8/11/2019 Op Note Hammertoe Repair

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PREOPERATIVE DIAGNOSIS: PIPJ hammertoe contracture *** toe, *** foot.

POSTOPERATIVE DIAGNOSIS: PIPJ hammertoe contracture *** toe, *** foot.

PROCEDURE: ammertoe re!a"r throu#h PIPJ fu$"on %"th !"n f"&at"on an' e&ten$or ten'on

re(ea$e, *** foot.

SURGEON)S: ***

ASSISTANT: ***

ANESTESIA: +oca( %"th mon"tore' ane$the$"a care.

PATO+OG: None.

-ICROIO+OG: None.

E-OSTASIS: Pneumat"c an/(e tourn"0uet an' o1"e.

ESTI-ATED +OOD +OSS: -"n"ma(.

INJECTA+ES: None.

-ATERIA+S: 2.34 56%"re

DRESSING: Stan'ar'.

CO-P+ICATIONS: None.

PROCEDURE IN DETAI+: The !at"ent rece"1e' *** !reo!erat"1e(7 an' un'er m"(' $e'at"on %a$

8rou#ht to the o!erat"n# room an' !(ace' $u!"ne on the o!erat"n# ta8(e. A $ur#"ca( t"me6out %a$ta/en "n %h"ch the !at"ent, the $ur#"ca( $"te an' the !roce'ure %ere 1er"f"e'. A !neumat"c an/(e

tourn"0uet %a$ !(ace' o1er !a''e' 9e8r"( aroun' the *** an/(e. o((o%"n# "ntra1enou$ $e'at"on

(oca( ane$thet"c %a$ "nf"(trate' aroun' the !at"ent;$ *** toe u$"n# *** m+ of -arca"ne !(a"n. The ***foot an' an/(e %ere then $cru88e', !re!!e' an'

'ra!e' "n the u$ua( a$e!t"c manner. An E$march 8an'a#e %a$ ut"("?e' an' the ***(o%er e&trem"t7

%a$ e&$an#u"nate' an' the tourn"0uet %a$ "nf(ate'.

Attent"on %a$ '"recte' to the 'or$a( a$!ect of the ***=n' PIPJ %here (on#"t"'"na( $/"n "nc"$"on

%a$ ma'e. The $/"n "nc"$"on %a$ 'ee!ene' to the (e1e( of the PIPJ ca!$u(e %here a tran$1er$e

ca!$u(otom7 %a$ !erforme'. The me'"a( an' (atera( co((atera($ %ere re(ea$e' an' the hea' of the

!ro&"ma( !ha(an& a$ %e(( a$ the 8a$e of the "nterme'"ate !ha(an& %ere e&!o$e'. U$"n# an

o$$"(at"n# $a%, the hea' of the !ro&"ma( !ha(an& an' the 8a$e of the "nterme'"ate !ha(an& %erere$ecte' %"th !ara((e( cut$. The re$ecte' $urface$ %ere rea!!ro&"mate' an' f"&ate' %"th a 56%"re.

***Ne&t, %e re(ea$e' the D an' D+ ten'on$ at the (e1e( of the -TPJ a$ %e(( a$ !erfom"n# a

me'"a( re(ea$e of the =n' -TPJ. The toe %a$ note' to 8e a("#ne' %e(( "n a(( !(ane$.

The %oun' %a$ "rr"#ate' %"th co!"ou$ amount$ of norma( $a("ne an' c(o$e' "n a (a7er6876(a7er

fa$h"on u$"n# a runn"n# $u8cut"cu(ar $uture techn"0ue for $/"n c(o$ure.

8/11/2019 Op Note Hammertoe Repair

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