Wiki Surgery Anterolateral ligament repair

jeskla

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Can someone help me with the ALL repair portion of this note? Was leaning toward 27427 but he dictates repair, not reconstruction. Looking at 27405 but it doesn't state it's for this specific ligament.


  1. Left knee autograft quadriceps soft tissue anterior cruciate ligament reconstruction, arthroscopic
  2. Left knee repair anterolateral longitudinal ligament with internal bracing FiberTape, percutaneous
    1. Post op diagnosis :Left knee anterior cruciate ligament rupture.
    2. Left knee Segond's fracture.

Doc does the ACL repair arthroscopically and removes the scope, then :

We then addressed the anterolateral longitudinal ligament. We repaired this percutaneously with an internal brace, placing a small stab incision at the area of the lateral femoral epicondyle and then another stab incision 10 mm below the joint line at 20 mm posterior to the Gerdy's tubercle. We placed a 4.75 BioComposite anchor after drilling and tapping the femur with FiberTape. We then subcutaneously and underneath the IT band passed the hemostat. We grabbed the FiberTape, brought it back through the inferior hole. We then drilled and tapped this area and secured it with a 4.75 BioComposite anchor, holding the knee in full extension making sure that we had appropriate isometry. There was excellent stability both with stressing the ACL as well as the lateral joint line. We cut the sutures.
 
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