slc112071
Networker
Could someone please help with this one and give me your opinion?
PREOPERATIVE DIAGNOSIS: Left bimalleolar fracture.
POSTOPERATIVE DIAGNOSIS: Left bimalleolar fracture.
OPERATION PERFORMED: Open reduction and internal fixation with syndesmosis
screws, left bimalleolar fracture.
ANESTHESIA: General.
SURGICAL FINDINGS: As anticipated, the fracture was reducible and with
closure of the syndesmosis. The medial side was closed.
REPORT OF OPERATION: The patient was brought to the operating suite and after
satisfactory general anesthetic had been administered, tourniquet was applied
to the left thigh. The left splint was removed. The left leg, thigh and foot
were prepped and draped in usual sterile fashion. After gravity
exsanguination, tourniquet was elevated. A 10 cm incision was made over the
lateral side, taken down through hemorrhagic subcutaneous tissue down to the fibula. The periosteum and hematoma were then irrigated and removed using the PICC so that the fracture could be brought into reduced position and held with a bone reduction forceps. A lateral plate was selected. Two screws placed distally, one proximally and then the syndesmosis and fluoroscopic images were taken with stress evaluation. Under fluoroscopic control, two syndesmosis screws were then placed. A proximal screw was placed. Final fluoroscopic images demonstrated stabilization of the ankle and no subluxation, anterior, posterior. Thorough irrigation was done. The subcutaneous tissues were closed with interrupted 2-0. Skin was closed with staples. Marcaine 0.5% plain was injected along the skin edge for postoperative analgesia. Sterile dressing with a bulky bootstrap and posterior splint was then applied.
PREOPERATIVE DIAGNOSIS: Left bimalleolar fracture.
POSTOPERATIVE DIAGNOSIS: Left bimalleolar fracture.
OPERATION PERFORMED: Open reduction and internal fixation with syndesmosis
screws, left bimalleolar fracture.
ANESTHESIA: General.
SURGICAL FINDINGS: As anticipated, the fracture was reducible and with
closure of the syndesmosis. The medial side was closed.
REPORT OF OPERATION: The patient was brought to the operating suite and after
satisfactory general anesthetic had been administered, tourniquet was applied
to the left thigh. The left splint was removed. The left leg, thigh and foot
were prepped and draped in usual sterile fashion. After gravity
exsanguination, tourniquet was elevated. A 10 cm incision was made over the
lateral side, taken down through hemorrhagic subcutaneous tissue down to the fibula. The periosteum and hematoma were then irrigated and removed using the PICC so that the fracture could be brought into reduced position and held with a bone reduction forceps. A lateral plate was selected. Two screws placed distally, one proximally and then the syndesmosis and fluoroscopic images were taken with stress evaluation. Under fluoroscopic control, two syndesmosis screws were then placed. A proximal screw was placed. Final fluoroscopic images demonstrated stabilization of the ankle and no subluxation, anterior, posterior. Thorough irrigation was done. The subcutaneous tissues were closed with interrupted 2-0. Skin was closed with staples. Marcaine 0.5% plain was injected along the skin edge for postoperative analgesia. Sterile dressing with a bulky bootstrap and posterior splint was then applied.
