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Revision for infection can be done in one of two ways, depending on the type of bacteria, how long the infection has been present, the degree of infection, and patient preferences. Bethesda, MD 20894, Web Policies 0000005966 00000 n hb``d`*g`` l,ALLLU'gyv8(q +Wn6d>]wZz&]=}#~ome.4Zz`9Wn){n3W%X33xCb:Q;YN Oy 4444--- And arthro-scopic ACL repair or reconstruction has only one code: 29888 (Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction). As soon as your pain begins to improve, stop taking opioids. official website and that any information you provide is encrypted (Right) In revision surgery, components with longer stems fit more securely into the bones and provide stability. 0000006363 00000 n Clipboard, Search History, and several other advanced features are temporarily unavailable. 0000103928 00000 n As the major stabilizing ligament of the knee, it prevents buckling and instability. 20 percent 30 percent) the procedure was as a result of this altered surgical field. Orthop J Sports Med. Multiple revision anterior cruciate ligament reconstruction: not the best but still good. 2020 Dec 21;9(12):e1917-e1925. Autografts are preferred for revision ACL due their lesser re-tear rates and better outcomes. The surgeon uses the middle third of the patient's quadriceps tendon and a bone plug from the upper end of the kneecap, which produces a larger graft for taller and heavier patients. Functional results of multiple revision anterior cruciate ligament with anterolateral tibial tunnel associated with anterolateral ligament reconstruction. Arthroscopy. He or she will assess all the metal and/or plastic parts of the prosthesis to determine which parts have become worn or loose or shifted out of position. Accessibility Bookshelf When it comes to ACL reconstruction surgery you have two main options, autograft and allograft. View any code changes for 2023 as well as historical information on code creation and revision. 2012 Oct;28(10):1464-71. doi: 10.1016/j.arthro.2012.04.053. In the vast majority of cases, it enables people to live richer, more active lives free of chronic knee pain. This immune response also attacks the healthy bone around the implant, leading to a condition called osteolysis. If necessary, your doctor will remove the orginal implant very carefully to preserve as much bone as possible. CPT GUIDELINES indcates that when the physician cannot complete the procedure through the arthroscope, and an open procedure is performed, list the open procedure first, code the scope diagnostic, and append modifier 51. The stitches or staples will be removed several weeks after surgery.