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Mechanical Complication of Prosthetic Joint


Presentation

  • Illustration of the typical radiographic changes in Loosening (left) - Particle disease (middle) - Infection (right) Mechanical loosening presents as diffuse lucency. Particle disease presents as focal lucency.[radiologyassistant.nl]
  • Injury, poisoning and certain other consequences of external causes T80-T88 Complications of surgical and medical care, not elsewhere classified Excludes 2: • any encounters with medical care for postprocedural conditions in which no complications are present[coding-pro.com]
  • Members of the AAOS/AAHKS team who presented to CMS are (from left): Brian S. Parsley, MD, Baylor College of Medicine; David G.[www2.aaos.org]
  • The femoral component was inserted in flexion, and large cysts are present behind the cemented tibial component.[emedicine.medscape.com]
  • […] other consequences of external causes T80-T88 2019 ICD-10-CM Range T80-T88 Complications of surgical and medical care, not elsewhere classified Type 2 Excludes any encounters with medical care for postprocedural conditions in which no complications are present[icd10data.com]
Pain
  • Description: Mech com pros jt implant Chapter: Injury And Poisoning Block: Complications Of Surgical And Medical Care, Not Elsewhere Classified (996-999) Related Descriptions: Mechanical complication of internal joint prosthesis Persistent prosthetic joint pain[emedcodes.com]
  • […] prosthetic joint Mechanical failure of right hip prosthetic joint Mechanical failure of right knee prosthetic joint Mechanical failure of right shoulder prosthetic joint Mechanical failure of right wrist prosthetic joint Persistent prosthetic joint pain[icd9data.com]
  • It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.[icdlist.com]
  • N50.812 Left testicular pain N50.819 Testicular pain, UNSPEC N50.82 Scrotal pain Chapter 15 – Pregnancy, childbirth and the puerperium Refer to the ICD-10-CM manual Chapter 16 ‐ Certain conditions originating in the perinatal period P05.09 Newborn light[aappublications.org]
  • Painful Hardware ICD-10 T84.60XA Infection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter T84.7XXA Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and[eorif.com]
Surgical Procedure
  • .- ) • burns and corrosions from local applications and irradiation ( T20-T32 ) • complications of surgical procedures during pregnancy, childbirth and the puerperium ( O00-O9A ) • mechanical complication of respirator [ventilator] ( J95.850 ) • poisoning[coding-pro.com]
  • Finally, the use of these codes will provide more accurate and relevant data inputs for risk adjustment models used by payors to predict resource utilization related to specific diagnoses and surgical procedures.[www2.aaos.org]
  • .- ) burns and corrosions from local applications and irradiation ( T20 - T32 ) complications of surgical procedures during pregnancy, childbirth and the puerperium ( O00-O9A ) mechanical complication of respirator [ventilator] ( J95.850 ) poisoning and[icd10data.com]
  • A surgeon embarking on a surgical procedure with a finite lifespan, such as a joint replacement, would do well to keep the next revision procedure in mind. [23] In the primary procedure, it is essential to preserve bone, to refrain from invading the medulla[emedicine.medscape.com]
  • .-) burns and corrosions from local applications and irradiation ( T20 - T32 ) complications of surgical procedures during pregnancy, childbirth and the puerperium ( O00 - O9A ) mechanical complication of respirator [ventilator] ( J95.850 ) poisoning[icd10coded.com]
Lymphedema
  • .-, N99.5- ) • postgastric surgery syndromes ( K91.1 ) • postlaminectomy syndrome NEC ( M96.1 ) • postmastectomy lymphedema syndrome ( I97.2 ) • postsurgical blind-loop syndrome ( K91.2 ) • ventilator associated pneumonia ( J95.851 ) Use additional code[coding-pro.com]
  • .- , N99.5- ) postgastric surgery syndromes ( K91.1 ) postlaminectomy syndrome NEC ( M96.1 ) postmastectomy lymphedema syndrome ( I97.2 ) postsurgical blind-loop syndrome ( K91.2 ) ventilator associated pneumonia ( J95.851 ) Use Additional code for adverse[icd10data.com]
  • .-, N99.5 -) postgastric surgery syndromes ( K91.1 ) postlaminectomy syndrome NEC ( M96.1 ) postmastectomy lymphedema syndrome ( I97.2 ) postsurgical blind-loop syndrome ( K91.2 ) ventilator associated pneumonia ( J95.851 ) T84 Complications of internal[icd10coded.com]
Inflammation
  • Joints can be damaged by many types of injuries or diseases, including Arthritis - inflammation of a joint. It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.[icdlist.com]
  • Many of them are related to having any type of surgery: Infection Inflammation Blood Clots Pain Dislocation Numbness Bleeding Nerve and blood vessel damage General hypersensitivity reaction (skin rash) Soft-tissue damage Other have more to do with joint[weitzlux.com]
  • . - Purulence of synovial fluid at the implant site - Inflammation on pathological examination of periprosthetic tissue. - Presence of a sinus tract communicating with the prosthesis.[radiologyassistant.nl]
Swelling
  • It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.[icdlist.com]
  • Blood clots in the legs can occur after the surgery and may take several days after surgery to appear accompanied by swelling and pain in the legs.[recallcenter.com]
Fracture
  • 996.40 - Unspecified mechanical complication of internal orthopedic device, implant, and graft 996.41 - Mechanical loosening of prosthetic joint 996.42 - Dislocation of prosthetic joint 996.43 - Broken prosthetic joint implant 996.44 - Peri-prosthetic fracture[emedcodes.com]
  • […] and graft 996.40 Unspecified mechanical complication of internal orthopedic device, implant, and graft 996.41 Mechanical loosening of prosthetic joint 996.42 Dislocation of prosthetic joint 996.43 Broken prosthetic joint implant 996.44 Peri-prosthetic fracture[healthprovidersdata.com]
  • T84041DPeriprosthetic fracture around internal prosthetic left hip joint, subsequent encounter T84042APeriprosthetic fracture around internal prosthetic right knee joint, initial encounter T84042DPeriprosthetic fracture around internal prosthetic right[cms.gov]
  • Component fracture Component fracture is uncommon. The case on the left is probably secondary to severe polyethylene wear resulting in cup and cement fracture.[radiologyassistant.nl]
  • […] and subcategories) for Salter-Harris Type physeal fractures of ankle or foot specified by bone, type of fracture and encounter type (S99.0-, S99.1, S99.2-) New codes added under “complications of cardiac and vascular prosthetic devices, implants and grafts[aappublications.org]
Joint Swelling
  • NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases Hypermobile joints (Medical Encyclopedia) Joint pain (Medical Encyclopedia) Joint swelling (Medical Encyclopedia) Joint x-ray (Medical Encyclopedia) Limited range of motion (Medical[icdlist.com]
Hip Pain
  • This bacteria can then seed and infect a hip replacement, causing hip pain and fever. In the presence of a prosthetic infection, the surgeon will attempt to identify the organism (bacteria) that is causing the infection.[hss.edu]
Joint Dislocation
  • Bursitis - inflammation of a fluid-filled sac that cushions the joint Dislocations - injuries that force the ends of the bones out of position Treatment of joint problems depends on the cause.[icdlist.com]

Treatment

  • Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery.[icdlist.com]
  • Hemi arthroplasty versus reverse arthroplasty in the treatment of osteoarthritis with massive rotator cuff tear. 2000. 42. De Wilde L, Mombert M, Van Petegem P, Verdonk R.[traumamon.com]
  • Clin Infect Dis; 56(1):e1-e25 Jung J, Schmid NV, Kelm J, Schmitt E, Anagnostakos K.(2009) Complications after spacer implantation in the treatment of hip joint infections.[journals.sfu.ca]
  • The surgeon will discuss benefits and drawbacks of each treatment option. The most common treatment options include: A thorough surgical cleaning of the hip replacement.[hss.edu]
  • Werner CM, Steinmann PA, Gilbart M, Gerber C (2005) Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis.[link.springer.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]

Epidemiology

  • Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ.(2009) The epidemiology of revision total hip arthroplasty in the United States.[journals.sfu.ca]
Sex distribution
Age distribution

Prevention

  • Some of the above-mentioned forms of failure can be prevented. Dislocations can be prevented by following the surgeon’s instructions.[hss.edu]
  • Proper care of the wound after surgery may prevent some scarring and aid the healing process. 2 Let Us Review Your Case, FREE! If you have been affected by a Knee Implant, we can help. Enter your information to be contacted about a free case review.[recallcenter.com]
  • Arthrography and loosening Lack of abnormal contrast extension does not exclude loosening as fibrosis and cells may fill the interfaces preventing contrast passage.[radiologyassistant.nl]

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