Hand Open Reduction & Internal Fixation and Percutaneous Pinning

By Dr. Kevin Han

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GLOVES:   6.5 Micro Indicator/6.5 Micro  

Anesthesia:   by Choice

PREP:   Hibclens

POSITION:   SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet with “10 x 10” around Tourniquet, Finger Tourniquet Available, Extremity Drape, Sitting Stools

MEDICATIONS: 0.9% NACL IRRIGATION 500 ML

1% LIDOCAINE if MAC and Local (Pre-Inject)

Otherwise 0.25 Marcaine or 0.5% Marcaine whichever is available at end of case.

INSTRUMENTS: Lead Hand or Tupper Universal Hand Holder, Hand Tray,

EQUIPMENT:   Tourniquet, Mini-C arm (drape), Small Battery Driver, Pin Cutter, double ended k-wires. Stryker Hand Plating System (Do not open)

SUPPLIES:  

HALF SHEET

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE (2)

10CC SYRINGE (1)

25 GAUGE HYPO (1)

BIPOLAR CORD

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

SUTURES: Ask. Do Not Open. 4-0 Nylon, 3-0 Fiber Wire or 3.0 Fiber-Loop for Tendon if available, if not 3.0 Ethibond, 5.0 Chromatic, 4.0 Chromatic

DRESSINGS:   ADAPTIC or Xeroform, WET 4X4, DRY 4X4, 4″ WEBRIL or 4″ Cast Padding , 3” or 4″ PLASTER, 3″/4″ ACE WRAP, SLING (IF BLOCKED)

   NOTES: BIPOLAR 15, NO BOVIE, Micro-Instrument and GEM Clip Appliers and Microscope in case for vessel and nerve repairs (Do not open)