SurgicalOpNotes .co.uk
Lorem
Follow us on Twitter:
OPERATION NOTE:
Left Right elbow open reduction & internal fixationDate of operation:
Patient name:
Hospital number:
Date of Birth:
Consultant
Surgeon: Supervision: Independent/Unscrubbed/Scrubbed*Grade: FY2/CT1/CT2 StR/SpR Fellow Consultant
Assistant: Grade: FY2/CT1/CT2 StR/SpR Fellow Consultant
Anaesthetist: _Grade: FY2/CT1/CT2 StR/SpR Fellow Consultant
Indication: Intra-articular fracture
Background: Patient consented, understanding the risks of bleeding, infection, nerve damage, venous thrombo-embolism, non union, malunion, prominent metalwork, further surgery, complex regional pain syndrome and anaesthetic.
Setup: WHO safety checklist performed .Prepped with Betadine/Chlorhexidine* and draped
Anaesthetic: Block / GA*
Antibiotics: At induction __mg_
Equipment: Tourniquet: Tourniquet pressure: _ mmHg Tourniquet time:_ _mins
Inflated after elevation exsanguination
Image intensifier:
Position: Lateral Supine
Approach: Posterior
Findings: Displaced intra-articular fracture with haematoma
Procedure: Fracture identified, haematoma and any interposing periosteum cleared out. Fracture site refreshed.
Fracture reduced and held with bone reduction clamp(s)
Tension band wiring Periarticular plate fixation applied to good effect with stable construct and good reduction.
Washout & haemostasis.
Stable fixation confirmed with image intensifier
Final check x-ray images saved/printed*
Closure: Deep tissue: vicryl 2-0, deep dermal vicryl 2-0 to deep and nylon 3-0 clips for skin.
LA infiltrated at wound:
Backslab Wool & Crepe
Post-op: Routine obs. VTE prophylaxis. NWB.
Home when safe .
Follow-up with GP clinic in two weeks for wound review and removal of sutures/clips.
RoM: Begin gentle movements after two weeks. Keep clean & dry until then.
Signed: ______________________
