CPT® Code 27479

1. Indications

Bone Length Discrepancy Epiphyseal arrest is indicated for the treatment of significant bone length discrepancies between the femurs or between the tibia and fibula, which may lead to functional impairments or aesthetic concerns.

2. Procedure

Step 1: Incision The procedure begins with the surgeon making an incision over the distal aspect of the femur and/or the proximal aspect of the tibia and/or fibula. This incision allows access to the underlying structures necessary for the procedure.

Step 2: Dissection Following the incision, the surgeon carefully dissects the soft tissues surrounding the targeted bones. This step is crucial as it involves protecting vital blood vessels and nerves that are located in proximity to the surgical site, ensuring that they remain intact throughout the procedure.

Step 3: Exposure of Bones Once the soft tissues are adequately dissected, the distal femur and/or proximal tibia and/or fibula are exposed. This exposure is essential for the subsequent placement of the devices that will facilitate the epiphyseal arrest.

Step 4: Placement of Devices The final step involves the strategic placement of devices such as Blount staples, transphyseal screws, or a plate and screw device into the epiphysis of the distal femur and/or proximal tibia and/or fibula. These devices are designed to temporarily arrest bone growth, thereby addressing the length discrepancy effectively.

3. Post-Procedure

Post-procedure care typically involves monitoring the surgical site for any signs of infection or complications. Patients may be advised on weight-bearing restrictions and rehabilitation protocols to ensure proper healing and recovery. Follow-up appointments are essential to assess the effectiveness of the epiphyseal arrest and to monitor the growth of the remaining bone structures.