Bilateral Wrist Fracture/Forearm Fracture ORIF
GLOVES: 6.5 Micro Indicator/6.5 Micro
ANESTHESIA: General
PREP: Hibiclens
POSITION: SUPINE, OR BED ONLY, Two Tourniquet, 2 Unilateral Upper Extremity Arm Drape for each arm, Sitting Stools, Prefer bilateral hand table that locks onto the OR bed for bilateral procedures if available.
MEDICATIONS:0.25 Marcaine or 0.5% Marcaine whichever is available at end of case.
INSTRUMENTS: Drill, Unthreaded K-Wire (.45 and .62), RatTooth Forcep , Laminar Spreader, Weitlaner Retractor, Freer Elevator, Key Elevator, Army Navy, Holman retractors, Large Wire Cutter, and Lobster Claw Reduction Forceps and Point to Point Reduction Clamps. If Case is booked with Carpal Tunnel Release, please open a lead hand.
EQUIPMENT: Skeletal Dynamics or Trimed (Will Indicate During Booking) , Tourniquet, MINI C-ARM (OrthoScan if available ). Have LC-DCP Forearm Compression Plates available. Free Weights, Sterile Finger Traps (Chinese Finger Traps), Sterile Kerlex, and Mastisol (For Reduction of the Fracture Intra-Op)
SUPPLIES: HALF SHEET
Metal Frazier Tip (No Suction Tubing Needed)
Extremity Drape
Ray-Tech
LIGHT HANDLE COVER
15 BLADE (2)
10CC SYRINGE (1)
25 GAUGE HYPO (1)
BIPOLAR CORD
Bovie with protected tip
TOURNIQUET 18”
4” ESMARK (OPEN, STERILE)
SUTURES: 3-0 Monocryl x 3 and 4-0 NYLON P-C 3 x4
Xeroform, WET 4X4, DRY 4X4, 4″ WEBRIL or 4” Cast Padding, 4″ plaster roll, 4″ ACE
DRESSINGS: WRAP, Any Kind of Tape – 2 Sets for Bilateral Procedures. SLING (IF HAD BLOCK),
OTHERS: Other Possible Equipment/Supplies and Only Get if Asked during booking
0.9% NACL IRRIGATION 500 ML
CANCELLOUS CHIPS and DBM PUTTY OPTIUM LIFENET (Do not open) Synthes 2.4/2.7 VA distal radius plate (Do not open)
Synthes Dorsal Spanning Plate (Do not open)
Synthes Rim Plate (Do not open)
Acumed Acutrak Compression Screws 2.4mm and 3.0 mm (Do not open)