CCANTER
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I am struggling between 26045 or 26123 and 26125?
PREOPERATIVE DIAGNOSIS:
Right hand Dupuytren contracture, 4th and 5th digits.
POSTOPERATIVE DIAGNOSIS:
Right hand Dupuytren contracture, 4th and 5th digits.
PROCEDURE PERFORMED:
1. Release of the 5th digit Dupuytren contracture.
2. Release of the 4th finger treatment for Dupuytren contracture.
DESCRIPTION OF PROCEDURE:
The patient was brought to the OR, placed in supine position. Propofol administered. Right upper extremity prepped and draped in sterile fashion. We made a zigzag incision through the palmar skin. Flaps were created showing the fibromatous tissue causing the contracture. This was removed from the 4th and from the fifth finger. The neurovascular structures were identified to both fingers, and protected at all times. Again, we started with a severe contracture. After the releases were done and resection of the tissue, we could basically get the MCP and the PIP joints completely straight. Once the extensile resection was completed, we repaired the skin with a 3-0 Prolene in a simple manner, put patient in an ulnar gutter splint with the fingers obviously fully extended
PREOPERATIVE DIAGNOSIS:
Right hand Dupuytren contracture, 4th and 5th digits.
POSTOPERATIVE DIAGNOSIS:
Right hand Dupuytren contracture, 4th and 5th digits.
PROCEDURE PERFORMED:
1. Release of the 5th digit Dupuytren contracture.
2. Release of the 4th finger treatment for Dupuytren contracture.
DESCRIPTION OF PROCEDURE:
The patient was brought to the OR, placed in supine position. Propofol administered. Right upper extremity prepped and draped in sterile fashion. We made a zigzag incision through the palmar skin. Flaps were created showing the fibromatous tissue causing the contracture. This was removed from the 4th and from the fifth finger. The neurovascular structures were identified to both fingers, and protected at all times. Again, we started with a severe contracture. After the releases were done and resection of the tissue, we could basically get the MCP and the PIP joints completely straight. Once the extensile resection was completed, we repaired the skin with a 3-0 Prolene in a simple manner, put patient in an ulnar gutter splint with the fingers obviously fully extended