64. Syndesmosis Bunion Surgery is a special surgical technique that leaves each bone and joint fully intact by addressing the true underlying ligament problem. Paul C. Brady, MD (Knoxville, TN), reviews how he chose to perform a shoulder instability repair of a complicated type IV SLAP tear with Bankart and Hill-Sachs lesions. Reduction of the syndesmosis was the only significant predictive factor for functional outcome. In his defense, when you search this topic in PubMed, Google or even resources from other reliable medical institutions, there are very few evidence based protocols established. Your language settings, for example, are stored as functional cookies. 65. Tensioning handles and a new trocar-tipped drill bit have been added to the implant system. The syndesmosis bunionectomy is the the only procedure for bunion reduction that will give true 'anatomical' or naturally correct orientation and length to all the metatarsals. It can be used to repair a high ankle sprain, which damages the soft tissue structures between the tibia and fibula and causes these bones to separate. It can also be used to stabilize a fracture of the fibula. For more information about the third-party vendors we work with, read the section "Data collection when visiting our website" in our Data Privacy Statement. 62. Please try again, or try refreshing the page. An ankle injury common to athletes is the ankle syndesmosis injury. This technique guide provides a complete description of Ankle Syndesmosis Repair procedure using Smith & Nephew’s Ankle Syndesmosis Repair Kit. JuggerLoc Bone-to-Bone System is a suture based implant intended for repair in the foot and ankle. Note the space between the tibia and fibula. If you do not allow these cookies, we will not know when you visited our website. The kit is designed for use with a plate when an associated fracture of the fibula is present. Indications include ankle syndesmosis fixation and Lisfranc repair. The FIBULINK ® Syndesmosis Repair Kit is intended as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated and as an adjunct to fixation systems involving plates, with fracture braces and casting. There are no more messages in this thread. In an ankle syndesmosis injury, at least one of the ligaments connecting the bottom ends of the tibia and fibula bones (the lower leg bones) is sprained. The Syndesmosis TightRope ® XP implant system features a unique delivery mechanism that allows surgeons to insert the implant without pulling a needle through the medial skin. Conclusion: Syndesmotic tightrope is an ideal alternative for syndesmotic screw used to stabilise these injury, as it offers early weight bearing mobilisation, anatomical reduction and avoiding second surgery for screw removal. It is available in stainless steel and titanium. 69. 50. 0SSF04Z Reposition Right Ankle Joint with Internal Fixation Device, Open Approach; 0SSF05 External Fixation Device. The Arthrex TightRope syndesmosis device is intended as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated, and as an adjunct in external and intramedullary fixation systems involving plates and … Foot Ankle Int. Outcomes of Suture Button Repair of the Distal Tibiofibular Syndesmosis. scar tissue at the syndesmosis - Internal screw fixation of the syndesmosis. 127. With these cookies, we can count visits and identify traffic sources to help us determine and improve the performance of our site. Deltoid repair Rotator cuff tear repair Biceps Tenodesis FOOT AND ANKLE Medial/lateral repair and reconstruction Mid- and forefoot repair Hallux valgus reconstruction Metatarsal ligament/tendon repair or reconstruction Achilles tendon repair Ankle Syndesmosis fixation (Syndesmosis disruptions) and as an Patients with a reduced syndesmosis had a mean score of 10.2 versus a score of 17 in patients with a nonreduced syndesmosis (P = 0.04). TightRope™ Fixation for Ankle Syndesmosis. The Syndesmosis TightRope ® XP implant system features a unique delivery mechanism that allows surgeons to insert the implant without pulling a needle through the medial skin. 71. 47. 79. 59. If the syndesmosis is found to be stable, it usually will not require surgical management. Background/aim The distal tibiofibular joint is described as a syndesmosis. To request a price quote and/or surgical evaluation of products, please add all products of interest to your cart by selecting the respective product checkboxes in the "Quote" (1) and/or "Surgical Evaluation" (2) column of the "Products View" (3). Once it forms naturally over 3 months, the Syndesmosis ligament is the only mechanism needed to critically stabilize previously unstable bones. Syndesmosis screws have significant problems including loosening, breakage, the need for removal, and late diastasis. 119. 69. 80. 89. © 2021 Arthrex, Inc. All rights reserved. (Right) Surgical repair. After repair of the fibula, an instrument is placed around the fibula and there is traction applied laterally to check the integrity of the syndesmosis. JuggerKnot ® … 127. Primary repair codes report the initial repair of a current or acute injury. These cookies are necessary for the functioning of our website and cannot be deactivated in our systems. 0SSF04 Internal Fixation Device. For additional information, see our Data Privacy Statement. If, however, a significant amount of work was done (and documented), you could append a "-22" modifier to the CPT 27829 procedure code, and increase your fee accordingly. Website Design by S. Kloos Communications Inc. For this repair, Dr. Brady used 3.0 mm Knotless SutureTak ® anchors to achieve a low-profile, knotless construct. 201. This is an X-ray that is taken while your doctor carefully twists or stresses your ankle to test the stability of the syndesmosis. Physician (cont.) If you have other medical conditions that make surgery too risky for your health, your surgeon may recommen… 67. I would appreciate assistance in coding the above. Podiatry Management •1062 E. Lancaster Ave, Rosemont Plaza Ste 15 F, Bryn Mawr, PA 19010, ©Copyright 2021, Podiatry Management Online - All Rights Reserved. 134. The INVISIKNOT Ankle Syndesmosis Repair Kit fracture device is indicated to provide fixation as an adjunct to fracture repair hardware during the healing period following an ankle syndesmotic trauma with fracture. For the removal of the symptomatic hardware, I would add diagnosis code, ICD-9 996.78, for the scar tissue and the surgery re-do, I would use a late effect code, ICD-9 905.4, along with the original diagnosis of ankle dislocation code, ICD-9 837.0, Query: Revision of Ankle Syndesmosis Surgery. You can set your browser to block these cookies or to notify you about these cookies. It is … After reviewing the cart details, click the "Submit Request" button to finalize and submit your request. It can also be used to stabilize a fracture of the fibula. 210. There was an error retrieving the content. osteotomy procedure coding, CPT 20690 - application of a uniplane (pins or wires in one plane), unilateral, external fixation system [this type of device consists of two or more pins inserted above, and two or more pins inserted below, the osteotomy site]; CPT 20692 - application of a multiplane (pins or wires in more than one plane), unilateral, Discussion: - w/ ankle fractures that occur above the syndesmosis, the lateral and/or medial malleolus, should be fixed first; - subsequently, look for objective evidence of syndesmotic widening; - stabilization of syndesmosis may be achieved by placing one or two screws between tibia & fibula to hold syndesmosis in 50. 65. Syndesmosis will be demonstrated with the Synd-EZ kit which is intended to be used with or without a fracture plate.