery of the Colon and Rectum offers a “hands on” version of the textbook, written with the same comprehensive, evidence-based approach but distilled to the clinical essentials. In a handy pocket format, readers will find the bread and butter information for the broad spectrum of practice. In a consistent style, each chapter outlines the condition or procedure being discussed in a concise outline format – easy to read, appropriately illustrated and referenced. |
| posterolateral corner reconstruction cpt: Tibia Pathology and Fractures Dimitrios D. Nikolopoulos, John Michos, George K. Safos, 2020-09-09 The tibia is the larger, stronger, and anterior (frontal) of the two bones in the leg, which connects the knee with the ankle bones. The tibia, or shinbone, is the most fractured long bone in the body. In recent years, high-energy accidents result in comminuted tibia fractures or intraarticular fractures of the knee (plateau) or ankle (platform) that need immediate open reduction and internal fixation with anatomical plates or intramedullary nails. Intraarticular fractures with comminution or fractures with non-appropriate internal fixation predispose to post-traumatic knee or ankle arthritis. Conservative current therapies (injections of plate-rich plasma or stems cells) or high tibia osteotomies may delay the need of total knee arthroplasty. Tibia Pathology and Fractures analyzes all the up-to-date internal fixation or other operative or conservative therapies. |
| posterolateral corner reconstruction cpt: Revision Total Knee Arthroplasty Hosam E. Matar, Benjamin V. Bloch, Hugh U. Cameron, Peter J. James, 2021-09-03 This book is a practically applicable guide to the use of revision total knee arthroplasty. Demand for primary total knee arthroplasty (TKA) continues to rise, with some estimates predicting this to be as high as 400% than it currently is, and this will inevitably lead to increased demand for revision surgery. Furthermore, this is a sub-specialist area of arthroplasty that is complex and challenging with high failure rates, meaning that there is a real need to improve the outcomes of these procedures. Within this book, the chapters focus on a particular subject area focusing on how to successfully perform a procedure in a step-by-step manner in a variety of scenarios from condylar revisions to salvage cases. Topics covered include how to use surgical techniques in instances of periprosthetic distal femur fractures and manage infections where bone loss has been significant. Long-term outcome data is also presented to enable the reader to develop a deep understanding of where a particular strategy might be most effective. Revision Total Knee Arthroplasty: A Practical Guide concisely details how to use the techniques covered in all aspects of revision knee surgery, making it an indispensable resource for all those involved in the care of these patients or who use these techniques in their day-to-day clinical practice. |
| posterolateral corner reconstruction cpt: Advanced Male Urethral and Genital Reconstructive Surgery Steven B. Brandes, Allen F. Morey, 2013-11-09 Since the publication of the first edition of Urethral Reconstructive Surgery, important refinements have been added to the urologic surgical armamentarium. Extensively revised and updated, Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition guides urologists in a practical manner on how to evaluate and manage complex urethral and male genital reconstructive challenges. Chapters have been added on wound healing, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital skin grafting, Peyronie’s surgery, priapism, pediatric strictures and prosthetics. Such chapters greatly strengthen the overall appeal of the book. The volume closes with a new comprehensive appendix of preferred instruments. With broad contributions by international authorities in reconstructive urologic surgery, Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition is a valuable resource for all urologists, from residents to reconstructive surgeons. |
| posterolateral corner reconstruction cpt: Oral and Maxillofacial Surgery for the Clinician Krishnamurthy Bonanthaya, Elavenil Panneerselvam, Suvy Manuel, Vinay V. Kumar, Anshul Rai, 2021 This is an open access book with CC BY 4.0 license. This comprehensive open access textbook provides a comprehensive coverage of principles and practice of oral and maxillofacial surgery. With a range of topics starting from routine dentoalveolar surgery to advanced and complex surgical procedures, this volume is a meaningful combination of text and illustrations including clinical photos, radiographs, and videos. It provides guidance on evidence-based practices in context to existing protocols, guidelines and recommendations to help readers deal with most clinical scenarios in their daily surgical work. This multidisciplinary textbook is meant for postgraduate trainees, young practicing oral surgeons and experienced clinicians, as well as those preparing for university and board certification exams. It also aids in decision-making, the implementation of treatment plans and the management of complications that may arise. This book is an initiative of Association of Oral and Maxillofacial Surgeons of India (AOMSI) to its commitment to academic medicine. As part of this commitment, this textbook is in open access to help ensure widest possible dissemination to readers across the world. ; Open access Unique presentation with contents divided into color-coded core competency gradations Covers all aspects of oral and maxillofacial surgery Supplemented with videos of all commonly carried out procedures as operative video Every chapter or topic concludes with future perspective and addresses cutting edge advances in each area Every topic has a pull out box that provides the most relevant systematic reviews/ key articles to every topic. |
| posterolateral corner reconstruction cpt: Peripheral Nerve Issues after Orthopedic Surgery Christopher J. Dy, David M. Brogan, Eric R. Wagner, 2021-11-15 Peripheral nerve issues are potential sequalae of orthopedic surgery, even after cases in which technically excellent surgery was performed. These injuries can impede the expected recovery of function after the primary surgery. Given the manifold challenges associated with recovery of peripheral nerve injuries, this book is designed as a multidisciplinary guide to the diagnosis, prognostication and treatment of peripheral nerve issues after common orthopedic surgeries. Beginning with an overview of nerve compression, injury and regeneration, as well as a presentation of the current diagnostic and imaging modalities for peripheral nerve injuries, this unique text is organized by anatomic region and by type of procedure performed. Topics covered include shoulder and elbow arthroplasty and arthroscopy, fractures of the hand and wrist, hip preservation surgery, total knee replacement, open surgery of the foot and ankle, lumbosacral myeloradiculopathy, and more. Each chapter is authored by both a subspecialty surgeon who routinely performs the surgeries described and a subspecialized hand/peripheral nerve surgeon with experience in evaluating and treating nerve issues after that particular injury. Emphasis is placed on multidisciplinary team approaches, patient counseling, and technical aspects of surgical treatment. Generously illustrated and written by experts in the field, Peripheral Nerve Issues after Orthopedic Surgery is a truly interdisciplinary resource for orthopedic, plastic, hand and trauma surgeons, physiatrists, trainees, and all professionals evaluating and managing postoperative peripheral nerve issues. |
| posterolateral corner reconstruction cpt: Pediatric Lower Limb Deformities Sanjeev Sabharwal, 2015-11-02 Comprehensive and generously illustrated, this text highlights both general principles and specific strategies for managing the spectrum of pediatric lower limb deformities. It is divided thematically into five sections, though any chapter can stand on its own to guide the clinician in specific situations. Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. Part II, covering related concepts and management options, discusses soft tissue contractures, amputations and working in austere and resource-challenged settings. Underlying conditions comprise part III – specific metabolic, neuromuscular and tumor-related conditions, along with arthrogryposis, Osteogenesis Imperfecta and various skeletal dysplasias. Part IV presents congenital and developmental disorders, such as congenital femoral deficiency, hemimelias, tibial pseudoarthrosis and Blount disease, while part V rounds out the book with chapters on sequelae related to different etiologies and their treatment. Covering all aspects of the management of pediatric lower limb deformities and written by renowned experts in the field, this textbook will be an invaluable resource for orthopedic surgeons and trainees worldwide. |
| posterolateral corner reconstruction cpt: Adult Scoliosis Pietro Bartolozzi, Alberto Ponte, Guiseppe A. Frassi, Romolo Savini, Fiorenzo Travaglini, Robert B. Winter, 1990-06-01 This book series is an official publication of the G.I.S. (Grupo Italiano Scoliosi - Italian Scoliosis Research Group), an association of highly specialized orthopaedic surgeons which was founded about ten years ago with the aim of enhancing knowledge and research in the basic science, diagnosis and therapy of vertebral diseases. Gathering the most remarkable papers presented at the annual meeting of the G.I.S., the series represents the best of current practice and research in the field of Spinal Pathology throughout the whole of Italy. From the foreword by R.B. Winter: The Italian Group for the Study of Scoliosis is to be commended for its systematic attack on subjects related to vertebral deformity. In this volume, the subject is adult scoliosis. The papers herein presented cluster around three themes: (1) the natural history of scoliosis in adults, (2) the surgical treatment of scoliosis with particular reference to the quality of correction balanced against the complications of the surgery, and (3) the benefits of treatment, particularly in regards to pain and respira tory function. |
| posterolateral corner reconstruction cpt: CT- and MR-Guided Interventions in Radiology Andreas H. Mahnken, Kai E. Wilhelm, Jens Ricke, 2013-05-14 Interventional radiology is an indispensable and still expanding area of modern medicine that encompasses numerous diagnostic and therapeutic procedures. The revised and extended second edition of this volume covers a broad range of non-vascular interventions guided by CT or MR imaging. Indications, materials, techniques, and results are all carefully discussed. A particularly comprehensive section is devoted to interventional oncology as the most rapidly growing branch of interventional radiology. In addition, detailed information is provided that will assist in establishing and developing an interventional service. This richly illustrated book will be a most valuable source of information and guidance for all radiologists who deal with non-vascular procedures. |
| posterolateral corner reconstruction cpt: Standard Nomenclature of Athletic Injuries American Medical Association. Committee on the Medical Aspects of Sports. Subcommittee on Classification of Sports Injuries, 1966 |
| posterolateral corner reconstruction cpt: Orthopedics of the Upper and Lower Limb K. Mohan Iyer, Wasim S. Khan, 2020-07-07 The second edition of this book provides a practical guide to the latest diagnostic and therapeutic techniques in orthopedics for both the upper and lower limb. Extensively revised chapters provide detailed step-by-step instructions on how to perform basic clinical and surface, anatomy examinations on joints including the hand, elbow and ankle. The application of relevant surgical procedures and post-operative management techniques are also detailed. New topics covered include cruciate ligament injuries, and robot assisted surgery. Orthopedics of the Upper and Lower Limb is an ideal resource for trainees and junior surgeons seeking an easy to follow clinical manual on how to successfully diagnose and treat patients with orthopedic disorders affecting both limbs. It is also of use to the experienced practitioner seeking a detailed resource on the latest advances in the field. |
| posterolateral corner reconstruction cpt: Surgical Pathology Dissection William H. Westra, Ralph H. Hruban, Timothy H. Phelps, Christina Isacson, 2013-03-14 Filling the need for a comprehensive, fully-illustrated guide to the subject, this practical manual demonstrates a logical approach to the preparation, dissection, and handling of the tissue specimens most commonly encountered in today's surgical pathology laboratory. Each dissection is vividly illustrated with powerful 3D line drawings created exclusively for this book. The authors discuss the clinically important features of various types of specimens and lesions over the whole range of organ systems. The consistent approach provides a valuable conceptual framework for points to bear in mind during the dissection and each chapter concludes with a convenient reminder of the important issues to address in the surgical pathology report. Indispensable for staff pathologists, residents, pathologist's assistants, histotechnologists and other laboratory personnel. |
| posterolateral corner reconstruction cpt: Pediatric Neurology Tena Rosser, 2007 Pediatric Neurology for the Oral Boards: A Case-Based Review is the first pediatric neurology review book written specifically for neurology residents preparing for the oral boards. The book presents sixty cases with discussions structured according to the neurology oral boards format: localization of neurologic findings; differential diagnosis and most likely diagnosis; diagnostic workup; and patient management. The cases will help readers lay a foundation of knowledge in pediatric neurology and develop an organized approach to clinical decision-making. An introduction explains in detail what to expect on the examination and gives helpful hints on preparing for and taking the exam. |
| posterolateral corner reconstruction cpt: Minimally Invasive Surgery of the Foot and Ankle Nicola Maffulli, Mark Easley, 2010-12-25 Minimally Invasive Surgery of the Foot and Ankle represents a novel approach to treatment of orthopedic problems in the foot and ankle. The gradual change of philosophy in the management of foot and ankle surgery means that patients require a less invasive approach to surgery and a consequent improvement in recovery time. Describing the techniques and, importantly, the indications for minimally invasive procedures for the management of foot and ankle ailments, this book will explain the management of various conditions and how they can be approached using minimally invasive techniques. However, rather than only concentrating on minimally invasive surgery of the foot and ankle, the authors will be examining the options open to surgeons operating in this area – both open surgical and arthroscopic – and explaining the benefits of each. Extensive radiographs, diagrams, and intra-operative pictures will illustrate the procedures described. |
| posterolateral corner reconstruction cpt: Textbook of Hernia William W. Hope, William S. Cobb, Gina L. Adrales, 2017-04-07 This textbook provides a comprehensive, state-of-the art review of the field of hernia surgery, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in both inguinal and ventral/incisional hernia. This book provides an overview of the current understanding of the biologic basis of hernia formation as well as laying the foundation for the importance of hernia research and evaluating outcomes in hernia repair. Diagnosis and management strategies for inguinal and ventral hernia are discussed in detail with separate techniques sections for the most widely used procedures in this field as well as emerging technologies such a robotic and single incision surgery. Pertinent associated topics to inguinal hernia surgery such as chronic groin and athletic pubalgia are covered in detail. For incisional hernias, associated topics such as hernia prevention and enhanced recovery protocols are discussed. For both inguinal and ventral/incisional hernias mesh choices and available mesh technologies are discussed in detail as this remains an often confusing matter for the general surgery. When appropriate, chapters to highlight controversies in care are featured such as the use of synthetic mesh in contaminated surgery and laparoscopic closure of defects in laparoscopic ventral hernia repair. Current recommendations and outcomes data are highlighted when available for each technique. Textbook of Surgery will serve as a very useful resource for physicians and researchers dealing with, and interested in, abdominal wall hernias. It will provide a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. |
| posterolateral corner reconstruction cpt: Surgical English Ramón Ribes, Pedro J. Aranda, John Giba, 2010-01-12 Surgeons around the world need a basic knowledge of English to keep up to date with advances in their field. Fluency in surgical English is important for your professional development, enabling you to attend English-speaking patients with confidence, to study (or work) in other hospitals, speak confidently at international meetings, and to write articles for international journals. This book will provide you with the basic tools to handle day-to-day situations without stress and will help you to improve your English, no matter what your level. To our knowledge, this is the first English book written specifically by surgeons for surgeons. We are sure that surgical specialists from all over the non-English-speaking world (general surgeons, thoracic surgeons, vascular surgeons, neurosurgeons, gynecologists, plastic surgeons) will enjoy reading it. |
| posterolateral corner reconstruction cpt: Essential Orthopedics: Principles and Practice 2 Volumes Manish Kumar Varshney, 2016-01-31 Essential Orthopedics: Principles & Practice is an extensive, illustrated guide to the field of orthopaedics. Principles and practice for shoulder, hip, spine, hand, foot and ankle are covered, including anatomy, physiology, pathology and diseases. Essential Orthopedics: Principles & Practice includes all modern research methodologies, such as biostatistics, advanced imaging and gene therapy. Enhanced by 2000 full colour illustrations this is a comprehensive resource for all interns, residents and orthopaedic surgeons. |
| posterolateral corner reconstruction cpt: Manual of Splinting and Casting - E-Book Stephen R. Thompson, Dan A. Zlotolow, 2023-04-08 Now in vibrant full color, Manual of Splinting and Casting, 2nd Edition, provides highly visual, step-by-step instructions on the most common, need-to-know techniques for initial orthopaedic injury management. This practical point-of-care reference uses a highly templated format with hundreds of illustrations and photographs so you can quickly grasp exactly how to perform each technique. It's an ideal resource for orthopaedic and sports medicine residents, nurses, medical students, emergency physicians, and orthopaedic technologists—anyone who needs a concise, easy-to-follow guide to splinting and casting at the point of care. - Presents each technique in a highly templated format using bulleted steps and illustrations that show each crucial step. - Features how-to clinical photographs and decision-making and treatment algorithms throughout. - Contains fully updated content and new techniques in sections covering Orthopaedic Analgesia, Reduction Maneuvers, Splints and Casts, and Traction Maneuvers. |
| posterolateral corner reconstruction cpt: Advances in Spinal Stabilization Regis W. Haid, Brian R. Subach, Gerald E. Rodts, 2003-01-01 Keep up-to-date in this fast moving field Dramatic changes in spinal stabilization have taken place in the last years and the pace of change continues to accelerate. This volume is an excellent mirror of the evolution of spinal stabilization. It brings together the latest and most comprehensive reviews in minimally-invasive and novel surgical approaches and spinal stabilization techniques. Highlights in new biomaterials including radiolucent, bioresorbable, and standard titanium are discussed by experts. Biological advances including the use of bone morphogenetic protein in anterior lumbar interbody fusion as well as computer-assisted image-guided surgical techniques are demonstrated. The section on instrumentation and technique represents the most up-to-date advances in surgical technique and management of spinal disorders. Illustrations included in each chapter document these excellent papers. Because it is a must for all surgeons performing spinal surgery to keep up-to-date in this fast moving field this book is indispensable reading for them. Neurosurgeons and orthopedic surgeons will find a wealth of information in this volume on the developments in surgical approaches, biomaterials and implants, and biological innovations. |
| posterolateral corner reconstruction cpt: Metastases in Head and Neck Cancer Jochen A. Werner, R. Kim Davis, 2004-07-23 -Richly illustrated; 109 illustrations, 57 in color -Cover a wide range of diagnostic and theraputic techniques, i.e. MRI, PET, surgical treatment, radiation therapy |
| posterolateral corner reconstruction cpt: The Cowboy's Conundrum: Complex and Advanced Cases in Shoulder Arthroscopy Stephen S.Burkhart, 2017-04-05 Obtain optimal outcomes with masterful guidance! The Cowboy’s Conundrum: Complex and Advanced Cases in Shoulder Arthroscopy brings you step-by-step advice from preeminent orthopaedic surgeons, helping you to successfully perform even the most challenging techniques and achieve the best results. Authored by Stephen S. Burkhart, MD and his expert team of surgeons, creators of bestselling titles A Cowboy’s Guide to Advanced Shoulder Arthroscopy and The Cowboy’s Companion: A Trail Guide for the Arthroscopic Shoulder Surgeon, The Cowboy’s Conundrum brings you the collective wisdom of world authorities who have been intimately involved in pioneering and refining today’s approaches to minimally invasive shoulder surgery. Dr. Burkhart uses his trademark “cowboy” flair to communicate essential clinical pearls in an approachable and entertaining manner. |
| posterolateral corner reconstruction cpt: Dorland's Dictionary of Medical Acronyms and Abbreviations Dorland, 2015-07-24 Medical acronyms and abbreviations offer convenience, but those countless shortcuts can often be confusing. Now a part of the popular Dorland's suite of products, this reference features thousands of terms from across various medical specialties. Its alphabetical arrangement makes for quick reference, and expanded coverage of symbols ensures they are easier to find. Effective communication plays an important role in all medical settings, so turn to this trusted volume for nearly any medical abbreviation you might encounter. - Symbols section makes it easier to locate unusual or seldom-used symbols. - Convenient alphabetical format allows you to find the entry you need more intuitively. - More than 90,000 entries and definitions. - Many new and updated entries including terminology in expanding specialties, such as Nursing; Physical, Occupational, and Speech Therapies; Transcription and Coding; Computer and Technical Fields. - New section on abbreviations to avoid, including Joint Commission abbreviations that are not to be used. - Incorporates updates suggested by the Institute for Safe Medication Practices (ISMP). |
| posterolateral corner reconstruction cpt: Iowa Head and Neck Protocols Henry Hoffman (M.D.), Cindy Dawson, Kari Fitzpatrick, Michael P. Karnell, 2000 Researchers from the University of Iowa and elsewhere present diagnostic and management preferences in outline form to provide a brief and directed approach to diseases of the head and neck, not as a surgical atlas or a didactic texts, but to bridge the gap between procedural concepts and their implementation. The collection has been updated annually since 1992 for use in the annual Iowa Head and Neck Cancer and Reconstructive Surgery Course. It sets out protocols for management, treatment, surgery, dentistry, nursing, nursing trays, and setup and packs. They include a comprehensive list of instruments for each surgical procedure to help nurses and physicians who are establishing a new practice or preparing to introduce new surgical procedures. No information is offered about the disk. Annotation copyrighted by Book News, Inc., Portland, OR |
| posterolateral corner reconstruction cpt: Front Line Surgery Matthew J. Martin, MD, FACS, Alec C. Beekley, MD, FACS, 2010-12-13 Both editors are active duty officers and surgeons in the U.S. Army. Dr. Martin is a fellowship trained trauma surgeon who is currently the Trauma Medical Director at Madigan Army Medical Center. He has served as the Chief of Surgery with the 47th Combat Support Hospital (CSH) in Tikrit, Iraq in 2005 to 2006, and most recently as the Chief of Trauma and General Surgery with the 28th CSH in Baghdad, Iraq in 2007 to 2008. He has published multiple peer-reviewed journal articles and surgical chapters. He presented his latest work analyzing trauma-related deaths in the current war and strategies to reduce them at the 2008 annual meeting of the American College of Surgeons. Dr. Beekley is the former Trauma Medical Director at Madigan Army Medical Center. He has multiple combat deployments to both Iraq and Afghanistan, and has served in a variety of leadership roles with both Forward Surgical Teams (FST) and Combat Support Hospitals (CSH). |
| posterolateral corner reconstruction cpt: Operative Hip Arthroscopy John Wilson Thomas Byrd, 1998 |
| posterolateral corner reconstruction cpt: Therapeutic Programs for Musculoskeletal Disorders James Wyss, Amrish Patel, 2012-12-17 This is a guide for musculoskeletal medicine trainees and physicians to the art and science of writing prescriptions and developing individualized treatment plans. It offers a comprehensive approach to the conservative treatment of musculoskeletal disorders. |
| posterolateral corner reconstruction cpt: Noyes' Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes E-Book Frank R. Noyes, 2016-02-02 Frank R. Noyes, MD – internationally-renowned knee surgeon and orthopaedic sports medicine specialist – presents this unparalleled resource on the diagnosis, management, and outcomes analysis for the full range of complex knee disorders. - Relies on Dr. Noyes' meticulous clinical studies and outcomes data from peer-reviewed publications as a scientifically valid foundation for patient care. - Features detailed post-operative rehabilitation programs and protocols so that you can apply proven techniques and ease your patients' progression from one phase to the next. - Presents step-by-step descriptions on soft tissue knee repair and reconstruction for anterior cruciate ligament reconstruction, meniscus repair, soft tissue transplants, osseous malalignments, articular cartilage restoration, posterior cruciate ligament reconstruction, and more to provide you with guidance for the management of any patient. - Contains today's most comprehensive and advanced coverage of ACL,PCL, posterolateral, unicompartmental knee replacement, return to sports after injury, along with 1500 new study references supporting treatment recommendations. - Features all-new content on unicompartmental and patellofemoral knee replacement, updated operative procedures for posterior cruciate ligament and posterolateral ligament deficiency, updated postoperative rehabilitation protocols, and new information on cartilage restoration procedures and meniscus transplantation. - Includes some of the most comprehensive and advanced discussions on arthrofibrosis, complex regional pain syndrome, tibial and femoral osteotomies, and posterolateral reconstructions available in modern published literature. - Covers gender disparities in ligament injuries for more effective analysis and management. - Includes access to 46 outstanding videos encompassing nearly 11 hours of surgery, live patient rounds, and live presentations. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. |
Posteromedial Corner Knee Injuries: Diagnosis, …
corner injuries, the anteromedial aspect of the tibia subluxates anteriorly on the femur, and in the posterolateral corner injuries, the posterolateral aspect of the tibia subluxates posteriorly on the fe-mur. Biomechanical studies have dem-onstrated the important role of the Fig. 1 Figs. 1-A and 1-B Theposteromedial corner.
Weightbearing Protocols After Posterolateral Corner …
In vivo clinical studies of posterolateral corner reconstruction (n=105) Duplicates removed (n=113) Figure 1. Systematic review flowchart following the PRISMA (Preferred Reporting Items for ...
Anatomic Posterolateral Corner Reconstruction With Single …
Abstract: Injuries to the posterolateral corner (PLC) of the knee are difficult challenges for orthopaedic surgeons to manage. The original LaPrade anatomic reconstruction technique using 2 allografts from a split Achilles tendon has become a well-recognized reconstructive approach for addressing injury to the PLC. In this article, we present our
ACL and Posterolateral Corner - Sanford Health
3. Chahla J, Murray IR, et al. Posterolateral corner of the knee: an expert consensus statement on diagnosis, classification, treatment, and rehabilitation. Knee Surg Sport Tr A. 2019; 27(8): 2520-2529. 4. Lunden JB, Bzdusek PJ, et al. Current concepts in the recognition and treatment of posterolateral corner injuries of the knee. J Orthop Sports
Surgical Repair of Distal Biceps Femoris Avulsion Injuries in ...
The biceps femoris functions as part of the posterolateral corner (PLC) capsular-ligamentous complex in combina-tion with the popliteal muscle, popliteofibular ligament, fibular collateral ligament (FCL),andposterolateralartic-ular capsule. It not only acts as a dynamic and static The Orthopaedic Journal of Sports Medicine, 9(3), 2325967121999643
Open Popliteal Tendon Repair - Arthroscopy Techniques
providing stability to the posterolateral corner of the knee, and sequential sectioning studies have shown increased laxity in external rotation at higher knee flexion angles with an incompetent popliteus.6 The injury patterns of an isolated popliteal tendon tear are classically described as a varus and external rotation
Results of isolated posterolateral corner reconstruction
Table 1 Results of isolated posterolateral corner reconstruction Patient Age (years) Follow-up (months) Associate tears Graft Tunnel VAS Lysholm IKDC Varus stress (30 ) Dial test 30 1 30 33 – Allograft Double 1 92 85-(B) 0 0 (\10 ) 2 36 18 Patellar …
Posterolateral Corner Reconstruction - ciocenter.com
Posterolateral Corner Reconstruction (With and without PCL reconstruction) Rehabilitation Protocol! The intent of this protocol is to provide the clinician with a guideline of the post-operative reha-bilitation course of a patient that has undergone a reconstruction of their posterolateral corner (with or without a concomitant PCL reconstruction).
Reconstruction of the Posterolateral Corner of the Knee …
Severe injuries often require reconstruction, and both anatomic and nonanatomic techniques exist. We describe our preferred operative technique to reconstruct the fibular collateral ligament and posterolateral corner using a single Achilles tendon allograft. I njuries to the posterolateral corner (PLC) of the knee
POSTEROLATERAL CORNER KNEE INJURIES - Foundation …
Jul 15, 2018 · Anatomic Posterolateral Corner Knee Reconstruction. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 21, No 9 (September), 2005: pp 1147.e1-1147.e5 Arnoczky SP, Tarvin GB, Marshall JL: Anterior cruciate ligament replacement using patellar tendon. An evaluation of graft revascularization in the dog.
Knee Posterolateral corner reconstruction - Twin Cities …
POSTEROLATERAL CORNER RECONSTRUCTION . ANDREW ARTHUR, MD KYLE EXSTED, PA-C SHANNON JAMES MEDICATIONS • Local pain medications were used at the time of surgery. This will wear off in 8-12 hours. If a local “block” …
Anatomic Reconstruction of the Posterolateral Corner: An …
Several open PLC reconstruction techniques have been published. It is understood that anatomic reconstruction is superior to extra-anatomic techniques, leading to better clinical results. An open, anatomic, fibula-based technique for reconstruction to address lateral and rotational instability has been described.
Editorial Commentary: Anatomic Posterolateral Corner …
posterolateral corner. Arthroscopy 2009;25:232-242. 7. Kuzma SA, Chow RM, Engasser WM, Stuart MJ, Levy BA. Reconstruction of the posterolateral corner of the knee with achilles tendon allograft. Arthrosc Tech 2014;3:e393-e398. 8. Sanders TL, Johnson NR, Pareek A, et al. Satisfactory knee function after single-stage posterolateral corner recon-
Posterolateral Corner Reconstruction - Mountain Ortho
Posterolateral Corner Reconstruction: Phase 1–Maximum Protection (Weeks 0 to 6): Weeks 0-2: • Brace locked at 0 at all times for six weeks • Ice and modalities to reduce pain and inflammation • Use crutches non-weight bearing for 6 weeks • Initial patella mobilizations • ROM 30-90 WITH VALGUS STRESS APPLIED
GEOFFREY S. VAN THIEL MD/MBA - Ortho Illinois
The posterolateral corner knee reconstruction includes replacement of the popliteus tendon and the lateral collateral ligament with allograft tissue. These structures function to prevent abnormal varus opening, external rotation, and posterolateral rotation of the injured knee. Thus, it is important during the early postoperative period that ...
Posterolateral Corner Reconstruction of the Knee - SAGE …
there are relatively few clinical outcomes data after reconstruction of the posterolateral corner. Purpose: The study was undertaken to examine the clinical outcomes and provide objective data using arthrometry and stress radiography of a posterolateral corner reconstruction technique. Study Design: Case series; Level of evidence, 4.
ACL AND LCL +/- POSTEROLATERAL CORNER …
ACL AND LCL +/- POSTEROLATERAL CORNER RECONSTRUCTION PT PROTOCOL . BRACE INSTRUCTIONS AND RESTRICTIONS RANGE OF MOTION GOALS PT EXERCISES/NOTES PHASE 1 First 2 Weeks (0-2) 1-2 Sessions/week Begin after 5-7 days -Hinge Knee brace x 6 weeks (may remove for shower/hygiene)
Elongation Patterns of Posterolateral Corner …
Background: The isometric characteristics of nonanatomic and anatomic posterolateral corner (PLC) reconstruction techniques under weightbearing conditions remain unclear. Purpose: To (1) simulate graft elongation patterns during knee flexion for 3 different PLC reconstruction techniques (Larson,
Minimally Invasive, Arthroscopic-Assisted, Anatomic …
Abstract: As the anatomy and biomechanics of the posterolateral corner (PLC) of the knee have become better un-derstood, the importance of the PLC’s proper function has become a more frequently raised subject. Misdiagnosed chronic posterolateral instability may lead to serious consequences, including cruciate ligament reconstruction graft ...
MRI of the Posterolateral Corner Injury: A Concise Review
Neglecting an injury of the posterolateral corner can result in chronic posterolateral instability and/or fail-ure of the anterior cruciate ligament (ACL) and PCL reconstruction (3,5,7–9). Moreover, diagnosis and sub-sequent surgical treatment of acute posterolateral in-jury should be performed in a timely fashion before scar
Lateral Collateral Ligament Reconstruction Rehab Protocol
Lateral Collateral Ligament Reconstruction Rehab Protocol The lateral collateral ligament, or LCL is probably the least often injured ligament of the knee. However uncommon, it does occasional tear, not usually in isolation. Commonly associated injuries include posterolateral corner cruciate ligament tears as well as meniscal pathology.
Posterolateral Corner Reconstruction - jorgechahlamd.com
Anatomic Posterolateral Corner Reconstruction. Arthrosc Tech. 2016 Jun 6;5(3): e563-72. 13.MoultonSG,GeeslinAG,LaPradeRF.A Systematic Review of the Outcomes of Posterolateral Corner Knee Injuries, Part 2: Surgical Treatment of Chronic Injuries. Am J Sports Med. 2016 Jun;44(6):1616-23.
A look at new changes coming to E&M and breast coding …
CPT CORNER A look at new changes coming to E&M and breast coding in 2021 “CPT Corner” provides general information, available at the time of publication, regarding various coding, billing and claims issues of interest to plastic surgeons. ASPS is not respon-sible for any action taken in reliance on the information contained in this column.
No Difference Between Posterolateral Corner Repair and …
Keywords: ACL; posterolateral corner; outcomes; repair; reconstruction Injuries to the posterolateral corner (PLC) of the knee often involve concurrent damage to the anterior cruciate liga-ment (ACL), and they can be disabling without proper treatment. Over the past 3 decades, our understanding of
The Posterolateral Corner of the Knee - SAGE Journals
Fourteen of 15 patients with failures of the primary posterolateral corner repair or reconstruction underwent successful revision reconstruction. The final patient with failure of the primary repair elected not to have a revision reconstruction. The final mean Lysholm knee score for both repair and reconstruction patients wa s 88.7 (range, 53-100).
The Posterolateral Corner of the Knee - AJR
tures of the posterolateral corner as visual-ized on MRI. Posterolateral Corner Instability: Clinical Features and Management Rotatory instability of the posterolateral corner of the knee is a complex and difficult clinical entity in terms of both diagnosis and treatment. The stability of the posterolateral corner of the knee is provided by ...
Practice Guidelines for the Management of Multiligamentous …
MCL and posteromedial corner.27 Similarly, better results of an anatomic posterolateral corner reconstruction have also inclined surgeons toward surgical modality than conservative treatment in PLC injuries.28,29 The above-mentioned studies using newer techniques show increasing inclination toward better results and surgical treatment.
Posterolateral corner of the knee: an expert consensus …
Keywords Posterolateral corner · Knee · Expert · Consensus · Lateral collateral ligament · Popliteus · Reconstruction Introduction The posterolateral corner (PLC) was once considered the “dark side” of the knee, and it was not until recent times that consistent anatomic and biomechanical descriptions aided
Anatomic Posterolateral Corner Reconstruction With
reconstruction by biomechanical overloading when not treated properly.1-5 Because of the low healing potential of these injuries, surgery is usually indicated. PLC reconstruction is normally advocated for grade 2 or 3 PLC lesions, considering its superior outcomes compared with con-servative treatment.1-7 The reported PLC reconstruction
Posterolateral Corner Reconstruction Cpt Code
Jan 22, 2024 · POSTEROLATERAL CORNER RECONSTRUCTION CPT CODE BOOK EVALUATION Welcome to Posterolateral Corner Reconstruction Cpt Code evaluation section! As serious readers ourselves, we understand just how valuable it is to discover brand-new publications that record our hearts and minds. And that's where we come in - with our …
Weightbearing Protocols After Posterolateral Corner …
databases and the following keywords: “posterolateral corner,” “postoperative posterolateral corner,” and “rehabilitation.” All articles published through November 2019 were included for analysis. Three investigators (B.L.M., T.P., K.K.) performed a separate study selection of identified articles to exclude repetitions and select those
Surgery: Musculoskeletal System (Q & A) - AAPC
The posterolateral corner (PLC) of the knee is a complex area of the knee formed by the interaction of multiple structures. The arcuate complex, a component of the posterolateral corner, is composed of the arcuate ligament, the fibular collateral ligament, and the popliteus muscle and tendon. Figure 1. Posterolateral Corner of the Knee Anatomy
Post-Operative Instructions Posterolateral Corner w/wo PCL …
Posterolateral Corner w/wo PCL Reconstruction Day of surgery A. Diet as tolerated B. Icing is important for the first 5-7 days post-op. While the post-op dressing is in place, icing should be done continuously. Once the dressing is removed on the third post-operative day, ice is applied for 20-minute periods 3-4 times per day.
ACL & Posterolateral corner reconstruction
REHABILITATION PROTOCOL- ACL & Posterolateral corner reconstruction The rehabilitation guidelines are presented in a criterion based progression program. General time frames are given for reference to the average, but individual patients will progress at different rates depending on their age, associated injuries, pre-injury health status ...
Posterolateral Corner Reconstruction Cpt (Download Only)
Posterolateral Corner Reconstruction CPT: Your Definitive Guide to Accurate Coding and Reimbursement Are you tired of struggling with the complex coding and reimbursement challenges surrounding Posterolateral Corner (PLC) reconstruction surgeries? Are denials and delayed payments eating into your practice's revenue?
Post-Operative Rehabilitation Guidelines for Posterolateral …
Posterolateral Corner Reconstruction +/- PCL - Rehab Protocol Phase 1: 0-6 weeks: Protection NWB 6 weeks Avoid tibial rotation, hyperextension and varus force to the knee. Hinged knee brace locked in extension for ambulation and sleeping x 6 weeks. **If PCL reconstruction dynamic knee brace used for 6 months
Cartilage Damage Determines Intermediate Outcome in the …
effective reconstruction of the posterolateral corner of the knee is clear and well understood.2,5,6,8 The results of the different surgical reconstruction techniques are quite variable.3,9,11,14,15 This might be owing to residual laxity of the posterolateral corner reconstruction, the quality or number of concomitant cruciate ligament ...
Anatomic Posterolateral Corner Reconstruction Using …
anteromedial as well as posterolateral corner laxity. Skin incision Ensure more anterior placement of the incision; the posterior skin flap will naturally fall away, allowing access to common peroneal nerve and posterolateral tibia. Incision placed too posteriorly can make harvesting B-PT-B or quads autograft (for combined ACL/PCL reconstruction)
POSTEROLATERAL CORNER/ LCL RECONSTRUCTION or …
POSTEROLATERAL CORNER/ LCL RECONSTRUCTION or REPAIR REHABILITATION PROTOCOL WEIGHT BEARING BRACE ROM EXERCISES PHASE I 0-6 weeks Heel touch in brace stretch 0-2 weeks: Locked in full extension for ambulation and sleeping 2-6 weeks: Unlocked 0-90 and worn daytime Off for hygiene and exercises 0-2 weeks: 0-45 2 weeks+: …
Surgical Management of the Multiple-Ligament Knee Injury
assess all damaged structures: anterior cruciate ligament, posterior cruciate ligament, posteromedial corner including the medial collateral ligament, and posterolateral corner including the lateral collateral ligament. Several surgical techniques have been developed throughout the years to adequately address these ligament insufficiencies.
Combined Anterior Cruciate Ligament Reconstruction and …
anterolateral laxity, despite repair or reconstruction of other injured structures or in the setting of increased tibial slope, a lateral extra-articular tenodesis procedure can be used to augment an ACL reconstruction to aid in restoring anterolateral rotational stability and to upload the ACL reconstruction graft.
Posterolateral Corner Reconstruction Rehab Protocol
1900 Cooks Hill Road, Centralia, WA 98531 (360) 736-2889 1(800)342-0205 FAX (360)736-3136 www.waortho.com Posterolateral Corner Reconstruction Rehab Protocol
Arthroscopic Identification of the Knee Posterolateral Corner ...
Arthroscopic Identification of the Knee Posterolateral Corner Structures and Anatomic Arthroscopic Posterolateral Corner Reconstruction: Technical Note e Part 1 Benjamin Freychet, M.D., Bertrand Sonnery-Cottet, M.D., Thais Dutra Vieira, M.S.,
MULTIPLE LIGAMENT KNEE INJURIES (ACL AND PCL …
ACL and PCL Reconstruction occurs after a multi-ligamentous knee injury, most often sustained during a contact force causing a knee dislocation. ... uses an allograft or autograft to reconstruct the torn ACL and PCL ligaments, and may repair the MCL, LCL, and/or posterolateral corner of the knee if needed as well. Long- term complications after ...
Lateral Collateral Ligament Reconstruction With Tensionable …
Background: The posterolateral corner (PLC) is an important knee stabilizer that resists varus stress, external tibial rotation, and posterior tibial translation. Untreated PLC injuries have been shown to increase failure rates of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) reconstructions and lead to degenerative ...
PCL RECONSTRUCTION CLINICAL PRACTICE GUIDELINE
PCL RECONSTRUCTION CLINICAL PRACTICE GUIDELINE Progression is time and criterion-based, dependent on soft tissue healing, patient demographics and clinician evaluation. Contact Ohio State Sports Medicine at 614-293-2385 if questions arise. ... • Posterolateral Corner Repair—Non weight bearing for 4 weeks, then increase weight bearing in brace
ACL & POSTEROLATERAL CORNER RECONSTRUCTION …
ACL & POSTEROLATERAL CORNER RECONSTRUCTION REHABILITATION PROTOCOL ! COPYRIGHT*2014*CRC*©BRIAN*J.*COLE,*MD,*MBA WEIGHT BEARING BRACE ROM EXERCISES PHASE I 0-6 weeks Heel touch WB in brace * 0-2 weeks: Locked in full extension for ambulation and sleeping 2-6 weeks: Unlocked for ambulation 0-90, remove for sleeping** 0 …
Comparative Success of Repair Versus Reconstruction for …
PCL–posterolateral corner (PLC).26 The 2 main methods for surgical treatment of extra-articular ligamentous injuries are either repair or reconstruction.26 However, ... CPT-27429 Open intra-articular and extra-articular knee ligamentous reconstruction …
A modified Larson’s method of posterolateral corner …
Keywords: Posterolateral corner, Lateral collateral ligament, Popliteofibular ligament, Reconstructive technique Introduction Generally, posterolateral corner (PLC) reconstruction is
POSTEROLATERAL CORNER (PLC) REPAIR / …
_____ Phase IV (16-24 weeks): • Weight Bearing: Full. • Brace: None. • ROM: Full. • Exercises: 16 weeks: Begin jumping. 20 weeks: Advance to sprinting ...
