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52098 - External Fixation Removal with Internal Fixation

MBS service description:

External fixation in the oral and maxillofacial region, removal of, in conjunction with operations involving internal fixation or bone grafting or both (H) (Anaes.)
Schedule Fee:
214.4
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52098 (External Fixation Removal with Internal Fixation) typically used?

The need for removal of external fixation in the oral and maxillofacial region, in conjunction with internal fixation or bone grafting, arises when a patient transitions from temporary external stabilization—used for initial fracture or deformity management—to permanent internal fixation or grafting in a hospital under anesthesia. This combined procedure is indicated for complex cases where external devices have stabilized bones long enough for healing or preparation, and additional surgery refines or completes the repair. It is critical in the maxillofacial area where staged interventions ensure structural and functional restoration.

Scenarios include:

  • Fracture progression: A mandibular fracture might shift from external pins to internal plates once aligned.
  • Bone grafting: External fixation stabilizing a defect can be removed as a graft is placed to rebuild bone.
  • Combined repair: Severe facial trauma might need both steps in one session for efficiency and healing.
  • Healing confirmation: External removal with internal fixation ensures stability after initial recovery.

For example, a patient with a shattered maxilla might have external fixation removed and plates inserted in one surgery, optimizing recovery. In aged care, an elderly patient with a jaw defect could benefit from this with grafting to avoid multiple procedures, given their frailty. By integrating removal with further repair, this service enhances stability, completes treatment, and minimizes interventions, making it vital for complex maxillofacial reconstructions.

Benefits to the patient

Surgeons removing external fixation from the patient’s oral and maxillofacial region alongside internal fixation or bone grafting under anesthesia deliver integrated benefits. A key advantage is enhancing permanent stability. This procedure transitions the patient to internal support, ensuring long-term bone strength—vital for 'combined fixation benefits.' It also completes repair by aligning with grafting or internal fixation, streamlining the patient’s recovery process. Additionally, it reduces treatment stages by combining steps, minimizing the patient’s overall surgical burden. For surgeons exploring 'maxillofacial fixation transition advantages,' this service ensures patients benefit from lasting stability, efficient repair, and fewer interventions, offering a cohesive approach to complex bone reconstruction.

Recovery considerations

Recovery of 4-6 weeks with swelling and care for internal fixation or graft.

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