nabernhardt
Guest
- Messages
- 234
- Best answers
- 0
I am thinking 25608 as the xrays report an intra-articular fx. But am not sure about the fixation of 2 segments?
PROCEDURE: The patient was taken to the OR and placed in a supine position. General
endotracheal intubation achieved without complication. Left upper extremity was prepped and draped in a normal sterile fashion. A volar approach was utilized. Skin flaps elevated.
Hemostasis achieved with a Bovie. The radial artery and nerve were identified and retracted and protected at all times. The FCR tendon reflected and the quadratus lifted off the subperiosteal fracture and exposed. The fracture was reduced and held temporarily with a K-wire. We used the Biomet OptiLock to secure the fracture. We used two 3.5 bicortical screw fixation of the shaft and then multidirectional fully threaded screws that were locked went into the distal radius fracture, using live fluoro to make sure that we did not get into the joint space. The fracture was reduced anatomically. A plate provided rigid fixation. Closed the subcu with 0 Monocryl and running 3-0 Prolene closed the skin. Sterile dressings applied and a splint. Patient taken to the recovery room.
PROCEDURE: The patient was taken to the OR and placed in a supine position. General
endotracheal intubation achieved without complication. Left upper extremity was prepped and draped in a normal sterile fashion. A volar approach was utilized. Skin flaps elevated.
Hemostasis achieved with a Bovie. The radial artery and nerve were identified and retracted and protected at all times. The FCR tendon reflected and the quadratus lifted off the subperiosteal fracture and exposed. The fracture was reduced and held temporarily with a K-wire. We used the Biomet OptiLock to secure the fracture. We used two 3.5 bicortical screw fixation of the shaft and then multidirectional fully threaded screws that were locked went into the distal radius fracture, using live fluoro to make sure that we did not get into the joint space. The fracture was reduced anatomically. A plate provided rigid fixation. Closed the subcu with 0 Monocryl and running 3-0 Prolene closed the skin. Sterile dressings applied and a splint. Patient taken to the recovery room.