KNP40806
Networker
I need help. I do very little orthopaedics so I'm a little lost on this one. Any direction would be helpful.
DATE OF PROCEDURE: 10/28/09
PREOPERATIVE DIAGNOSIS: Haglund's exostosis of right heel with retrocalcaneal bursitis.
POSTOPERATIVE DIAGNOSIS: Haglund's exostosis of right heel with retrocalcaneal bursitis.
PROCEDURE: Exostosectomy of calcaneus, right foot.
SURGEON:
ANESTHESIA: General.
ESTIMATED BLOOD LOSS: Minimal.
TOURNIQUET TIME: 36 minutes at 250 mmHg.
COMPLICATIONS: None.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed in supine position. General anesthesia was administered. A gram of Ancef was given. She was placed prone on the operating table and the tourniquet was placed on the right proximal calf. The right leg was prepped and draped in sterile fashion. The tourniquet was inflated to 250 mmHg and then a posterolateral incision was made over the right heel just in front of the edge of the Achilles at the attachment to the calcaneus. The soft tissue was dissected down.
Retractors were placed and the exostosis was exposed with partial elevation of the Achilles. Exostectomy was performed using osteotomes and then due to the release of the Achilles we placed 5.5 Arthrex bioabsorbable suture anchor in to the calcaneus with FiberWire suture. This was passed through to re secure the Achilles to the calcaneus. After this, the soft tissue were closed using 2-0 Monocryl for subcutaneous tissues and 4-0 Prolene stitch for the skin. The incision area was injected with 0.25% plain Marcaine. Dressing was placed followed by posterior and stirrup splint. The patient tolerated the procedure well. There were no immediate complications. She was awakened and taken to the recovery room in stable condition.
DATE OF PROCEDURE: 10/28/09
PREOPERATIVE DIAGNOSIS: Haglund's exostosis of right heel with retrocalcaneal bursitis.
POSTOPERATIVE DIAGNOSIS: Haglund's exostosis of right heel with retrocalcaneal bursitis.
PROCEDURE: Exostosectomy of calcaneus, right foot.
SURGEON:
ANESTHESIA: General.
ESTIMATED BLOOD LOSS: Minimal.
TOURNIQUET TIME: 36 minutes at 250 mmHg.
COMPLICATIONS: None.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed in supine position. General anesthesia was administered. A gram of Ancef was given. She was placed prone on the operating table and the tourniquet was placed on the right proximal calf. The right leg was prepped and draped in sterile fashion. The tourniquet was inflated to 250 mmHg and then a posterolateral incision was made over the right heel just in front of the edge of the Achilles at the attachment to the calcaneus. The soft tissue was dissected down.
Retractors were placed and the exostosis was exposed with partial elevation of the Achilles. Exostectomy was performed using osteotomes and then due to the release of the Achilles we placed 5.5 Arthrex bioabsorbable suture anchor in to the calcaneus with FiberWire suture. This was passed through to re secure the Achilles to the calcaneus. After this, the soft tissue were closed using 2-0 Monocryl for subcutaneous tissues and 4-0 Prolene stitch for the skin. The incision area was injected with 0.25% plain Marcaine. Dressing was placed followed by posterior and stirrup splint. The patient tolerated the procedure well. There were no immediate complications. She was awakened and taken to the recovery room in stable condition.