![]() A matrix is provided where new bone can grow and further stabilize the prosthesis. A bone graft was placed around the area where the tuberosities were being brought down.(Bone grafts are common in prosthetic placement. Once the cement was hardened, the head was placed on Morse taper and then reduced. The shaft was prepared and cement was injected into the shaft. Sutures down to and through the shaft were placed in key positions for closure of the tuberosities. Once this was done, the stem was prepared up to a size 10.(This further explains the comminuted fracture.) A trial reduction was carried out with the DePuy trial stem and implant head.(Placement of the prosthesis is described.) This gave good range of motion with good stability. The fragments were mobilized and the humeral head fragments were removed. Dissection was carried out down to the fracture site and the fracture was identified. Standard deltopectoral approach was used.(The approach is documented within the body of the operative report.) The cephalic vein was taken laterally with the deltoid. DESCRIPTION OF PROCEDURE: On the day of the procedure, after obtaining informed consent, the patient was taken to the main operating room where she was prepped and draped in the usual sterile fashion in beach chair position after administering general anesthesia. She stated that she understood and desired to proceed. The proximal end of the humerus is the shoulder area.) The risks and benefits of the surgical procedure were discussed. ![]() (The postoperative diagnosis is used for coding.) OPERATIVE PROCEDURE: Open treatment of left proximal humerus.(The working procedure until the report is read.) ANESTHESIA: General.(General anesthesia is used.) IMPLANTS: DePuy GLOBAL® FX™, stem size 10 with a 48 x 15 humeral head.(This is an indication that a prosthesis was introduced into the joint.) INDICATIONS: The patient is a 66 year-old female who sustained a traumatic severe comminuted proximal humerus fracture. POSTOPERATIVE DIAGNOSIS: Comminuted left proximal humerus fracture. CASE 1 Operative Report PREOPERATIVE DIAGNOSIS: Comminuted left proximal humerus fracture.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |