I am looking for some help on an Inpatient chart I am working on. I have a patient with a intertrochanteric fracture. The procedure listed is "Open Reduction internal fixation right hip intertrochanteric fracture, use of fluoroscopy".
PROCEDURE: After sedation and prepping the hip fracture was reduced and this was checked in the AP and lateral planes. Next the right lower extremity was prepped and draped in a sterile manner. Upon completion of prepping and draping, a longitudnal incision was made starting at the tip of the greater trochanter. A guide pin was introduced at the tip of the greater trochanter and reamed in to place. Femoral nail was then passed. A second incision was made laterally for the helical blade. The pin was checked in the AP and latearl planes and was flet to be in satisfactory position. The lateral cortex was then reamed and a helical blade was then impacted into place and compression was set followed by the set screw being placed. A third incision was made distally and this was for the distal locking screw. This was passed without complication.
I was under the impression that this is a CLOSED reduction followed by internal fixation since the reduction took place prior to incision being made. I sent a query to the physician and he tells me it was really OPEN reduction.
Any help would be greatly appreciated!
PROCEDURE: After sedation and prepping the hip fracture was reduced and this was checked in the AP and lateral planes. Next the right lower extremity was prepped and draped in a sterile manner. Upon completion of prepping and draping, a longitudnal incision was made starting at the tip of the greater trochanter. A guide pin was introduced at the tip of the greater trochanter and reamed in to place. Femoral nail was then passed. A second incision was made laterally for the helical blade. The pin was checked in the AP and latearl planes and was flet to be in satisfactory position. The lateral cortex was then reamed and a helical blade was then impacted into place and compression was set followed by the set screw being placed. A third incision was made distally and this was for the distal locking screw. This was passed without complication.
I was under the impression that this is a CLOSED reduction followed by internal fixation since the reduction took place prior to incision being made. I sent a query to the physician and he tells me it was really OPEN reduction.
Any help would be greatly appreciated!
