Justarose
Guest
I think : 11760 816.02 ??
What am I missing ??
Please help - thank you all so much !
The left upper extremity once prepped, the tourniquet was placed around the proximal phalanx of the index finger with a Penrose drain. At this point, the amputated part was debrided of its devitalized tissue and the nail plate had what appeared to be reasonable sterile matrix still attached to the plate. At this point, we cauterized the bone to ensure that there was no bleeding and then affixed the nail plate with the sterile matrix using this as a composite graft sewn to the native sterile matrix with 6-0 plain gut sutures. This appeared to approximate the nail plate near anatomically and with the bone now covered, soft tissue was mobilized over the eponychial fold to close the defect.
What am I missing ??
Please help - thank you all so much ! The left upper extremity once prepped, the tourniquet was placed around the proximal phalanx of the index finger with a Penrose drain. At this point, the amputated part was debrided of its devitalized tissue and the nail plate had what appeared to be reasonable sterile matrix still attached to the plate. At this point, we cauterized the bone to ensure that there was no bleeding and then affixed the nail plate with the sterile matrix using this as a composite graft sewn to the native sterile matrix with 6-0 plain gut sutures. This appeared to approximate the nail plate near anatomically and with the bone now covered, soft tissue was mobilized over the eponychial fold to close the defect.