Doc.Ca
Sikhethiwe Msimanga Case No. 2
Student Number: 98827756
HILLCREST MEDICAL CENTER
OPERATIVE REPORT
Patient Name: Emma Parker
Hospital No.: 11259
Date of Admission: 9/26/2011
Date of Surgery: 9/26/2011
Admitting Physician: Sherman Loyd, MD
Surgeon: Carol Dodd, MD
Preoperative Diagnosis: Right intertrochanteric femoral fracture
Postoperative Diagnosis: Right intertrochanteric femoral fracture
OPERATIVE PROCEDURE: Open reduction, internal fixation of right intertrochanteric femoral fracture with DePuy sliding screw.
ANASTHESIA: General Endotracheal.
INDICATIONS: The patient is a 69 year old black female who fell, landing on her right hip. She was seen in the emergency room where physical exam and x-ray revealed an intertrochanteric right femoral fracture. She was admitted to Dr. Loyd’s service after an orthopedic consultation and preoperative clearance for surgery. She was taken for ORIF.
OPERATION IN DETAIL: After adequate preoperative evaluation, preoperative medication, and signing the informed consent, the patient was taken to the operating room and administered a general endotracheal anesthetic with prominences well padded, she underwent an uneventful reduction and was placed on traction through a well-padded boot, her left lower extremity was flexed and abducted at the hip. All boney prominences and the peroneal nerve were well padded. Fluoroscopic AP and lateral images revealed a good reduction of her intertrochanteric femoral fracture. The right hip was then sterily prepared with Betadine scrub and solution and draped into the sterile field. She was administered IV preoperative antibiotics. A straight lateral approach to the proximal femur was made. Dissection was carried through the skin and subcutaneous tissue. Hemostasis was obtained with electrocautery. The fascia lata was divided in line with the skin incision. The fascia over the vastus lateralis was divided in line with the skin incision, and the
Sikhethiwe Msimanga Case
Student Number: 98827756
HILLCREST MEDICAL CENTER
OPERATIVE REPORT
Patient Name: Emma Parker
Hospital No.: 11259
Date of Admission: 9/26/2011
Date of Surgery: 9/26/2011
Admitting Physician: Sherman Loyd, MD
Surgeon: Carol Dodd, MD
Preoperative Diagnosis: Right intertrochanteric femoral fracture
Postoperative Diagnosis: Right intertrochanteric femoral fracture
OPERATIVE PROCEDURE: Open reduction, internal fixation of right intertrochanteric femoral fracture with DePuy sliding screw.
ANASTHESIA: General Endotracheal.
INDICATIONS: The patient is a 69 year old black female who fell, landing on her right hip. She was seen in the emergency room where physical exam and x-ray revealed an intertrochanteric right femoral fracture. She was admitted to Dr. Loyd’s service after an orthopedic consultation and preoperative clearance for surgery. She was taken for ORIF.
OPERATION IN DETAIL: After adequate preoperative evaluation, preoperative medication, and signing the informed consent, the patient was taken to the operating room and administered a general endotracheal anesthetic with prominences well padded, she underwent an uneventful reduction and was placed on traction through a well-padded boot, her left lower extremity was flexed and abducted at the hip. All boney prominences and the peroneal nerve were well padded. Fluoroscopic AP and lateral images revealed a good reduction of her intertrochanteric femoral fracture. The right hip was then sterily prepared with Betadine scrub and solution and draped into the sterile field. She was administered IV preoperative antibiotics. A straight lateral approach to the proximal femur was made. Dissection was carried through the skin and subcutaneous tissue. Hemostasis was obtained with electrocautery. The fascia lata was divided in line with the skin incision. The fascia over the vastus lateralis was divided in line with the skin incision, and the
Sikhethiwe Msimanga Case