Articia1
New
Hi Fellow Coders,
I have another report that I need help on as well for this case I came up with 29881-RT and 29874 RT,59. Attached below is the op report. Again thank you in advance.
DIAGNOSIS: Right knee bucket handle medial meniscus tear and painful medial plica.
PROCEDURE: Right knee arthroscopy, partial medial meniscectomy, and resection of medial
plica.
ANESTHESIA: General.
TOURNIQUET: None.
BLOOD LOSS: Minimal.
DESCRIPTION OF PROCEDURE: The patient's right knee was identified and marked as the
operative site prior to entering the operating room. She was brought in and placed on the
operating table in the supine position. General anesthesia was induced. The left leg was
suspended on an arm board. The right leg was placed in a thigh holder. The foot of the bed was
flexed down. The right lower extremity was prepped and draped in standard sterile fashion.
Anteromedial and anterolateral portal sites were injected with 20 ml of %% Marcaine with
epinephrine. The portals were created with a #11 blade. Inspection of the knee was carried out
first. The camera was inserted through a cannula in the lateral portal. Visualization of the medial
compartment revealed a bucket handle medial meniscus tear which was displaced from the
posterior horn into the anterior part of the compartment. The articular cartilage appeared
essentially normal. The lateral compartment was normal. The patellofemoral compartment was
remarkable for a medial plica which appeared to contact the lateral medial aspect of the femur.
The patellofemoral articular cartilage appeared normal. Attention was directed to the medial
compartment. A biting instrument was used to detach the torn bucket handle fragment of the
meniscus. An arthroscopic shaver was then used to smooth the surface of the meniscus. The
meniscus was then probed. It was found to be stable. There is a small rim of remaining meniscus
in the posterior horn. Attention was then directed to the patellofemoral compartment. The medial
plica was resected with the shaver. There was no other abnormality in this compartment noted.
The knee was then irrigated copiously with sterile saline through the cannula. All instruments
were removed. The portal sites were closed with simple nylon sutures. 20 ml of %% Marcaine
was injected for postoperative pain control. A sterile dressing was applied. She was awakened
from general anesthesia with no difficulty and was transported to the recovery room in stable
condition.
I have another report that I need help on as well for this case I came up with 29881-RT and 29874 RT,59. Attached below is the op report. Again thank you in advance.
DIAGNOSIS: Right knee bucket handle medial meniscus tear and painful medial plica.
PROCEDURE: Right knee arthroscopy, partial medial meniscectomy, and resection of medial
plica.
ANESTHESIA: General.
TOURNIQUET: None.
BLOOD LOSS: Minimal.
DESCRIPTION OF PROCEDURE: The patient's right knee was identified and marked as the
operative site prior to entering the operating room. She was brought in and placed on the
operating table in the supine position. General anesthesia was induced. The left leg was
suspended on an arm board. The right leg was placed in a thigh holder. The foot of the bed was
flexed down. The right lower extremity was prepped and draped in standard sterile fashion.
Anteromedial and anterolateral portal sites were injected with 20 ml of %% Marcaine with
epinephrine. The portals were created with a #11 blade. Inspection of the knee was carried out
first. The camera was inserted through a cannula in the lateral portal. Visualization of the medial
compartment revealed a bucket handle medial meniscus tear which was displaced from the
posterior horn into the anterior part of the compartment. The articular cartilage appeared
essentially normal. The lateral compartment was normal. The patellofemoral compartment was
remarkable for a medial plica which appeared to contact the lateral medial aspect of the femur.
The patellofemoral articular cartilage appeared normal. Attention was directed to the medial
compartment. A biting instrument was used to detach the torn bucket handle fragment of the
meniscus. An arthroscopic shaver was then used to smooth the surface of the meniscus. The
meniscus was then probed. It was found to be stable. There is a small rim of remaining meniscus
in the posterior horn. Attention was then directed to the patellofemoral compartment. The medial
plica was resected with the shaver. There was no other abnormality in this compartment noted.
The knee was then irrigated copiously with sterile saline through the cannula. All instruments
were removed. The portal sites were closed with simple nylon sutures. 20 ml of %% Marcaine
was injected for postoperative pain control. A sterile dressing was applied. She was awakened
from general anesthesia with no difficulty and was transported to the recovery room in stable
condition.