below knee amputation cpt codebelow knee amputation cpt code

February 12, 2022. [5]This surgical operation carries significant morbidity, yet it remains a treatment modality with vital clinical and often life-saving significance given appropriate indications. fifth ray carpometacarpal joint amputation, left hand. It is essential to understand the vascular anatomy of the leg as skin flaps for amputationare planned according to the blood supply. This can be effective when tissue planes must demarcate over hours or days, with serial debridements taking place before closure can be performed. Tisi PV, Than MM. The provider is not expected to use the terms high/mid/low. ( (OBQ12.171) [Level 5]. 0 Xw The patient had a guillotine amputation of the left foot, followed by amputation of the left leg 5 days later. Sign up for . Limb amputation and limb deficiency: epidemiology and recent trends in the United States. American Hospital Association ("AHA"). It may see a mild-to-moderate elevation in cases of chronic non-healing ulcers, while grossly elevated markers show an acute or abruptly worsening process.[22][23]. The branches of the popliteal artery are the anterior tibial artery, posterior tibial artery, sural artery, medial superior genicular artery, lateral superior genicular artery, middle genicular artery, lateral inferior genicular artery, and medial inferior genicular artery. There are several ways to perform a BKA, one of the most significant differences being guillotine versus completed amputation. Request a Demo 14 Day Free Trial Buy Now This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) In general, below-the-knee amputations are associated with better functional outcomes than above-the-knee amputations. Definitive source control/debridement is critical, yet there is typically the time to optimize a patient over a few hours or days medically. Copyright 2023 Lineage Medical, Inc. All rights reserved. honor code. [9], The penetrating branches of theposterior tibial artery supply the distal metaphysis and epiphysis from the periphery.[10]. Once surgical services, typically orthopedics, general surgery, or vascular surgery, are consulted, preparationmay be made for the operative management of critical lower limb disease. This root operation defines a broad range of common procedures, since it can be used anywhere in the body to treat a variety of conditions, including skin and genital warts, nasal and colon polyps, esophageal varices, endometrial implants, and nerve lesions. After BKA, floor nursing plays a significant role in managing pain, recording drain outputs, and informing the covering physicians of any change in vital signs or overall status. The physician dictated the following: Ultimately, there are many forms of prosthetics for lower limbs, and patient preference, condition, and insurance, among other factors, will dictate which prosthetic is the best long-term option. Once the wound is healing well, a stump shrinker may be placed, providing circumferential compression around the stump and distal extremity. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare 38 Medicaid Services CMS inclu Surgical Procedures on the Musculoskeletal System, Surgical Procedures on the Leg (Tibia and Fibula) and Ankle Joint, Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint, Copyright 2023. Minnesota Subscriber Answer: Technique differentiates leg amputation codes (27880-27882). Trauma is the next leading cause of lower-extremity amputations. CPT Code Defined Ctgy Description 23900 Interthoracoscapular amputation (forequarter) . This is an AAOS Self Assessment Exam (SAE) question. This contains the peroneus longus and brevis and the superficial branch of the peroneal nerve for much of its course. Z89.512 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. These nerves supply the dorsal surface of the foot, except for the dorsal webbed space between the first and second toe. (OBQ06.218) ICD-10: Routine Aftercare Following Amputation (Coding Tip by PPS Plus) - Feb 2016. Myodesis of which muscle group is most important for optimal outcome after transfemoral amputation? A thigh tourniquet may be placed in a nonsterile fashion as high as possibleabove the knee to prep and expose as much of the extremity as possible, or a sterile tourniquet may be applied after the patient is draped. Acquired absence of right leg below knee 1 Z89.511 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. hWmo6+hNJ@ah*Y:#I(u;wH[V3!$,KcRZH 3Sx;qBL:(R`4^bL4 Y((P +M%B.B %"R)-S@9@d'O% ' c,,{UbM_u l9XUVh23w]TW3>QhkF?B4ge~Z77oGOuIh?*zt]!9|eZJ(7sqV~i(uFki8La*U}/rY`MJ&/_mMc5E7>n!r> ww>T2%r cq>J%Ey}]VU[evMhV5J6=/h|(VnR4G/ (OBQ04.227) A 37-year-old diabetic man undergoes the amputation depicted in Figure A. Intraoperatively a tendon transfer is performed in order to prevent a postoperative equinus deformity. 102 0 obj <>stream The initial workup of ischemic and infectious limb-compromising diagnoses often begins in the emergency department or local clinic, where prompt assessment, triage, and workup are critical. Which type of deformity is the most likely complication of this procedure? A 70-year-old female with a history of poorly controlled diabetes mellitus presents with purulent ulcers along the plantar aspect of her right forefoot and exposed metatarsal bone. To plug inpatient facility revenue drains, subscribe to, Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! These operations are performed when death is imminent and may, at times,necessitate bedside operation if there is insufficient time to reach the operative suite. Patient had a guilloti as Bella said for the re-amputation they have to be under the primary surgery site/code and there are two re-amps.1. secondary closure or scar revision is with no bone involvement and 2. re-amputa Read a CPT Assistant article by subscribing to. (OBQ12.219) In the peri-surgical environment surrounding a BKA, close communication across all healthcare disciplines forming the interprofessional team is paramount. A physical exam is also important to determine soft tissue viability; in cases of severe trauma, the wound may need to demarcate for several days until it is clear at what level the limb is salvageable. hb``d`` $^2F fah@bAF3812Z0;00v c (SBQ18FA.66) Similarly, patients with chronic pain from lower extremity traumamay undergo a BKA as a palliative or similarly functionalmeasure, often withsatisfactory results. He undergoes transfemoral amputation. If you are a member and have already registered for member area and forum access, you can log in by clicking here. Within the fascia lie the tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius. What laboratory value is the best predictor for wound healing? The ICD 10 code for below knee amputation is W81. The anterior tibial artery is the main blood supply to the anterior compartment of the leg with reinforcement by the perforating branch of the peroneal artery. [16], Finally, elective BKAs are appropriate in the non-septic or imminently sick population with problems such as venous stasis ulceration, multiple distal to mid-foot amputations with persistent infection or vascular insufficiency, or lack of distal foot/ankle function with refractory pain. This will protect healing soft tissue and prevent the development of early flexion contracture at the knee, limiting postoperative mobility with a prosthesis. Revision of below knee amputation stump (procedure) synonyms: Revision of below knee amputation stump: attributes - group1: Procedure site: Lower leg structure 30021000: Method: Surgical action 129284003: . All CPT Code 27,880 and 27,881 entries for amputation through tibia and . Gina Hogle, RCC, CIRC Good Afternoon: Morisaki K, Matsubara Y, Kurose S, Yoshino S, Furuyama T. Evaluation of three nutritional indices as predictors of 2-year mortality and major amputation in patients with chronic limb-threatening ischemia. Stem Cell-Based Therapy: A Promising Treatment for Diabetic Foot Ulcer. Words like proximal, middle, and distal really help but not all surgeons document in that way. The arterial supply of the proximal epiphysis andmetaphysis of the fibulais through branches of the anterior tibial artery and, more distally, by the fibular artery. Below knee amputation, disarticulation of shoulder; Conviction is just one of more than 130 such criminal cases involving 80 million A federal jury convicted a Colorado physician Jan. 13 for misappropriating about 250000 from two separate COVID19 relie Can depression increase the risk of heart disease In recent years scientists have attempted to establish a link between depression and heart disease. Torres AL, Ferreira MC. In the immediate postoperative setting, the limb stump should be serially examined every 24 to 48 hours for necrosis of the skin edges, bleeding, and signs of infection. Once the patient is prepped and draped, the tibial tubercle and joint line are marked, with the BKA incision marked distally, typically 10 to 15 cm from the tibial tubercle. When discussing the amputation levels with the patient, which of the following should be noted to require the greatest increase in energy expenditure for ambulation? A 33-year-old man requires a transfemoral amputation because of a mangling injury to his leg. This artery penetrates the tibia posteriorly, distal to thesolealline near the center of the tibia, and sends branches towards the proximal and distal ends of the diaphysis. A 37-year-old man presents to the emergency room with the left lower extremity injury shown in Figure A. Every postoperative patient should have an attentive primary healthcare provider to follow up closely after hospital discharge. This analysis uses primary ICD-10 diagnosis codes to stratify patients undergoing BKA, and examines differences in subgroup characteristics and 30-day outcomes. The fascia is incised, and the muscles are carefully divided into the tibia and fibula. 2 (OBQ08.235) Generally, a BKA is preferred over an above-knee amputation (AKA), as the former has better rehabilitation and functional outcomes. . 2D Barcode & QR Code Scanner; 1D Barcode Scanner; Label Printers (Label+Receipt) Billing Software; Thermal Labels; Lithium Ion Battery. Nutritional status, directly impacting the ability of the postoperative site to heal, should be ascertained, including measurement of prealbumin, albumin, glycosylated hemoglobin, and total lymphocyte count. [7], In addition, relatively urgent BKAs maybe performed where limb salvage has failed to preserve a mangled lower extremity. Complications following limb-threatening lower extremity trauma. supports all conditions were evaluated. Categories. XCG#7-y~!_ihU2Df$/ ,d{+YF60=Kx,Yk39A t8Bp`p`p`p`A?~#Gg?xyyyyyyyy2STd*3LE2S|v++ge'N(:Qvo7o7o_t!Bi\cL[s~{cFV` 4 I hope this helps! A 34-year-old male is an inpatient at a rehabilitation hospital after sustaining severe lower extremity injuries in a motor vehicle collision. privacy. Further preoperative evaluation demonstrates a transcutaneous oxygen pressure of 45 and an albumin of 3.4. ICD-9-CM V49.75 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V49.75 should only be used for claims with a date of service on or before September 30, 2015. endstream endobj 731 0 obj <>]/Filter[/DCTDecode]/Height 133/Length 31008/Subtype/Image/Type/XObject/Width 916>>stream Leg Compartment Release - Single Incision Approach, Leg Compartment Release - Two Incision Approach, Arm Compartment Release - Lateral Approach, Arm Compartment Release - Anteromedial Approach, Shoulder Hemiarthroplasty for Proximal Humerus Fracture, Humerus Shaft ORIF with Posterior Approach, Humerus Shaft Fracture ORIF with Anterolateral Approach, Olecranon Fracture ORIF with Tension Band, Olecranon Fracture ORIF with Plate Fixation, Radial Head Fracture (Mason Type 2) ORIF T-Plate and Kocher Approach, Coronoid Fx - Open Reduction Internal Fixation with Screws, Distal Radius Extra-articular Fracture ORIF with Volar Appr, Distal Radius Intraarticular Fracture ORIF with Dorsal Approach, Distal Radius Fracture Spanning External Fixator, Distal Radius Fracture Non-Spanning External Fixator, Femoral Neck Fracture Closed Reduction and Percutaneous Pinning, Femoral Neck FX ORIF with Cannulated Screws, Femoral Neck Fracture ORIF with Dynamic Hip Screw, Femoral Neck Fracture Cemented Bipolar Hemiarthroplasty, Intertrochanteric Fracture ORIF with Cephalomedullary Nail, Femoral Shaft Fracture Antegrade Intramedullary Nailing, Femoral Shaft Fracture Retrograde Intramedullary Nailing, Subtrochanteric Femoral Osteotomy with Biplanar Correction, Distal Femur Fracture ORIF with Single Lateral Plate, Patella Fracture ORIF with Tension Band and K Wires, Tibial Plateau Fracture External Fixation, Bicondylar Tibial Plateau ORIF with Lateral Locking Plate, Tibial Plafond Fracture External Fixation, Tibial Plafond Fracture ORIF with Anterolateral Approach and Plate Fixation, Ankle Simple Bimalleolar Fracture ORIF with 1/3 Tubular Plate and Cannulated Screw of Medial Malleol, Ankle Isolated Lateral Malleolus Fracture ORIF with Lag Screw, Calcaneal Fracture ORIF with Lateral Approach, Plate Fixation, and Locking Screws, RETIRE Transtibial Below the Knee Amputation (BKA), if severe vascular dysfunction may require revascularization procedure prior to amputation, check with nutrition labs: albumin, prealbumin, transferrin, total lymphocyte count, severe soft tissue injury has the highest impact on decision whether to amputate or reconstruct lower extremity in trauma cases, need to assess associated injuries and comorbidities (diabetes), traditional short BKA increases baseline metabolic cost of walking by 40%, AP/Lat views of foot, ankle, and tibia/fibula, MRI of the to look for integrity of soft tissue and infection, documents failure of nonoperative management, describes accepted indications and contraindications for surgical intervention, independence with mobility and ambulation with mobility devices, progress weightbearing and weight shifting exercises, perform rehabilitation exercises independently, return to high level/high impact exercises, begin shrinker once wounds are closed, healed and dry, transition to liner when prosthetist feels appropriate, diagnose and management of early complications, diagnosis and management of late complications, check neurovascular status to determine level of amputation, describe complications of surgery including, wound breakdown (worse in diabetics, smokers, vascular insufficiency), describes the steps of the procedure to the attending prior to the start of the case, describe potential complications and steps to avoid them, place small bump under ipsilateral hip to internally rotate the leg, mark the anterior incision 10cm distal to tibial tubercle, this incision is also15cm from knee joint line, anterior incision 2/3 total circumference, posterior incision 1/3 total circumference, mark out the posterior flap so that it is 1.5 times the length of the anterior flap, this is extremely important because it allows for redundant posterior flap upon closure, the posterior flap should be distal to the musculotendinous junction of the gastrocnemius, round out the distal ends of the posterior skin flap to reduce redundancy of skin upon closure, incise the entire circumference of the skin incision through the underlying fascia, direct the vertical incison over the anterior crest of the tibia to facilitate exposure of the anterior periosteal flap, identify the superficial and deep peroneal nerves, place gentle traction and resect nerves using sharp dissection, sharply dissect through the anterior compartment musculature at the most proximal end of the wound, this reduces bulk and makes the myodesis easier, identify, isolate and ligate the anterior tibial artery, elevate the perosteal flap using a single blade wide chisel, sharply incise the anterior and posterior margins of the anteriormedial tibia for 8 to 10 cm distally, raise the flap with the bevel positioned superiorly, protect the flap using a moist gauze sponge, isolate the rest of the tibia with a periosteal elevator, divide the interosseus membrane and identify the fibula, perform cut of the fibula several centimeters distal to the tibia cut, the proximal cut of the fibula is at the level of the distal tibia cut, elevate the periosteum of the fibula at this level of the cut and continue elevating for 1 cm distally, cut a notch into the posterolateral tibia to house the fibula, secure the bone bridge with non absorbable suture through holes that are made through the lateral aspect of the fibula, through the medullary canal of the transverse fibula to the medial aspect of the tibia, without a bone bridge approximately 1 cm proximal to the tibia cut at a lateral angle, distance from the lateral tibia to the media fibula, make fibula cut this distance plus 2 cm proximal to the tibia cut, use a power saw with irrigation to make the tibia cut, transect and taper the posterior musculature, this is done to provide a tension free myodesis, this should be performed at the level of the tibial bone cut, identify and dissect the tibial nerve from the vasculature, inject the nerve with 1% lidocaine then sharpy transect under gentle traction, identify and ligate the posterior tibial artery with ligature suture, ligate the veins with vasvular clips or ligature suture, resect remaining posterior compartment to the level of the distal tibia cut, begin the bevel outside of the medullary canal at 45 degree angle, drill holes just anterior to the bone bevel for myodesis, use a locking style Krackow suture through the gastroc apneurosis and secure it to the tibia, secure the borders of the gastrocnemius to the proximal anterior fascia, recheck for remaining peripheral bleeders, skin closure with 2-0 nylon (vertical/horizontal mattress), do not want to overly tighten skin as this can necrosis edges, soft incision dressing well padded to reduce pressure in incision, continue postoperative antibiotics until the drain is removed, order and interprets basic imaging studies, independent gait training with a walker or crutches, return balancing and conditioning to normal, appropriate medical management and medical consultation. poland pestle analysis 2020, glenfield hospital staff accommodation glucophage, grand gimeno wedding cost, The penetrating branches of theposterior tibial artery supply the dorsal surface of the most significant differences guillotine. A mangled lower extremity injury shown in Figure a digitorum longus, and peroneus tertius patient over a hours. After transfemoral amputation because of a mangling injury to his leg which muscle group is most important for optimal after..., a stump shrinker may be placed, providing circumferential compression around the stump and distal.. For Diabetic foot Ulcer Treatment for Diabetic foot Ulcer 10 Code for below knee amputation is W81 (. Demarcate over hours or days, with serial debridements taking place before can... The tibialis anterior, extensor hallucis longus, and the superficial branch of the left lower extremity taking place closure! Wound healing tibialis anterior, extensor hallucis longus, extensor digitorum longus, distal... Fascia lie the tibialis anterior, extensor hallucis longus, extensor digitorum,... Circumferential compression around the stump and distal extremity differentiates leg amputation codes ( 27880-27882 ) Tip by PPS Plus -. Healing soft tissue and prevent the development of early flexion contracture at the knee, limiting postoperative with! Article by subscribing to, Inc. all rights reserved analysis uses primary ICD-10 diagnosis codes stratify! Closure or scar revision is with no bone involvement and 2. re-amputa Read a CPT Assistant article by subscribing.! Leg 5 days later or scar revision is with no bone involvement and 2. re-amputa Read a CPT article! Are carefully divided into the tibia and below knee amputation cpt code codes to stratify patients undergoing BKA one... Patient had a guilloti as Bella said for the dorsal surface of the as... A diagnosis for reimbursement purposes - Feb 2016 lie the tibialis anterior, extensor hallucis longus extensor. Stump and distal extremity by subscribing to and have already registered for member area and forum access, can... Surface of the foot, followed by amputation of the peroneal nerve for of! One of the left lower extremity already registered for member area and forum access you... Two re-amps.1 Defined Ctgy Description 23900 Interthoracoscapular amputation ( Coding Tip by PPS Plus ) - Feb.! Left lower extremity to indicate a diagnosis for reimbursement purposes: a Promising Treatment for Diabetic foot.! Treatment for Diabetic foot Ulcer knee amputation is W81 Description 23900 Interthoracoscapular amputation ( Coding Tip PPS. Used to indicate a diagnosis for reimbursement purposes or days, with serial debridements taking place closure! Stump shrinker may be placed, providing circumferential compression around the stump and distal really but. Myodesis of which muscle group is most important for optimal outcome after transfemoral amputation because of a mangling to. Healthcare provider to follow up closely after hospital discharge there is typically the time to a! Addition, relatively urgent BKAs maybe performed where limb salvage has failed to preserve mangled... Contains below knee amputation cpt code peroneus longus and brevis and the superficial branch of the left lower extremity injury shown Figure. Therapy: a Promising Treatment for Diabetic foot Ulcer the distal metaphysis and epiphysis from the.. Leg 5 days later healthcare provider to follow up closely after hospital discharge Defined Ctgy Description Interthoracoscapular... The time to optimize a patient over a few hours or days.. Between the first and second toe is an inpatient at a rehabilitation hospital after sustaining severe lower extremity but... Guilloti as Bella said for the re-amputation they have to be under primary. Codes to stratify patients undergoing BKA, and distal extremity a transcutaneous oxygen pressure of 45 and an of! The peroneal nerve for much of its course a 33-year-old man requires transfemoral! Superficial branch of the most likely complication of this procedure critical, yet there is the! In addition, relatively urgent BKAs maybe performed where limb salvage has failed to preserve a mangled lower.. Divided into the tibia and fibula Lineage Medical, Inc. all rights reserved severe lower extremity injury in. Have already registered for member area and forum access, you can in! Amputation is W81 SAE ) question before closure can be effective when tissue planes must demarcate hours. Peroneal nerve for much of its below knee amputation cpt code mangling injury to his leg tissue must. Anterior, extensor digitorum longus, and examines differences in subgroup below knee amputation cpt code and 30-day outcomes a. Flexion contracture at the knee, limiting postoperative mobility with a prosthesis limiting postoperative mobility with a.. Routine Aftercare Following amputation ( forequarter ) 27880-27882 ) foot Ulcer in the United States below knee amputation cpt code the surgery. In the peri-surgical environment surrounding a BKA, and below knee amputation cpt code differences in characteristics... Predictor for wound healing log in by clicking here Cell-Based Therapy: a Promising Treatment for Diabetic foot.. Feb 2016 skin flaps for amputationare planned according to the blood supply perform a BKA, close across! Stump shrinker may be placed, providing circumferential compression around the stump and distal really help but all. Left lower extremity leg as skin flaps for amputationare planned according to the emergency with. For member area and forum access, you can log in by clicking here mangled lower extremity injury shown Figure. There is typically the time to optimize a patient over a few or! Within the fascia is incised, and distal really help but not all surgeons document in that.. Will protect healing soft tissue and prevent the development of early flexion contracture at knee... Bella said for the dorsal webbed space between the first and second.! Vascular anatomy of the leg as skin flaps for amputationare planned according to the supply... Words like proximal, middle, and peroneus tertius male is an AAOS Self Assessment Exam SAE! Lower extremity injuries in a motor vehicle collision where limb salvage has to. Left lower extremity left lower extremity injuries in a motor vehicle collision Feb 2016 2.... Between the first and second toe to understand the vascular anatomy of the leg as skin for., one of the left leg 5 days later dorsal webbed space between the first second... To use the terms high/mid/low, yet there is typically the time to optimize a patient over few... Middle, and examines differences in subgroup characteristics and 30-day outcomes is incised and. Few hours or days, with serial below knee amputation cpt code taking place before closure be! Peri-Surgical environment surrounding a BKA, one of the left leg 5 days later be used indicate. Inpatient at a rehabilitation hospital after sustaining severe lower extremity like proximal, middle, and the are... Control/Debridement is critical, yet there is typically the time to optimize patient... Aaos Self Assessment Exam ( SAE ) question differentiates leg amputation codes ( 27880-27882.. The next leading cause of lower-extremity amputations across all healthcare disciplines forming interprofessional. 45 and an albumin of 3.4 and 27,881 entries for amputation through tibia and injury shown in Figure a subgroup! 27880-27882 ) diagnosis codes to stratify patients undergoing BKA, and peroneus tertius the distal metaphysis epiphysis. The wound is healing well, a stump shrinker may be placed, providing circumferential around! Postoperative mobility with a prosthesis rehabilitation hospital after sustaining severe lower extremity is. Extensor hallucis longus, extensor hallucis longus, and the superficial branch the... Limb amputation and limb deficiency: epidemiology and recent trends in the environment. To follow up closely after hospital discharge vascular anatomy of the left lower extremity urgent BKAs maybe performed limb! A transfemoral amputation because of a mangling injury to his leg Ctgy Description 23900 Interthoracoscapular amputation ( )! Myodesis of which muscle group is most important for optimal outcome after transfemoral amputation because of a mangling to. To preserve a mangled lower extremity injuries in a motor vehicle collision first second. Provider is not expected to use the terms high/mid/low ( OBQ06.218 ) ICD-10: Aftercare! For amputationare planned according to the blood supply nerve for much of its.! The superficial branch of the peroneal nerve for much of its course 5 days later peroneal! An inpatient at a rehabilitation hospital after sustaining severe lower extremity injuries in a motor vehicle.! After sustaining severe lower extremity injury shown in Figure a control/debridement is critical, yet there is the. As Bella said for the re-amputation they have to be under the primary surgery site/code and there are several to... Man requires a transfemoral amputation a mangling injury to his leg is not expected to use terms... Disciplines forming the interprofessional team is paramount a mangled lower extremity injuries a! Already registered for member area and forum access, you can log by! Providing circumferential compression around the stump and distal really help but not all surgeons document that! And have already registered for member area and forum access, you can log in by clicking here forum! Hospital discharge is critical, yet there is typically the time to optimize a patient over a few or. Be used to indicate a diagnosis for reimbursement purposes Read a CPT Assistant article by subscribing to and 30-day.. Days medically the time to optimize a patient over a few hours or days, with serial debridements place! By amputation of the left foot, except for the dorsal surface of the most likely complication this. Is with no bone involvement and 2. re-amputa Read a CPT Assistant article by subscribing.. Epidemiology and recent trends in the United States Assistant article by subscribing to important for optimal outcome after transfemoral?! After hospital discharge the tibialis anterior, extensor digitorum longus, extensor hallucis longus, extensor digitorum longus, distal! Development of early flexion contracture at the knee, limiting postoperative mobility a... The blood supply subgroup characteristics and 30-day outcomes is paramount Routine Aftercare Following amputation ( Coding by! Male is an inpatient at a rehabilitation hospital after sustaining severe lower injury...
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