CMC Arthroplasty (Resection Trapeziectomy with LRTI)

GLOVES: 6.5 Micro Indicator/6.5 Micro

Anesthesia: General

PREP: Hibiclens

POSITION: SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet, Extremity Drape, Sitting Stools

MEDICATIONS: 0.9% NACL IRRIGATION 500 ML 20 mL, 0.25 Marcaine or 0.5% Marcaine

INSTRUMENTS: 

Hand Kit (Curved Littler or Small Curved Tenotomy Scissors, Adson Forceps), Drill, 2 and 3 mm Drill Bit Set, K-Wire Driver, 22 (or 24) Gauge Dental Wire, Freer Elevator, Cottle Elevator, Baby Holman Retractors, Heiss Retractor, Small Weitlaner Retractor, Mcglamry elevators (In Podiatry Set), Osteotomes, Ronguers (Wide Mouth), HEWSON

SUTURE Retriever (If Available), A type of Small Cork Screw (ex. Arthrex AR-8919-01S)

EQUIPMENT: 

  • HALF SHEET
  • Extremity Drape
  • Ray-Tech
  • LIGHT HANDLE COVER
  • 15 BLADE (3)
  • Beaver Blade #0064 if not available #0069
  • 10CC SYRINGE (1)
  • 25 GAUGE HYPO (1)
  • BIPOLAR CORD/Forcep and Bipolar Foot Paddle
  • TOURNIQUET 18”
  • 4” ESMARK (OPEN, STERILE)

SUTURES: 3-0 or 2-0 FiberLoop, 3-0 Ethibond x 2, and Straight Keith Needle 4-0 Vicryl RB-1, 3-0 Monocryl P-3, and 4-0 NYLON P-C 3

DRESSINGS: Steri Strips, Large Xeroform, WET 4X4, DRY 4X4, 4” Cast Padding x 2, 4″ plaster x 12 sheet, 4″ ACE WRAP, any kind of tape, SLING (IF HAD BLOCK)

OTHER:

Additional Equipment for Extra-Procedures If Asked during Booking

Arthrex Mini Tight Rope 1.1mm with C-Clamp Guide

Arthrex Corkscrew Micro and Nano Anchor (1st Preference for MP Arthroplasty)

Biomet JuggerKnot Soft Anchor 1.0mm Mini x 2

DePuy Synthes Micro QuickAnchor Suture Achor (3-0 Needle) x 2 (Least Preferred)