![]() ![]() Postoperatively full weight is allowed on the hip. One screw is also placed further down the thigh bone to lock in rotation of the hip fracture and provide stability. Compression screws are then passed into the femoral neck and head to hold the fracture stable. Surgery is performed by inserting a rod down the femur (thigh bone). They require surgical stabilization for healing. The fractures are rarely “clean” breaks and usually the bones have fairly significant comminution (fragmentation). Intertrochanteric fractures are the most common of all hip fractures. Intertrochanteric/Subtrochanteric Hip Fracture Despite the fact that all of these fractures occur in the “hip”, the treatment can vary widely based on the location of the fracture, the amount of displacement, and the health of the patient. Isolated femoral head or lesser trochanteric fractures are very rare. Femoral neck fractures also require surgery, but are treated differently as discussed later. However fractures occurring between the greater and lesser trochanters, called Intertrochanteric Fractures do require surgery, as do fractures occurring below the trochanters known as Subtrochanteric Fractures. Typically, isolated greater trochanteric fractures can be treated non-operatively. Fractures can occur anywhere within these 4 regions. Sports Injury Urgent Care We offer same- and next-day care to patients with acute injuries.Īnatomy: The femur (thigh bone) at the level of the hip is made up of 4 different parts: the head, neck, greater trochanter, and lesser trochanter.Hip Pain Treatment The latest breakthroughs in hip surgery and conservative care are available here.Hand and Wrist We provide highly specialized treatment for complex hand and wrist conditions.Elbow and Shoulder We offer a full range of treatment options for elbow and shoulder conditions.Neck and Back Our spine experts excel in both conservative and surgical care.Ankle and Foot Our physicians are ready to help you get back on your feet.Knee We can be your first choice for knee diagnostics and knee pain treatment from all sources.Pain Management We take a unique, multidisciplinary approach to pain management.Sports Medicine Get back in the game with help from our sports medicine specialists.Orthopedic Surgery Providing the latest advances in orthopedic surgery is our specialty.Physical Therapy Our physical therapists use advanced techniques to help restore strength and mobility.X-Rays Our centers are equipped with a state-of-the-art digital X-ray machine.MRI Our patients can receive MRI imaging onsite at our Louisville clinic.ICD-10-CM Official Guidelines for Coding and Reporting FY 2021. Centers for Medicare & Medicaid Services.Secondary diagnosis: M97.31XD, Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter Primary diagnosis: M84.421D, Pathological fracture, right humerus, subsequent encounter for fracture with routine healing J has a right shoulder replacement and now admitted to the SNF for periprosthetic fracture of the humerus.Secondary diagnosis: M97.02, Periprosthetic fracture around internal prosthetic left hip joint Primary diagnosis: S72.045D, Nondisplaced fracture of base of neck of left femur, subsequent encounter for closed fracture with routine healing K has a left hip replacement with a closed nondisplaced traumatic periprosthetic fracture of the base of left femur.Therefore, the primary diagnosis for a traumatic periprosthetic fracture would be the specific type of fracture whether traumatic or pathological and then the periprosthetic fracture code would be the secondary diagnosis code. One code would include the underlying condition and the other would include the specific type of fracture whether pathological or traumatic. With a periprosthetic fracture, two ICD-10 codes would be utilized. Fractures result from trauma or injury or a pathological condition. ![]()
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