Treatment
Your doctor will consider all aspects of an ankle fracture when deciding whether to recommend surgery or not. Not all medial malleolar fractures require surgery. The bone will heal with or without surgery in around six to eight weeks. The purpose of surgery is to stabilize the bone in its proper position while the bone is healing.
Symptoms. If you have a fractured ankle, your symptoms probably will include: Pain, swelling, tenderness and bruising at your ankle joint. Inability to move your ankle through its normal range of motion. Inability to bear weight on your injured ankle — However, if you can bear weight on the ankle, don't assume there is no fracture.
852 for Displaced trimalleolar fracture of left lower leg is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
A trimalleolar fracture happens when you break your lower leg sections that form your ankle joint and help you move your foot and ankle. Treatment includes surgery and extensive physical therapy. A trimalleolar fracture can have long-term impact on your quality of life. Appointments 216.444.2606.
Physicians classify broken ankles by the area of bone that has fractured. For instance, if both the fibula and tibia have broken, it is considered a bimalleolar fracture. Conversely, a trimalleolar fracture involves a break in the three parts of the ankle.
S82. 851A Displaced trimalleolar fracture of right lower leg, init - ICD-10-CM Diagnosis Codes.
A trimalleolar fracture is a type of ankle fracture. It happens when you fracture three different areas in your ankle called the malleoli. These bones, called the medial, lateral, and posterior malleoli, stick out somewhat at your ankle.
Many ankle fractures have common causes, including rolling or twisting your ankle, falling, or injuries from a vehicular accident or sports activity. To get a trimalleolar fracture, the impact has to be very hard or from a particular angle to lead to this amount of damage.
A trimalleolar fracture is a fracture of the three large bones that make up the ankle joint: the lateral, medial, and posterior malleoli. Accounting for about seven percent of ankle fractures seen in orthopedic units, it is the rarest type of ankle fracture behind open fracture [1].
Trimalleolar fractures involve fracture of the medial malleolus and fibula, along with fracture of the posterior lip of the articular surface of the tibia. The medial malleolus may remain intact with a tear of the deltoid ligament occurring instead of a malleolar fracture.
The tarsal bones include the calcaneus, talus, cuboid, navicular, and the medial, middle, and lateral cuneiforms.
CPT® Code 27822 in section: Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus.
Displaced Fracture: bone breaks into two or more pieces and moves out of alignment. Non-Displaced Fracture: the bone breaks but does not move out of alignment. Closed Fracture: the skin is not broken.
M25. 571 Pain in right ankle and joints of right foot - ICD-10-CM Diagnosis Codes.
Trimalleolar fractures would command a value of $350,000 or more in personal injury claims. The fracture can also be transverse, angulated, displaced, or comminuted which would increase the ultimate value. An ankle fusion surgical procedure can be worth even more.
Long term effects of ankle fractures have been reported to include physical, psychological, and social consequences [9]. It has been reported that physical impairments following ankle fractures may include pain, functional impairment and the development of post-trauma arthritis [16].
Surgeons leave plates and screws in most of the time, but there are some situations that may make the surgeon or patient more willing to take out the hardware: irritated tendons (can happen from a screw or the plate edge rubbing on a tendon)
Fusion of an ankle is done on the joint, not the bone, and is still coded as the ankle joint. 0SGF04Z - Fusion of Right Ankle Joint with Internal Fixation Device, Open Approach. If there is a displaced ankle joint, you will code the root of the procedure and the approach; this would be in addition to any fractures.
Fusions happen on joints; insertions for a fracture are coded to the specific bone and will be found in the section under lower bones .