8/11/2019 Op Note Bimal Orif

1/2

SURGEON:***

ASSISTANT:

PREOPERATIVE DIAGNOSIS:Closed bimalleolar ***ankle frac!re"

POSTOPERATIVE DIAGNOSIS:Closed bimalleolar ***ankle frac!re #i$*** s%ndesmoicdisr!&ion"

OPERATION PER'OR(ED:O&en red!cion and inernal fi)aion of bimalleolar ***ankle

frac!re #i$ ***ranss%ndesmoic scre# &lacemen ***foo"

ANEST+ESIA:General #i$ ***&o&lieal block"

+E(OSTASIS:Pne!maic $i,$ o!rni-!e a .// mm+, and 0o1ie"

ESTI(ATED 02OOD 2OSS:(inimal"

(ATERIA2S:***."3 corical scre# imes $ree"4"/ cancello!s scre# ime #o"4"/ cann!laed&ariall% $readed scre# imes #o"4"3 f!ll% $readed solid scre# imes one"One5$ird !b!lar

&lae 6 $oles imes one"

IN7ECTA02ES:***8/ ml of /"839 (arcaine #i$ e&ine&$rine ineced ino $es!r,ical sie

&oso&erai1el%"

DRESSINGS:.5#a% s&lin"

CO(P2ICATIONS:None"

PROCEDURE IN DETAI2:T$e &aien recei1ed ***,m of Ancef &reo&erai1el% and !nder mild

sedaion #as bro!,$ ino $e o&erain, room and &laced s!&ine on$e able" A s!r,ical ime o!

#as $en aken in #$ic$ $e&aien $e s!r,ical sie and $e &roced!re #ere 1erified"Afer

,eneral anes$esia #as obained a &ne!maic $i,$o!rni-!e #as &laced o1er a &added ;ebril

aro!nd $e ***$i,$" T$e ***foo and ankle #ere scr!bbed &re&&ed anddra&ed in $e !s!al

ase&ic manner" An Esmarc$ banda,e #as!ili

8/11/2019 Op Note Bimal Orif

2/2

cann!laed &ariall% $readed 45/ scre#s #$ic$ #ere fo!nd o&ro1ide ,ood com&ression across

$e frac!re sie"Ne) #e obained fl!orosco&% ima,es confirmin, ,ood len,$ and&osiion of

bo$ $e cann!laed scre#s as #ell as $e fib!lar &lae"

Ne) !sin, $e e)ernal roaion and bone $ook es #ec$ecked $e ine,ri% of $e s%ndesmosis

and fo!nd i o be ***sable" A $is&oin #e &laced a 4"3 f!ll% $readed corical scre# $ro!,$

$efib!lar &lae and ino $e ibia #$ile $oldin, $e s%ndesmosisred!ced #i$ a &el1ic red!cionclam&" A $is &oin ne#fl!orosco&% ima,es #ere obained confirmin, ,ood o1erall&osiion of

all $e $ard#are and ,ood red!cion of $e ankle #i$,ood ankle morise ali,nmen"

0o$ incisions #ere irri,aed #i$ co&io!s amo!ns of normalsaline and closed in la%er b% la%erfas$ion !sin, skin sa&lesfor skin clos!re"T$e incisions #ere dressed #i$ Ada&ic co1ered#i$

,a!