2018年4月18日 · 2 yrs ago I had Right hand STT excision with plantaris tendon interposition. Now got pain again, had X-Ray & there is some alteration in the position of her scaphoid in relation to the remnants of the trapezium.What does this mean & how to fix it? Broke scaphoid. Diagnosed 8mth later. Failed bone graft. Avascular necrosis. Do not want fusion.

2009年6月23日 · The decision has been made to proceed with a scaphoid excision and 4-corner fusion. TECHNICAL PROCEDURE: Patient was brought to the operating room and placed supine on the operating room table. After adequate anesthesia was administered with general anesthetic, the right upper extremity was prepped and draped in a sterile fashion.

2011年3月28日 · My doctor does limited & total wrist fusions, along with the scaphoidectomy. He uses the excised scaphoid for the autograft. I feel the scaphoidectomy would be bundled...especially since it's used for the autograft. I have billed out CPT 25825 for the limited fusion with autograft when he has done the fusion with the scaphoidectomy as the ...

2011年1月28日 · I use 25820 for a 4 corner fusion because it states 4, in other words it's limited.The 25800 states complete.

2017年1月1日 · “Four-corner fusion” may be used to correct SLAC, SNAC, and other forms of wrist osteoarthritis. This method removes the scaphoid, followed by internal fixation of the other seven carpal bones. The main advantage, versus conventional total wrist arthrodesis, is that some intercarpal and radiocarpal function is preserved.

2022年3月4日 · Tips: “Some other terms that providers will use to describe an arthrodesis are four-corner fusion, scapholunate fusion, and a four-corner fusion with scaphoidectomy, just to name a few. These are considered limited fusions and coded to 25820, because 4 is considered limited; obviously if there was a graft involved, then it would code to 25825 ...

scaphoid trapezoid fusion My Dr. is doing a right thumb interpositional arthroplasty w/graft, trapezoid resection, and a scaphoid-trapezoid fusion. I know 25447 is the arthroplasty which also includes the resection.

2019年3月1日 · Stout explains that a “limited, or partial, wrist arthrodesis allows some retained motion.” Also, you might want to keep an eye out for these fusion techniques, which Stout says are indicative or limited wrist arthrodesis: scaphocapitate, radiolunate, scaphotrapeziotrapezoid (STT), and; four-corner (hamate, capitate, lunate, triquitrum).

Scaphoid Excision, Radial Styloidectomy, & 4-corner fustion Hi, I am hoping that someone can help me with this surgery. CCI states that I can use a -59 modifier with the scaphoid excision( 25210) but otherwise is bundled into 25800.

2022年3月4日 · An Acumed neutral wrist fusion plate was positioned on the dorsal surface of the wrist. The distal plate was secured to the 3rd metacarpal with a non-locked screw. The plate was reduced to the distal radius and secured in compression with a non-locked screw. The position of the hardware and wrist fusion was confirmed using fluoroscopy.