0000000016 00000 n This cookie is set by GDPR Cookie Consent plugin. The subscapularis contributes a great deal to the anterior stability of the shoulder, to prevent instability and dislocation, so a strong repair is important. We also use third-party cookies that help us analyze and understand how you use this website. CPT Code* Description Total RVUs** 2020 average Medicare payment *** Humerus "Repair, Revision and/or Reconstruction" and "Fracture and/or Dislocation" . The authors used an exacting operative procedure based on oblique osteotomies of the metatarsal and rigid internal fixation. Discover how to save hours each week. This procedure includes both an osteotomy procedure and the removal of the bunionette. Rules-based maps relating CPT codes to and fromSNOMEDCT clinical concepts. Thanks. This is normal. However, rare complications can sometimes occur. It may not display this or other websites correctly. 492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur with MCC . No modifiers are necessary for this exercise. Make sure to protect your splint from water. If this is the case, you should talk to your doctor about how you can prepare. Often, this means you need to wear a splint or sling for several weeks. You might have some fluid draining from your incision. OPERATION IN DETAIL: The patient was brought to the OR and laid supine on the OR table for open reduction internal fixation of right distal humerus and right olecranon osteotomy. You would use CPT 28525, Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each. The humerus is the bone in the upper part of your arm. Thank you for choosing Find-A-Code, please Sign In to remove ads. 4 - Un anuncio Audio Listen to this radio advertisement and write the prices for each item listed. CPT is trademark of the American Medical Association. What is the cpt code for humeral osteotomy? 0. We are vaccinating all eligible patients. You see an increase in redness, swelling, or draining from your incision, You have loss of feeling in the arm or hand, The reason you are having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you are to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you did not have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much will you have to pay for the test or procedure. importance of social welfare administration in social work pdf Different surgeons may document this with different degrees of detail, and it may look like the osteotomy is a special procedure but it's really just a variation of a normal step in a shoulder replacement. Your email address will not be published. In some cases, your doctors might do your ORIF as a planned procedure. Distal humerus fractures continue to be challenging injuries to manage but with improved fixation techniques and implants, good . The specifics from the operative report are: ?An osteotomy was then created in the lateral cuboid going from lateral to medial, full thickness. The vast majority of open and closed displaced intra-articular fractures in adults are best treated with open reduction and stable internal fixation that allows early range of motion to optimize elbow function. 0000013729 00000 n These cookies track visitors across websites and collect information to provide customized ads. registered for member area and forum access. Masks are required inside all of our care facilities. CPT 26735, Under Fracture and/or Dislocation Procedures on the Hand and Fingers. 0000007057 00000 n The details of your surgery will depend on the location and severity of your injury. The usual way is to just cut and then repair the tendon, but better outcomes can be had by performing a thin osteotomy at the insertion of the subscapularis at the lesser tubercle, moving the tendon-plus-bone out of the way, and then replanting the tubercle back on the humerus afterwards. All osteotomies healed and only one patient was not satisfied with the operati place. The shoulder joint replacement proceeds. 0000533818 00000 n Acceptable CPT codes for Orthopaedic Sports Medicine Subspecialty Case List . In the CPT Index, look for Kidney/Biopsy and you are directed to 50200, 50205. f(x)=axh3,f ( x ) = a \sqrt [ 3 ] { x - h }, NPI Look-Up Tool (National Provider Identifier), Osteotomy of humerus with internal fixation, Osteotomy of humerus with internal fixation (procedure), Operative procedure on bone of upper extremity. (ICD-9-CM codes 998.59, 959.3, and 996.67) and procedural codes for hardware removal, manipulation under anesthesia, and arthroscopic procedures of the elbow (CPT codes 20670, 20680, 24300, 24006, 29830, 29835, 29836, 29837, and 29838) were . These cookies will be stored in your browser only with your consent. 2log2x+4log2y2\log_{2}x+4\log_{2}y ORIF often takes place as an emergency or urgent procedure. osteotomy, humerus, with or without internal fixation: 24410 : multiple osteotomies with realignment on intramedullary rod, humeral shaft (sofield type procedure) 24420 : osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) 24430 : repair of nonunion or malunion, humerus; without graft (eg, compression technique) 24435 Not everyone with a fractured humerus needs ORIF. This greatly increases the chance that your bone will heal properly. Necessary cookies are absolutely essential for the website to function properly. The CPT code to bill for an osteotomy with a bunionette is 28308 (Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each). 28420 Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) 28445 Open treatment of talus fracture, includes internal fixation, when performed. . Your doctor might give you other instructions about caring for your arm, like applying ice. But opting out of some of these cookies may affect your browsing experience. Webinar Q&A: Nonvascular IR Urinary, Biliary, and GI, Webinar Q&A: Nonvascular IR Minor Procedures. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. All rights reserved. Osteotomy CPT Codes Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through the same fascial incision (20150) Incision deep, with opening of bone cortex; elbow or upper arm (23930) Osteotomy, radius; distal third (25350) Osteotomy, radius; middle or proximal third (25355) Osteotomy; ulna (25360) What is meant by the competitive environment? Find more COVID-19 testing locations on Maryland.gov. Normally when done with a shoulder replacement, the osteotomy is of the lesser tuberosity only, and there is no realignment, and it's just part of the package. 0000002597 00000 n Code 24400 indicates "with or without internal fixation". At some point, you may need some sort of physical therapy to restore strength and flexibility to your muscles. 0000035050 00000 n What is the Cpt code for open reduction with internal fixation of fraction of right humerus? For example, CPT 24400 looks tempting to code additionally, but notice how there is a realignment of the humerus. If this is your first visit, be sure to check out the. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. AAPC Chapter 15: Eye and Ocular Adnexa, Audit, Chapter 4 - Intro to CPT, Surgery Guidelines,. The cookie is used to store the user consent for the cookies in the category "Other. osteotomy CPT Codes: 24685. Do not type the word "Modifier" for your answer. The procedure includes sesamoid bone removal, when necessary, to help with bone realignment. The Current Procedural Terminology (CPT) code 26735 as maintained by American Medical Association, is a medical procedural code under the range Fracture and/or Dislocation Procedures on the Hand and Fingers. Patients who underwent nonsurgical treat- ment of a distal radius fracture were identified with CPT codes 25600 and 25605. 0000036890 00000 n CPT 27827 in section: Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed. Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service. You must log in or register to reply here. CPT 28296 is reported to correct a hallux valgus deformity with a distal metatarsal osteotomy. You also have the option to opt-out of these cookies. f(x)=a3xh. Lw9($%X[AQAeCccwmX5~3(Xfs=k.b`:QASCd?F `~V`ym -I endstream endobj 1296 0 obj <>/Filter/FlateDecode/Index[48 1221]/Length 54/Size 1269/Type/XRef/W[1 1 1]>>stream 4 What is the CPT code for closed reduction and percutaneous pinning? Depending on the extent of your injury and your other medical conditions, you might be able to go home the same day. If you fracture your humerus, you might need ORIF to bring your bones back into place and help them heal. You should be able to resume a normal diet fairly quickly. age of adaline comet. by Haugen Academy | Sep 4, 2019 | Blog | 0 comments. Home / Uncategorized / cpt code for closed treatment of distal humerus fracture 78.85 open red- hip. This procedure includes both an osteotomy procedure and the removal of the bunionette. For certain types of injuries, your surgeon might make an incision through the top of your shoulder instead. Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC. Cancel anytime. Do not type the word "Modifier" for your answer. 4 - Un anuncio Audio Listen to this radio advertisement and write the prices for each item listed. The range of. y1=23x3,y2=32x+1y_{1}=\frac{2}{3} x-3, y_{2}=-\frac{3}{2} x+1 Your surgeon will bring the pieces of your humerus back into alignment (, Next, your surgeon will secure the pieces of humerus to each other (. This might happen in the part of the humerus near your shoulder, near the middle of the humerus, or in the part of the humerus near your elbow. List the CPT or HCPCS Level II modifier(s) for the definition given. Let your doctor know right away if: Make sure to keep all of your follow-up appointments. Osteotomy, humerus, with internal fixation 24400 Look up the procedures in the CPT codebook and list the CPT code. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The documentation may look something like this: A lesser tuberosity osteotomy was then performed with an oscillating saw, removing a wafer of bone with the subscapularis insertion in. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); We guarantee your satisfaction. Internal fixation refers to the method of physically reconnecting the bones. Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period. 492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur with MCC . To replace a shoulder joint, there must be very good exposure of the glenoid fossa and proximal humerus, which are naturally connected by the rotator cuff tendons and other structures. You would just have to indicate whether or not it was with intercondylar extension or without. Location. You must log in or register to reply here. Being a smoker may also increase your risk. 0000005314 00000 n Traditionally, release of the subscapularis (one of the rotator cuff tendons) from the humerus is customary in shoulder replacements for the purpose of exposure of the humeral head and glenohumeral joint. Your email address will not be published. List the CPT or HCPCS Level II modifier(s) for the definition given. Unrelated evaluation and management services by the same physician or other qualified health care professional during a postoperative period. Exercise 2: Question 10 This method uses special screws, plates, wires, or nails to align the bones correctly. Renal biopsy, percutaneous, needle 50200 Renal means kidney. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. 28300 Osteotomy; calcaneus (eg, dwyer or chambers type procedure), with or without internal fixation 28302 Osteotomy; talus 28304 Osteotomy, tarsal bones, other than calcaneus or talus . A teacher walks into the Classroom and says If only Yesterday was Tomorrow Today would have been a Saturday Which Day did the Teacher make this Statement? 0000035970 00000 n Follow all your doctors instructions carefully. However, you may visit "Cookie Settings" to provide a controlled consent. The Current Procedural Terminology (CPT) code 27829 as maintained by American Medical Association, is a medical procedural code under the range Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint. Approximate the solution to the nearest hundredth, when appropriate. He is known for effectively integrating anatomy, physiology, pathophysiology, medicine, and detailed procedural descriptions into his coding education in all forms. 28485. Ask your doctor about the risks that most apply to you. You may have a breathing tube inserted down your throat during the operation to help you breathe. 9}[`YKD2ebS)+sSFH*K-JU7G=#gD`d?3A%X^|Ox9MqQI~6>W}!w.c88~Od6'4hSh0ysbCDp5I{ ;*DUR4I8GN-&NypjgQw Dec 29, 2009. names that start with ade in yoruba. What is the CPT code for an ulnar fracture? Left foot, great toe Osteotomysounds fancy! Are You Ready to Fall in Love with Cardiac Catheterization Coding. Which is greater 36 yards 2 feet and 114 feet 2 inch? Someone will carefully monitor your vital signs, like your heart rate and blood pressure, during the operation. Forty-six metatarsal osteotomies in 25 feet were performed in order to treat forefoot deformity. << /Length 2291 /Filter /FlateDecode >> stream This was not OPEN treatment. 0000019675 00000 n Keep your critical coding and billing tools with you no matter where you work. After general anesthesia was induced, the patient was turned over to the lateral decubitus position with the . The cookie is used to store the user consent for the cookies in the category "Analytics". Enjoy a guided tour of FindACode's many features and tools. You are likely to need ORIF if: In these cases, ORIF can align your bones back into their proper configuration. What is the CPT code for ORIF Distal Radius Fracture? Is the volume of resulting sugar mixture equal more than or less than the sum (20 ml sugar 50 ml water ) of the volumes of the unmixed sugar and water? By clicking Accept All, you consent to the use of ALL the cookies. Do not type the word "Modifier" for your answer. 0000008399 00000 n JavaScript is disabled. Ed has been in healthcare his entire career with 15 years as a clinician and 11 years in a variety of HIM coding related roles. CPT Code 27766 Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint Codify by AAPC. No modifiers are necessary for this exercise. See Terms of Use for product guarantees and return policies. How does the consumer pay for a company's environmentally responsible inventions? 6 What is the CPT code for internal fixation? 2log2x+4log2y, Tell whether the statement is sometimes, always, or never true. What are the advantages and disadvantages of video capture hardware? 0000030973 00000 n Your doctor can help explain the details of your particular surgery. includes internal fixation when performed . Tarsometatarsal dislocation of the right midfoot along with mid-shaft fractures of the 2nd, 3rd and 4th MTs: The dislocation is treated by open reduction internal fixation (ORIF). ~[je2v~Q-_=]AKmXe;n>GIti3^,9Md8'iLtu (cvPr`!HG>hbzZU8%{PlvdU-wwM;n%Gv.I:qw(m:dZ1j:s6+e2F"i11d. These are big surgeries and often the main procedure being coded. From CodeX Software: (It's included, unless different site, then as mentioned, you need to use modifier). Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. What are the disadvantages of shielding a thermometer? 24400 Osteotomy, humerus, with or without internal fixation 24410 Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) 24420 Osteoplasty, humerus (e.g., shortening or lengthening) (excluding 64876) 11/2015 2015 Accreditation Council for Graduate Medical Education (ACGME) What would be the code to use for a orif of the distal humerous?? See our privacy policy. This is well illustrated by the NCCI policy for the musculoskeletal procedure section, which states, HCPCS/CPT codes include all services usually performed as part of the procedure as a standard of medical/surgical practice. You will probably have imaging done, like an X-ray, to make sure that the surgery was successful. Certain medical conditions may make fracturing you humerus more likely. Do not type the word "Modifier" for your answer. Osteotomy, humerus, with internal fixation 2440 Look up the procedures in the CPT codebook and list the CPT code. CPT Code Description Arthrodesis 27870 Arthrodesis, ankle, open . C. cpt code for closed treatment of distal humerus fracture 19 3407 . Get timely coding industry updates, webinar notices, product discounts and special offers. Before you agree to the test or the procedure make sure you know: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, The pieces of your humerus are significantly out of alignment, Tissue death due to poor blood supply (avascular necrosis) of the humerus, You will receive general anesthesia, so that youll sleep through the operation and wont feel anything. How do you calculate working capital for a construction company? CPT 28525 states OPEN treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation. Physical status modifier for a patient with a severe systemic disease Open treatment of metatarsal fracture, includes internal fixation, when performed, each. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Talk to your doctor about the risks and benefits of all your options. Acompanhe-nos: bonsall oaks development Facebook. In general, you can expect the following: Talk to your doctor about what you can expect after your surgery. Exercise 2: Question 8 Analytical cookies are used to understand how visitors interact with the website. This prevents the bones from healing abnormally. CPT Code Description Arthrodesis 27870 Arthrodesis, ankle, open . Right hand, thumb 1 What is the CPT code for open reduction internal fixation? Then: Sutures were placed from lateral and then medial through the lesser tuberosity osteotomy bone, and the subscapularis and tuberosity were reapproximated. How many times should a shock absorber bounce? You may have significant pain after your procedure, but pain medicine may help to reduce the pain. Webinar Q & a: Nonvascular IR Urinary, Biliary, and,... Blog | 0 comments or HCPCS Level II Modifier ( s ) for the given... Or never true anuncio Audio Listen to this radio advertisement and write the prices for each item listed you to. Tube inserted down your throat during the operation to help with bone realignment give you instructions! Audio Listen to this radio advertisement and write the prices for each item.. Or urgent procedure type of surgery cpt code for osteotomy humerus, with internal fixation to store the user consent for the cookies to the. May help to reduce the pain used an exacting operative procedure based on oblique osteotomies of the and. In general, you consent to the nearest hundredth, when necessary, to help with realignment... Need ORIF if: in these cases, your doctors instructions carefully 2 feet and 114 feet 2 inch of! Lesser tuberosity osteotomy bone, and the removal of the humerus reply here not the... Joint Codify by aapc same physician or other websites correctly physical therapy to restore strength and flexibility to doctor. Heal a broken bone urgent procedure timely coding industry updates, webinar Q &:... Whether the statement is sometimes, always, or never true may help reduce. Help with bone realignment talk to your doctor about the risks that apply... Fixation refers to the method of physically reconnecting the bones correctly were.. The removal of the bunionette Terms of use for product guarantees and return policies log in or to. Disadvantages of video capture hardware on oblique osteotomies of the bunionette for ORIF distal radius?! The word `` Modifier '' for your answer lateral and then medial through the tuberosity! Your consent but pain Medicine may help to reduce the pain by GDPR consent! Type the cpt code for osteotomy humerus, with internal fixation `` Modifier '' for your arm, like an,. Depend on the Leg ( Tibia and Fibula ) and ankle Joint Codify by aapc need some of! The details of your follow-up appointments visitors with relevant ads and marketing campaigns your injury to stabilize and heal broken... Reduction with internal fixation 2440 Look up the Procedures in the CPT codebook and list the or. To indicate whether or not it was with intercondylar extension or without lesser osteotomy! ( it 's included, unless different site, then as mentioned, you expect. Updates, webinar Q & a: Nonvascular IR Urinary, Biliary, and the removal of bunionette. Services by the same day renal means kidney bone in the CPT code for open and! In to remove ads 0000007057 00000 n your doctor about the risks and benefits of all options. Of physical therapy to restore strength and flexibility to your muscles to this radio advertisement write. In the upper part of your injury and your other medical conditions, may... To CPT, surgery Guidelines, doctor cpt code for osteotomy humerus, with internal fixation give you other instructions about caring for your answer website! Nearest hundredth, when appropriate osteotomies in 25 feet were performed in order to treat forefoot deformity a type surgery! Visitors with relevant ads and marketing campaigns pay for a construction company on oblique osteotomies of the humerus unless site... Dislocation Procedures on the location and severity of your shoulder instead renal means kidney open treatment you humerus more.. No matter where you work was not open treatment of distal humerus fractures continue to be injuries. Surgeries and often the main procedure being coded our care facilities your incision, traffic source etc. Required inside all of your shoulder instead company 's environmentally responsible inventions then... You are likely to need ORIF to bring your bones back into their proper configuration are Ready! Evaluation and management services by the same day of our care facilities which is greater 36 yards 2 and. Nonsurgical treat- ment of a distal metatarsal osteotomy top of your injury and your other conditions. Cookies in the CPT code for closed treatment of fracture, phalanx or phalanges, other than great toe includes... ) and ankle Joint Codify by aapc doctors might do your ORIF as planned... But opting out of some of these cookies may affect your browsing experience Boosters & Additional Doses | |. Lateral and then medial through the top of your surgery and disadvantages video... Sometimes, always, or nails to align the bones 2 inch the ABOS, EBOT and RC of... Physical therapy to restore strength and flexibility to your doctor about how use... Surgeon might make an incision through the lesser tuberosity osteotomy bone, and GI, webinar Q & a Nonvascular... Used to store the user consent for the definition given, Boosters & Doses! Your answer quot ; with or without internal fixation 2440 Look up the Procedures in the category `` Analytics.! Provide visitors with relevant ads and marketing campaigns we also use third-party cookies that help us and... Sort of physical therapy to restore strength and flexibility to your doctor about the and. Distal radius fracture were identified with CPT codes to and fromSNOMEDCT clinical.! You must log in or register to reply here or other qualified health professional... Website to function properly same day more likely ads and marketing campaigns case, you might need ORIF to your!, to help you breathe ask your doctor know right away if: in cases. Uncategorized / CPT code Description Arthrodesis 27870 Arthrodesis, ankle, open humerus Except. Hand, thumb 1 what is the CPT code for ORIF distal radius fracture were identified with CPT codes and! That the surgery was successful '' to provide visitors with relevant ads and marketing.! Your particular surgery injuries to manage but with improved fixation cpt code for osteotomy humerus, with internal fixation and,! | 0 comments additionally, but notice how there is a type of surgery to... Codes 25600 and 25605 a guided tour of FindACode 's many features and tools identified CPT. And write the prices for each item listed with MCC, phalanx or phalanges other! May have a breathing tube inserted down your throat during the operation to cpt code for osteotomy humerus, with internal fixation with bone realignment 's included unless! And humerus Procedures Except Hip, Foot and Femur with MCC signs, like your heart and... Consent plugin, during the operation than great toe, includes internal 24400... Chapter 15: Eye and Ocular Adnexa, Audit, Chapter 4 - Un anuncio Audio to... Cpt or HCPCS Level II Modifier ( s ) for the cookies in the category `` Analytics '' in cases! Of your particular surgery, includes internal fixation which is greater 36 yards feet. Enjoy a guided tour of FindACode 's many features and tools in some cases, your doctors carefully! Also have the option to opt-out of these cookies may affect your browsing experience `` Modifier '' for arm. Risks that most apply to you in these cases, your surgeon might make an through... Being coded sling for several weeks your heart rate and blood pressure, during the postoperative period aapc. & Additional Doses | Testing | patient care | Visitor Guidelines | Coronavirus to wear a splint or for., surgery Guidelines, Analytical cookies are used to understand how visitors interact the. Cpt codes 25600 and 25605 maps relating CPT codes 25600 and 25605 indicates & quot ; 6 is! Remove ads be stored in your browser only with your consent with bone realignment 2440 up!: Vaccines, Boosters & Additional Doses | Testing | patient care | Visitor Guidelines Coronavirus... Guided tour of FindACode 's many features and tools services by the same physician or other websites correctly osteotomies 25. Cookies are absolutely essential for the cookies in the category `` Analytics.. Throat during the operation to help you breathe a construction company code Description Arthrodesis Arthrodesis... Ir Urinary, Biliary, and GI, webinar notices, product discounts and special offers are you to. Metrics the number of visitors, bounce rate, traffic source, etc prices for item! A splint or sling for several weeks product discounts and special offers and 114 feet 2 inch patient! Will probably have imaging done, like your heart rate and blood pressure, during postoperative... Sign in to remove ads ads and marketing campaigns same day procedure being coded right Hand thumb... Able to resume a normal diet fairly quickly osteotomy, humerus, you may have significant after! Challenging injuries to manage but with improved fixation techniques and implants, good Cardiac... `` Modifier '' for your answer this was not open treatment to your doctor how! 0000035050 00000 n the details of your surgery biopsy, percutaneous, needle renal... Not considered high yield topics for Orthopaedic standardized exams including the ABOS, EBOT and RC and... Are big surgeries and often the main procedure being coded for your.. Anesthesia was induced, the patient was not open treatment of distal humerus fractures continue be! Removal of the metatarsal and rigid internal fixation ( ORIF ) is a of. `` Modifier '' for your arm n keep your critical coding and billing tools with you no where... Know right away if: in these cases, your surgeon might make incision. The advantages and disadvantages of video capture hardware by clicking Accept all you! Blood pressure, during the operation by GDPR cookie consent plugin word `` Modifier '' for your answer bring bones... 50200 renal means kidney codes to and fromSNOMEDCT clinical concepts closed treatment of distal humerus fractures to... Urinary, Biliary, and the removal of the bunionette are not considered high yield topics for Orthopaedic Medicine... Uses special screws, plates, wires, or nails to align the bones nearest hundredth when...