Operative Report
OPERATIVE REPORT
Hospital No.: 11259
Date of Surgery: 09-26-2014
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.
Anesthesia: 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. Loyds service after an orthopedic consultation and pre-operative clearance for surgery she was taken for ORIF.
Operation in Detail: After adequate pre-operative evaluation, pre-operative 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 sterilely 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and the vastus lateralis was divided in line with its fibers, revealing the lateral aspect of the proximal femur which was retracted with the
Hospital No.: 11259
Date of Surgery: 09-26-2014
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.
Anesthesia: 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. Loyds service after an orthopedic consultation and pre-operative clearance for surgery she was taken for ORIF.
Operation in Detail: After adequate pre-operative evaluation, pre-operative 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 sterilely 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 vastus lateralis was divided in line with its fibers, revealing the lateral aspect of the proximal femur which was retracted with the