awest
Networker
Any help is appriciated. 
Here is the bulk of operative report. Thanks!
PROCEDURES
1. Repair of peroneal tendon with 0 Vicryl.
2. Tenosynovectomy lateral right foot with Topaz procedure
Attention was turned to the lateral aspect of the right foot and ankle and an 8-cm incision was beginning just proximal to the head of the fibula and extending distally towards the fifth metatarsal base. The incision was deepened using sharp and blunt dissection, ligating all bleeding, and retracting all neurovascular structures as necessary. Careful dissection was performed from medial to lateral. Identification of the lateral retinaculum and that was incised and reflected. Further dissection was continued and identified very weak frail peroneal longus that was split longitudinally and half from distal-to-proximal. This was tacked with a 3-0 Vicryl. Dissection was continued distally and proximal to that area until another secondary longitudinal tear of the peroneal longus was identified. This was dissected from distal to proximal as well. The two tears were placed together and using 0 Vicryl was repaired from distal to proximal. Then, our attention was turned to the peroneal longus and peroneal brevis. Another incision was made towards the fifth metatarsal base. The incision was deepened using sharp and blunt dissection, ligating all bleeding, and retracting all neurovascular structures as necessary. A 5-cm incision was made in toto. The incision was deepened, straight down to the peroneal longus and brevis. The reflection of the soft tissue and the retinaculum of the area and then identifying the peroneal longus, using a Topaz, a small grid was performed throughout the peroneal longus and peroneal brevis. This was performed in toto from distal to proximal and from medial-to-lateral. The area was copiously lavaged with normal saline. Both the incisions were closed with 2-0 Vicryl, repairing the ankle and foot retinaculum and subcutaneous was closed with 3-0 Vicryl and the skin was closed with running 4-0 Nylon.
Here is the bulk of operative report. Thanks!
PROCEDURES
1. Repair of peroneal tendon with 0 Vicryl.
2. Tenosynovectomy lateral right foot with Topaz procedure
Attention was turned to the lateral aspect of the right foot and ankle and an 8-cm incision was beginning just proximal to the head of the fibula and extending distally towards the fifth metatarsal base. The incision was deepened using sharp and blunt dissection, ligating all bleeding, and retracting all neurovascular structures as necessary. Careful dissection was performed from medial to lateral. Identification of the lateral retinaculum and that was incised and reflected. Further dissection was continued and identified very weak frail peroneal longus that was split longitudinally and half from distal-to-proximal. This was tacked with a 3-0 Vicryl. Dissection was continued distally and proximal to that area until another secondary longitudinal tear of the peroneal longus was identified. This was dissected from distal to proximal as well. The two tears were placed together and using 0 Vicryl was repaired from distal to proximal. Then, our attention was turned to the peroneal longus and peroneal brevis. Another incision was made towards the fifth metatarsal base. The incision was deepened using sharp and blunt dissection, ligating all bleeding, and retracting all neurovascular structures as necessary. A 5-cm incision was made in toto. The incision was deepened, straight down to the peroneal longus and brevis. The reflection of the soft tissue and the retinaculum of the area and then identifying the peroneal longus, using a Topaz, a small grid was performed throughout the peroneal longus and peroneal brevis. This was performed in toto from distal to proximal and from medial-to-lateral. The area was copiously lavaged with normal saline. Both the incisions were closed with 2-0 Vicryl, repairing the ankle and foot retinaculum and subcutaneous was closed with 3-0 Vicryl and the skin was closed with running 4-0 Nylon.