Please any help would be appreciated.
Did an Austin Bunionectomy great toe but also did the following:
Attenion was directed to the second toe on right foot. A 2cm incision was made overlying the proximal interphalangeal joint. All blood vessels and vital structures were retracted to expose extender tendons. The extender tendon was excised transversely exposing the proximal interphalangeal joint. The tendon stump was reflected proximally and soft tissue structures were dissected free from the head of the proximal phalanx and the base of the middle phalanx and oscillating ______ 3.52 ________ was then used to resect the head of the proximal phalanx and the cartilaginous space in the middle phalanx and they were both excised in toto. Next, a 0.045 inch K wire was directed through the end of the toe and retrograde back across the PIPJ.
Attenion was then directed to the second metatarsophalangeal joint. A 1 cm linear incision was made overlying the second MPJ and using both sharp and blunt dissection tenotomy and capsulotomy was performed with release of the extensor digitorum longus tendon at the second MPJ and the dorsal capsular structures. The 0.045 inch K wire was then further directed across the second MPJ with the toe placed into a more plantar flexed position. The tendon stump was then shortned slightly opposing and maintained with #4-0 Vicryl.
Did an Austin Bunionectomy great toe but also did the following:
Attenion was directed to the second toe on right foot. A 2cm incision was made overlying the proximal interphalangeal joint. All blood vessels and vital structures were retracted to expose extender tendons. The extender tendon was excised transversely exposing the proximal interphalangeal joint. The tendon stump was reflected proximally and soft tissue structures were dissected free from the head of the proximal phalanx and the base of the middle phalanx and oscillating ______ 3.52 ________ was then used to resect the head of the proximal phalanx and the cartilaginous space in the middle phalanx and they were both excised in toto. Next, a 0.045 inch K wire was directed through the end of the toe and retrograde back across the PIPJ.
Attenion was then directed to the second metatarsophalangeal joint. A 1 cm linear incision was made overlying the second MPJ and using both sharp and blunt dissection tenotomy and capsulotomy was performed with release of the extensor digitorum longus tendon at the second MPJ and the dorsal capsular structures. The 0.045 inch K wire was then further directed across the second MPJ with the toe placed into a more plantar flexed position. The tendon stump was then shortned slightly opposing and maintained with #4-0 Vicryl.
