Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD)

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD).

Description

Children are sometimes born with defects of the hip joint and upper thigh bone, called proximal femoral focal deficiency, often abbreviated to PFFD. Surgical treatment, aiming to produce as functional a leg as possible, may be appropriate. This may also involve a corrective operation on the hip joint (sometimes referred to as the ‘superhip' procedure). The initial operation may be combined with other surgery to lengthen the leg and treat other problems such as poor knee function at the same time or at a later date.

OPCS4.6 Code(s):

This procedure cannot be expressed in the OPCS-4 classification by a single code. Procedures could vary for each patient depending on the severity of the condition, and these would be coded on a case by case basis based on the specific procedures carried out, they would be combined with the ICD-10 diagnosis code:

Q72.4 Longitudinal reduction defect of femur

Proximal femoral focal deficiency

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

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Links:

	IPG297 Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD): guidance	22 April 2009
	IPG297 Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD): guidance (Web format)	28 February 2011
	IPG297 Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD): understanding NICE guidance	22 April 2009
	IPG297 Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD): understanding NICE guidance (MS Word format)	22 April 2009
	IPG297 Llawdriniaeth adluniol i sefydlogi cymal y glun mewn achosion o ddiffyg morddwydol ffocol procsimol (PFFD): deall canllawiau NICE (fformat MS Word)	07 December 2009
	Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD): audit support	22 April 2009
	IPG297 Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD): consultation comments	22 April 2009
	Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD)(interventional procedures overview)	23 December 2008
	Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD) (interventional procedures consultation)	23 December 2008