CPT® Code 27732

1. Indications

The procedure of epiphyseal arrest is indicated for specific conditions related to bone growth discrepancies. These include:

• Bone Length Discrepancy The primary indication for performing epiphyseal arrest is to correct a significant difference in length between the lower legs, specifically between the tibia and fibula. This discrepancy can lead to functional impairments and may require surgical intervention to ensure proper alignment and function.

2. Procedure

The procedure of epiphyseal arrest involves several critical steps to ensure successful outcomes. These steps include:

• Step 1: Incision The surgeon begins by making a precise incision over the distal aspect of the tibia and/or fibula. This incision allows access to the underlying bone structures while minimizing damage to surrounding tissues.
• Step 2: Dissection Following the incision, the surgeon carefully dissects the soft tissues to expose the distal tibia and/or fibula. During this step, it is crucial to protect the surrounding blood vessels and nerves to prevent complications.
• Step 3: Exposure of Bone Once the soft tissues are adequately dissected, the distal ends of the tibia and/or fibula are exposed. This exposure is necessary for the subsequent placement of devices that will arrest bone growth.
• Step 4: Placement of Devices The surgeon then strategically places devices such as Blount staples, transphyseal screws, or a plate and screw device into the epiphysis of the distal tibia and/or fibula. These devices are designed to temporarily halt the growth of the bone, thereby addressing the length discrepancy.

3. Post-Procedure

After the epiphyseal arrest procedure, patients typically require careful monitoring and follow-up care. Post-procedure care may include pain management, wound care, and restrictions on weight-bearing activities to ensure proper healing. The expected recovery period can vary depending on the individual case and the extent of the procedure performed. Regular follow-up appointments are essential to assess the healing process and to determine when it is appropriate to resume normal activities.