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52131 - Bone Graft with Internal Fixation

MBS service description:

Bone graft with internal fixation, in the oral and maxillofacial region, other than a service to which another item in the range 51900 to 52186, or the range 52303 to 53460, applies (H) (Anaes.) (Assist.)
Schedule Fee:
697.2
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52131 (Bone Graft with Internal Fixation) typically used?

The need for a bone graft with internal fixation in the oral and maxillofacial region arises when a patient has a significant bone defect—often from fractures, resections, or trauma—requiring both augmentation and stabilization with plates or screws under anesthesia with assistance in a hospital. This procedure combines grafting with fixation for complex cases where bone alone isn’t enough, critical in the maxillofacial region where stability supports function and aesthetics.

Reasons include:

  • Fracture gaps: A mandibular break with bone loss might need grafting and plating for strength.
  • Resection repair: Maxillary tumour removal could require a graft and screws for stability.
  • Trauma: A shattered zygoma might need both to rebuild and fix.
  • Functional support: Grafting with fixation restores chewing or facial support.

For instance, a patient with a mandibular fracture gap might need this to align and strengthen the jaw, with assistance for precision. In aged care, an elderly patient with maxillary loss could benefit from this for stability, given their frailty. By grafting and fixing, this service restores structure, ensures healing, and enhances outcomes, making it essential for complex maxillofacial repairs.

Benefits to the patient

Surgeons performing a bone graft with internal fixation in the patient’s oral and maxillofacial region under anesthesia with assistance provide robust benefits for complex repairs. A primary advantage is rebuilding and stabilizing bone. This procedure restores the patient’s jaw or facial structure while securing it with fixation, ensuring lasting strength—crucial for 'bone graft with fixation benefits.' It also restores function by reinforcing the area, supporting the patient’s ability to chew or speak effectively. Furthermore, it supports long-term healing by combining grafting and stability, reducing the patient’s risk of future issues. For surgeons researching 'maxillofacial bone repair advantages,' this assisted service ensures patients experience structural restoration, functional improvement, and durable recovery, making it an advanced solution for significant bone defects.

Recovery considerations

Recovery of 6-8 weeks with swelling and fixation care; extended integration time.

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