What are the indications for partial knee replacement?
You must have an intact anterior cruciate ligament, a sufficient range of knee motion, damage to only one compartment and a stable knee. The angulation of the deformity is also considered. In the past, a partial knee replacement was considered only in people 60 and over who were sedentary.
Who is a good candidate for partial knee replacement?
You may be a good candidate for this procedure if your arthritis affects only one part of your knee, rather than your entire knee. Importantly, partial knee replacement requires intact and competent knee ligaments (i.e., the ACL, PCL, MCL and LCL), and the knee must not be significantly bowed or knock-kneed.
What are the indications for knee replacement?
Indications — Generally, total knee arthroplasty (TKA) is performed for destruction of joint cartilage either from osteoarthritis, rheumatoid arthritis/inflammatory arthritis, posttraumatic degenerative joint disease, or osteonecrosis/joint collapse with cartilage destruction.
What modifier should be reported when you are converting a unicompartmental knee replacement to a total knee replacement?
CPT code 27487, Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component, should be billed with modifier 52 for a reduced service. Revision of a Unicompartmental Knee Arthroplasty is the reduced service of a Total Knee Arthroplasty, there is not a CPT code for UKA revision.
How long does a unicompartmental knee replacement last?
A unicompartmental knee replacement can last anywhere from 5 years to upwards of 15 years. There are a number of factors that determine this including the level of activity that the patient undergoes as well as the possibility of the arthritis extending into the compartments of the knee that were not replaced.
Is unicompartmental knee surgery successful?
The large majority of patients report substantial or total relief of their arthritic symptoms once they have recovered from a total knee replacement. Partial (unicompartmental) knee replacements have been around for decades and offer excellent clinical results just like total knee replacements.
Who should not have a knee replacement?
Two groups of people are at a significantly higher risk of potential rejection or loosening of their device and/or toxicity from wear particles. Those with any type of allergy. Even patients with allergies that are as simple as pollen or dander should avoid knee replacement surgery.
When do you use modifier 52?
Modifier 52 is outlined for use with surgical or diagnostic CPT codes in order to indicate reduced or eliminated services. This means modifier 52 should be applied to CPTs which represent diagnostic or surgical services that were reduced by the provider by choice.
What is the difference between 27486 and 27487?
For a TKA revision (27486 Revision of total knee arthroplasty, with or without allograft; 1 component and 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component), watch for key words such as “removal and replacement of polyetheline liner” or “poly exchange,” and …
What is the longest a knee replacement has lasted?
The quick answer is that the newer technology and research have taught the medical community that these implants can last 20 years or longer in some cases.
When to use unicompartmental knee arthroplasty for arthritis?
Unicompartmental Knee Arthroplasty is a surgical option for knee arthritis when only one compartment of the knee is involved. The procedure can be performed for isolated medial compartment, isolated lateral compartment or isolated patellofemoral osteoarthritis.
What is the difference between unicompartmental and total knee replacement?
In unicompartmental knee replacement (also called “partial” knee replacement) only a portion of the knee is resurfaced with metal and plastic components. This procedure is an alternative to total knee replacement for patients whose disease is limited to just one area of the knee. Unicompartmental Knee Replacement – OrthoInfo – AAOS
What are the risks of knee replacement surgery?
Complications 1 Infection. After surgery an infection may occur in the skin over the wound or deep in the wound. 2 Injury to nerves or vessels. Although it rarely happens, nerves or blood vessels may be injured… 3 Continued pain. 4 Risks of anesthesia. 5 Need for additional surgery.