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)