Pertrochanteric fracture
ICD-10 S72.1 is a billable code used to indicate a diagnosis of pertrochanteric fracture.
A pertrochanteric fracture, also known as an intertrochanteric fracture, is a type of hip fracture that occurs in the region between the greater and lesser trochanters of the femur. This injury is commonly seen in elderly patients, particularly those with osteoporosis, and is often the result of low-energy falls. The fracture can be classified as stable or unstable, depending on the displacement of the fracture fragments. Symptoms typically include severe hip pain, inability to bear weight on the affected leg, and a characteristic external rotation of the limb. Diagnosis is primarily made through clinical evaluation and imaging studies, such as X-rays or CT scans. Treatment usually involves surgical intervention, which may include the use of intramedullary nails, plates, or screws to stabilize the fracture. Post-operative rehabilitation is crucial for restoring mobility and strength. Complications can include nonunion, malunion, and avascular necrosis of the femoral head, making timely and appropriate management essential.
Detailed operative reports, imaging studies, and pre-operative assessments are essential.
Surgical fixation of pertrochanteric fractures in elderly patients, management of complications such as nonunion.
Ensure accurate coding of the surgical approach and any implants used.
Thorough documentation of initial assessment, imaging results, and any immediate interventions.
Initial evaluation and stabilization of patients with hip fractures following falls.
Document mechanism of injury and any associated injuries to support coding.
Used when performing surgical fixation of a pertrochanteric fracture.
Operative report detailing the procedure and any implants used.
Orthopedic surgeons must ensure accurate coding of the procedure performed.
The primary treatment for a pertrochanteric fracture is surgical fixation, which may involve the use of intramedullary nails, plates, or screws to stabilize the fracture.
