Pre-operative diagnosis: History of dupuytren's contracture /surgical release
PIP contracture left little and ring fingers, severe greater than 90 degrees
Post-operative diagnosis: same
Procedure/description: Deep dupuytren's band release left ring and little fingers at PIP, YV plasty
Capsulectomy left ring and little finger PIP with k wire stabilization .045 x 2
Operative findings: PIP contracture. TT 39
Specimens: none
Fluids/Blood: no blood
Estimated Blood Loss: less than 50 mL
Drains/Packs: none
Patient's condition: satisfactory
SUMMARY:
With the patient in the preoperative area, the operative site is verified. The operative plan is reviewed with the patient. The patient has evidence of PIP contracture with symptoms, inability to use his walker. . The operative plan is reviewed with the patient, and the operative site is marked. The patient had an opportunity to have all questions regarding the procedure answered. The patient is then taken to the operating room. Following time-out verification, sterile prep and drape, administration of general anesthesia, the left upper extremity was then exsanguinated, tourniquet was inflated. Loupe magnification employed throughout the procedure. Y-V plasty utilizing the old scar was employed. Dissection was carried sharply through the skin, and by scissor dissection to the volar plate and collateral ligaments of the ring and little finger, identifying and preserving the neurovascular bundles and the flexor tendons. The deep bands restricting motion were released as well as the volar plate and accessory collateral ligaments, allowing full extension of the finger at the PIP. The joint was pinned at 30 degrees to avoid skin and nerve tension issues, closure with 4-0 nylon suture. Tourniquet was released, capillary refill good all fingers. The patient tolerated the procedure without complication, and a bulky wrap is applied
PIP contracture left little and ring fingers, severe greater than 90 degrees
Post-operative diagnosis: same
Procedure/description: Deep dupuytren's band release left ring and little fingers at PIP, YV plasty
Capsulectomy left ring and little finger PIP with k wire stabilization .045 x 2
Operative findings: PIP contracture. TT 39
Specimens: none
Fluids/Blood: no blood
Estimated Blood Loss: less than 50 mL
Drains/Packs: none
Patient's condition: satisfactory
SUMMARY:
With the patient in the preoperative area, the operative site is verified. The operative plan is reviewed with the patient. The patient has evidence of PIP contracture with symptoms, inability to use his walker. . The operative plan is reviewed with the patient, and the operative site is marked. The patient had an opportunity to have all questions regarding the procedure answered. The patient is then taken to the operating room. Following time-out verification, sterile prep and drape, administration of general anesthesia, the left upper extremity was then exsanguinated, tourniquet was inflated. Loupe magnification employed throughout the procedure. Y-V plasty utilizing the old scar was employed. Dissection was carried sharply through the skin, and by scissor dissection to the volar plate and collateral ligaments of the ring and little finger, identifying and preserving the neurovascular bundles and the flexor tendons. The deep bands restricting motion were released as well as the volar plate and accessory collateral ligaments, allowing full extension of the finger at the PIP. The joint was pinned at 30 degrees to avoid skin and nerve tension issues, closure with 4-0 nylon suture. Tourniquet was released, capillary refill good all fingers. The patient tolerated the procedure without complication, and a bulky wrap is applied
