nabernhardt
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ok here is what I have. non medicare pt
what I am needing help on is the open repair?
and if there is what could be bundled in?
OPERATION:
1. Right knee arthroscopy.
2. Medial plicotomy.
3. Medial femoral condyle and patellofemoral chondroplasty.
4. Arthroscopically assisted lateral release.
5. Open medial retinacular repair.
29875, 29877 59, 29873, and 27422? (this is the one I am unsure of)
PROCEDURE: The patient was taken to the operating room, placed under general anesthesia.The limb was prepared with alcohol and DuraPrep, draped in several layers. The limb was exsanguinated, tourniquet was elevated. Lateral portals established. Grade 2 and 3 chondromalacia of the lateral ridge in the central aspect of the patella was identified and a chondroplasty was performed to a stable base. She had a rub lesion and a large plica medially. I clipped the plica and lightly débrided it and did a chondroplasty on the rub lesion. The rest of the chondral surfaces and the medial and lateral joint space and the meniscus were normal. Intracondylar notch structures in the lateral gutter were normal as well. After the chondroplasty and plicotomy, incised the lateral retinaculum through the lateral portal. That improved tracking considerably. I did an open medial retinacular repair, embrocating the medial patellofemoral ligament and its redundant structure by about 1 to 1.5 cm. I used multiple running locking embrocation sutures to a fresh bleeding base at the equator of the patella to augment the repair and then did a running suture on top of that to further secure it. Wound was irrigated and closed in two
layers. Portals were closed as well.
any suggestions please?
what I am needing help on is the open repair?
and if there is what could be bundled in?
OPERATION:
1. Right knee arthroscopy.
2. Medial plicotomy.
3. Medial femoral condyle and patellofemoral chondroplasty.
4. Arthroscopically assisted lateral release.
5. Open medial retinacular repair.
29875, 29877 59, 29873, and 27422? (this is the one I am unsure of)
PROCEDURE: The patient was taken to the operating room, placed under general anesthesia.The limb was prepared with alcohol and DuraPrep, draped in several layers. The limb was exsanguinated, tourniquet was elevated. Lateral portals established. Grade 2 and 3 chondromalacia of the lateral ridge in the central aspect of the patella was identified and a chondroplasty was performed to a stable base. She had a rub lesion and a large plica medially. I clipped the plica and lightly débrided it and did a chondroplasty on the rub lesion. The rest of the chondral surfaces and the medial and lateral joint space and the meniscus were normal. Intracondylar notch structures in the lateral gutter were normal as well. After the chondroplasty and plicotomy, incised the lateral retinaculum through the lateral portal. That improved tracking considerably. I did an open medial retinacular repair, embrocating the medial patellofemoral ligament and its redundant structure by about 1 to 1.5 cm. I used multiple running locking embrocation sutures to a fresh bleeding base at the equator of the patella to augment the repair and then did a running suture on top of that to further secure it. Wound was irrigated and closed in two
layers. Portals were closed as well.
any suggestions please?