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Hedrick Surgical Dictation Templates

Hammer Toe Correction

1. This patient was brought to the operating room and placed comfortably in the supine position. This was after an ankle block was performed by the anesthesia service in the preop holding area. The lower extremity was prepped and draped in a sterile fashion. It was then elevated, exsanguinated, and Esmarch tourniquet placed about the ankle.

2. Attention was turned to the MTP joint for dorsal capsulotomy and extensor tenotomy. The 69 Beaver blade was used to perform percutaneous extensor digitorum longus and extensor digitorumbrevis tenotomies. The blade was then directed plantarly to the dorsal capsule where it was released as well. Adequate release was visualized clinically.

3. Attention was then turned to the digit for hammertoe correction. The 15 blade was used to elliptically excise the skin and subcutaneous tissues and dorsal capsule over the MTP joint. The Beaver blade was then used to release the collateral ligaments, and the condyles of the proximal phalanx were then exposed. They were then they were then transected using an oscillating saw and removed. A single 0.062 K wire was inserted in a retrograde and antegrade fashion down the length of the digit with the IP joints held in neutral position and the MTP joint held in slight plantarflexion. The pin was then cut off and the Jurgens ball placed on the end of the pin for protection. Surgical sites were then copiously irrigated with saline solution. The skin was then closed using 4-0 nylon interrupted simple and horizontal mattress stitches.

4. A sterile dressing was then applied to the foot and the tourniquet was then removed. The patient then placed into a postop shoe, transferred to the recliner and taken to the stepdown area in stable condition. Estimated blood loss from this procedure was less than 5 mL. The patient tolerated the procedures well. There were no complications.