Please help!
This layer was carefully dissected both medial and lateral for later repair. At this point, the 2 ossicles were palpable at the inferior aspect at the insertion of the patellar tendon as well as the medial aspect of the inferior portion of the patellar tendon. The patellar tendon was incised longitudinally from superior to inferior down to the fat pad without violating the joint space. The 1st ossicle was excised from this region and the 2nd was palpable approximately 4 mm medial to the centrally located one. An accessory longitudinal incision was created in the patellar tendon. The first ossicle measured 15 x 6 mm and the second ossicle measured 10 x 4 mm, both of these were sent to pathology for review. Next, I made staggered perforations from superior to inferior on both the medial and lateral aspects of the patellar tendon to promote healing. I then took a small drill and created drill holes along the inferior aspect of the patella as well as around the tibial tubercle and superior to the tibial tubercle and posterior to the patellar tendon as a marrow stimulation technique to promote healing of the patellar tendon. Once this was accomplished, the wound was copiously irrigated with normal saline.
27360 and 27350???
Thank you!
This layer was carefully dissected both medial and lateral for later repair. At this point, the 2 ossicles were palpable at the inferior aspect at the insertion of the patellar tendon as well as the medial aspect of the inferior portion of the patellar tendon. The patellar tendon was incised longitudinally from superior to inferior down to the fat pad without violating the joint space. The 1st ossicle was excised from this region and the 2nd was palpable approximately 4 mm medial to the centrally located one. An accessory longitudinal incision was created in the patellar tendon. The first ossicle measured 15 x 6 mm and the second ossicle measured 10 x 4 mm, both of these were sent to pathology for review. Next, I made staggered perforations from superior to inferior on both the medial and lateral aspects of the patellar tendon to promote healing. I then took a small drill and created drill holes along the inferior aspect of the patella as well as around the tibial tubercle and superior to the tibial tubercle and posterior to the patellar tendon as a marrow stimulation technique to promote healing of the patellar tendon. Once this was accomplished, the wound was copiously irrigated with normal saline.
27360 and 27350???
Thank you!