Post op dx hallux valgus left foot. Hammertoe deformities bilateral 2nd digits- bilateral 5th digits and 3rd and 4th digits left foot.
Procedure Austin bunionectomy of left foot. Proximal head resections of 2nd, 3rd, 4th and 5th digits of left foot and 2nd and 5th digits of right foot
7cm curvilinear incision was made proximal to the IP joint of the hallux. Skin and subcu structures were underscored and retracted. An inverted L shaped incision was made at the medial aspect of the capsule of the first metatarsal phalangeal joint. The capsule was underscored and retracted exposing the head of the first metatarsal. The irregular bone was removed with a power sagittal saw. A V-osteotomy was made into the first metatarsal with the apex pointing distally. The distal fragment was then moved laterally to a corrected position and fixated using cannulated screw system. screw was placed from dorsal to plantar 22 mm in length. Osteotomy was stable with good compression.
Attention to 2nd digit of left foot incision made over proximal IP joint with apex pointing distally. The incision was made into the 2nd extensor tendon at the level of the proximal IP joint. The tendon was dissected proximally. Collateral ligaments were incised exposing the head of the proximal phalanx which was removed with a power saw at the surgical neck. The identical procedure was performed on the 2nd digit o the right foot, 3rd digits of the left foot and 4th digit of the left foot.
Attention then to the 5th digit of the left foot. Incision was made over the dorsolateral aspect of the proximal IP joint. Extensor tendon was dissected proximally. Collateral ligament was incised. The head of the proximal phalanx was removed with saw at the level of the surgical neck. The identical procedure was performed on the 5th digit of the right foot.
I have codes 28296-LT, 28285-T1, 28285-T2, 28285-T3, 28285-T4, 28285-T6 and 28285-T9