Scaphoid ORIF with or without Bone Graft

GLOVES:  6.5 Micro Indicator/6.5 Micro 

Anesthesia:  General

PREP:  Hibiclens. Razor for shaving for Hip or Wrist if harvesting bone graft.

POSITION:  SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet, Extremity Drape, Sitting Stools, Prep and Square off ipsilateral hip with 4 blue towels if harvesting iliac crest bone graft.

MEDICATIONS: 0.9% NACL IRRIGATION  500 ML

0.25 Marcaine with Epinephrine or 0.5% Marcaine with Epinephrine x 20 ML

INSTRUMENTS: Small Rongeurs, Drill, Unthreaded K-Wire (.45 and .62) x 2, RatTooth Forcep, Adson forcep and Adson Brown, Small Point to Point Reduction Clamp, Small Laminar Spreader, Cricket Retractor, Small Weitlaner Retractor, Freer Elevator, Key Elevator, Baby Holman, Curettes

EQUIPMENT:  Acumed Acutrak Headless Compression Screw Set (Will Indicate During Booking), MINI C-ARM (OrthoScan if available ), If Booked as Bone Graft: Oscillating Saw, Osteotomes Set, Curettes Set, Bone Wax, SurgiFoam (Hemostatic Foam) 

SUPPLIES:  HALF SHEET

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE (2)

10CC SYRINGE (1)

25 GAUGE HYPO (1)

16 Gauge Hypo (1)

BIPOLAR CORD

Bovie with protected tip 

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

SUTURES: 3-0 Monocryl, 3-0 Vicryl SH, and 4-0 NYLON P-C 3. If Harvesting Iliac Crest Bone Graft: Have 2-0 Vicryl Available

DRESSINGS:  Xeroform, WET 4X4, DRY 4X4,  4” Cast Padding x 2, 4″ plaster roll, 4″ ACE WRAP, any kind of tape, SLING (IF HAD BLOCK),  If Harvesting Iliac Crest Bone Graft: Steri Stripes, Medium Tegaderm x2, And Mastisol

NOTES: BIPOLAR 15, BOVIE with protected tip on 25

OTHERS:  Other Possible Equipment/Supplies and Only Get if Asked during booking

CANCELLOUS CHIPS and DBM PUTTY OPTIUM LIFENET (Do not open)