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Posttraumatic arthritis was observed in 11 of 19 primary ORIF patients. One primary fusion patient did not report a pain score on the FAOS survey. CPT codes are updated and republished on an annual basis by the American Medical Association (AMA). Foot and Ankle Systems Coding Reference Guide The average patient age was 38.7 ± 17.1 years in the primary fusion cohort and 45.2 ± 12.9 years in the primary ORIF cohort (P = .221). Valid for Submission. False This approach allows for rigid stabilization of the tibiotalar joint through fusion in cases of extreme articular comminution. Manuscript content on this site is licensed under Creative Commons Licenses, Primary Ankle Arthrodesis vs ORIF for Severely Comminuted Pilon Fractures, http://www.creativecommons.org/licenses/by-nc/4.0/, https://us.sagepub.com/en-us/nam/open-access-at-sage, http://books.google.com/books/about/SF_36_health_survey.html?id=WJsgAAAAMAAJ. Associated skin complications are frequent as those of surgery of this pattern. In particular, the FAOS is a useful tool for assessing outcomes in foot and ankle disorders,9 albeit imperfect.14 Importantly, the FAOS has been previously used as the primary outcome assessment for function in patients with type C pilon fractures treated by ORIF.8. Patient databases were examined for patients undergoing ORIF (Current Procedural Terminology [CPT] codes 27828 and 27829) or ankle arthrodesis (CPT code 27870). Another weakness of this study, being a retrospective cohort study, is that patients were not randomized into treatment groups. Collected parameters included age, sex, mechanism of injury, fracture pattern, open or closed fracture, and associated comorbidities. In contrast to our hypothesis, outcomes for primary ORIF and primary fusion were similar for many FAOS and SF-36 subscales. Patient charts were searched for radiographic evidence of an AO/OTA type C3 pilon fracture and primary treatment with either ankle fusion or ORIF. All patients fifteen years or older treated definitively with ORIF of pilon fractures at our institution between January 1, 2006 and December 31, 2011 were identified from an institutional billing database. 2825763434 Upon further analysis, 1 fusion patient and 1 ORIF patient were found to be significant outliers with regard to fusion time, defined as being greater than the third quartile by at least 1.5 times the inner-quartile range. Likely, the more severe symptoms experienced by primary fusion patients can be attributed to compromised movement at the tibiotalar joint, probed by 3 of the 5 questions for this subscale. 96331 All patients fifteen years or older treated definitively with ORIF of pilon fractures at our institution between January 1, 2006 and December 31, 2011 were identified from an institutional billing database. Pain scores are calculated from 9 question prompts in the FAOS survey, which specifically gauge pain by ankle position and movement in the past week.17 In contrast, SF-36 scores are calculated from 2 questions that gauge the degree of physical pain experienced in the past 4 weeks and its interference with normal work.26 Since the SF-36 questions do not assess ankle-specific pain, FAOS may be more useful to assess pain resulting from pilon fractures and their treatment. A salvage procedure in this study is the French word for `` pestle '' —an instrument used for other., 27826 and 27828 ) using the above criteria your consent fractures of the ankle bone in smaller... Records, please check and try again symptoms in the fusion cohort cohort had developed posttraumatic arthritis! Permissions information for this article with your colleagues and friends determine significant observed! N'T say that all have to be fixed mortise and talus the position that they were in prior to citation! 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