PREOPERATIVE DIAGNOSIS: Right dorsal carpal ganglion.

POSTOPERATIVE DIAGNOSIS: Right dorsal carpal ganglion.

OPERATION PERFORMED: Excision of right dorsal carpal ganglion.

SURGEON: John Doe, MD

ESTIMATED BLOOD LOSS: Minimal.

COMPLICATIONS: None.

SPECIMENS: None.

ANESTHESIA: General.

DESCRIPTION OF OPERATION: After obtaining informed consent, identifying correct patient and operative site, the patient was taken to the operating suite for excision of right dorsal carpal ganglion. The patient was placed supine on the operating table. Adequate general anesthesia was induced. The right hand and the upper extremity was then prepped and draped in the usual sterile fashion. He received preoperative IV antibiotics. The arm was exsanguinated with an Esmarch bandage and a well-padded brachial tourniquet inflated to appropriate arm pressure.

A transverse incision was created, directly centered over to mass, just distal to lesser tubercle. Dissection was carried down through the skin and subcutaneous tissues, superficial veins and nerves mobilized and retracted. Interval between the second and fourth dorsal compartment was utilized releasing the distal 1 cm of extensor retinaculum for improved visualization.

The mass was identified and capsular window was excised along with the stalk between the dorsal intercarpal and radiotriquetral ligaments.

The mass was traced down to its stalk emanating from the membranous portion of the scapholunate interosseous ligament; this bed was debrided sharply, followed by rongeur debridement.

The bed was then scarified with bipolar electrocautery. The midcarpal and radiocarpal articulations were inspected and felt to be free of pathology. There was no evidence of ligamentous instability.

The bed was then thoroughly irrigated with normal saline and ensured adequate hemostasis. It was then closed with inverted 5-0 plain gut suture and 4-0 nylon horizontal mattress sutures, infiltrated with 0.5% Marcaine without epinephrine, then was dressed with a standard dry sterile dressing, a short arm bulky lightly compressive bandage, and a volar plaster splint, mobilizing the wrist in slight extension.

The tourniquet was deflated with good circulatory return to the digits. The patient was then taken to the recovery room in stable condition having tolerated the procedure without difficulty.

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PREOPERATIVE DIAGNOSIS: Left thumb soft tissue mass.

POSTOPERATIVE DIAGNOSIS: Left thumb soft tissue mass.

PROCEDURE PERFORMED: Excision of left thumb soft tissue mass.

SURGEON: John Doe, MD

ASSISTANT: Jane Doe, PA-C

ANESTHESIA: Digital block with IV sedation.

ESTIMATED BLOOD LOSS: Minimal.

COMPLICATIONS: None.

INDICATIONS FOR PROCEDURE: The patient is a (XX)-year-old right-hand dominant female who initially cut her finger approximately eight weeks ago. She kept it wrapped and let it heal on its own. She has developed increasing sensitivity and swelling over the area that has not resolved. She presents today for excision of the underlying mass. We discussed the procedure, postoperative protocol, and all the risks and benefits which include but are not limited to infection, wound dehiscence, neurovascular damage, tendinous damage, recurrence of the mass, and even loss of life or limb. The patient understands all this and agrees to proceed.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and laid supine on the operating table. IV sedation was administered to make the patient comfortable under the direction of the anesthesiologist. The correct digit was identified, it was marked preoperatively in conjunction with the patient, and confirmed by OR consent and then time-out prior to procedure.

The left upper extremity was prepped with ChloraPrep and then draped down in the usual sterile fashion. The mass was present along the ulnar aspect of the left thumb at the IP joint. The hand was elevated and then a thumb Tourni-Cot applied.

A transverse incision was made in line with the thumb crease over the mass. Incision was carried down through the skin only. Tenotomy scissors were used to divide the underlying subcutaneous tissue, and several little white nodules were expressed. These were sent off to pathology. Clinically, they appeared like epidermal inclusion cysts. The skin was undermined and further soft tissue debrided as needed.

The wound was irrigated with antibiotic solution and then two simple stitches were placed to reapproximate the edges. The procedure was done under a digital block using 0.5% Marcaine at the ulnar base of the thumb. The incision was covered with Betadine-soaked Adaptic, a 4 x 4, 1 inch Kling, and 1 inch Coban. The patient tolerated the procedure well. The patient was awoken from anesthesia and brought straight back to Day Surgery in stable condition.

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DATE OF OPERATION: MM/DD/YYYY

PREOPERATIVE DIAGNOSIS: Calcaneonavicular coalition, left.

POSTOPERATIVE DIAGNOSIS: Calcaneonavicular coalition, left.

OPERATION PERFORMED:
1.  Excision of calcaneonavicular coalition.
2.  Intraoperative fluoroscopy.

SURGEON:  John Doe, MD

ANESTHESIA: General.

IMPLANTS: None.

COMPLICATIONS: None.

ESTIMATED BLOOD LOSS: Minimal.

DESCRIPTION OF OPERATION: The patient was brought to the operating room and placed supine on the operating room table. A general anesthetic was given without any difficulty. A pause was taken to confirm the correct operative site, and a gram of Ancef antibiotic was given before the start of the operative procedure. The left lower extremity was prepped and draped in the standard surgical fashion.

We made the oblique incision in the area of the calcaneonavicular joint through the sinus tarsi. We dissected down and identified the digitorum brevis. We also identified the long extensor tendons. The digitorum brevis was reflected, and we dissected down onto the anterior process of the calcaneus at the left of the coalition. Fibrous coalition with significant bony overgrowth was noted.

We freed up scar tissue. A rongeur was used to remove some of the fibrous coalition. We then used an osteotome and an oscillating saw to resect a wedge of bone. We had a 1 cm gap between the navicular and the calcaneus after resection was completed.

We copiously irrigated out the site of the coalition excision. We had good motion and increased motion after the coalition was excised. We placed bone wax on the ends of the bleeding bone. Some of the local fat was then placed into the coalition site.

Tourniquet was released. Hemostasis was maintained. We prepared the extensor digitorum brevis muscle. Subcutaneous tissues were reapproximated with 2-0 Vicryl, and a 3-0 nylon suture was used on the skin incision. Bulky dressings, including Xeroform, 4 x 4, ABD pads, and cast padding were applied. A postoperative splint was applied.

The patient was able to be awakened from the general anesthetic and taken to the recovery room in stable condition without any specific complications during the operative procedure. All counts were correct at the end of the case.

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DATE OF OPERATION: MM/DD/YYYY

PREOPERATIVE DIAGNOSIS: Dupuytren’s left long finger and palm.

POSTOPERATIVE DIAGNOSIS: Dupuytren’s left long finger and palm.

OPERATION PERFORMED: Excision of Dupuytren’s contracture with subtotal fasciectomy, left long finger and palm.

SURGEON: John Doe, MD

ANESTHESIA: Laryngeal mask airway.

ESTIMATED BLOOD LOSS: Minimal.

COMPLICATIONS: None.

INSTRUMENT COUNTS: Correct.

SPECIMENS: One to pathology.

TOURNIQUET TIME: 55 minutes.

INDICATIONS FOR OPERATION: The patient is a (XX)-year-old male who has had Dupuytren’s disease in both hands for some time, worse on the left than the right. He desired excision and contracture release and willingly signed informed consent after the risks, benefits, and potential complications had been explained to him. All questions were answered and no guarantees were given.

DESCRIPTION OF OPERATION: The patient was taken to the operating room and placed supine on the operating table. After an adequate level of laryngeal mask anesthetic had been administered as well as a preoperative dose of antibiotics had been given, the left upper extremity was sterilely prepped and draped in the usual sterile fashion. The extremity was elevated, exsanguinated, and the tourniquet was inflated to 250 mmHg.

At this point, a Bruner style incision was made from the tip of the long finger down to the mid palmar area using a 15 blade. Skin flaps were carefully elevated off the prominent cord of Dupuytren’s over the ulnar border of the left long finger. Starting in the palm, the neurovascular bundles were identified on the ulnar side first and dissected from proximal to distal throughout the length of the finger.

Once they had been identified and dissected away from the overlying Dupuytren’s tissue, we began to excise the Dupuytren’s tissue starting in the palm and excising as we went along, going on the deep ulnar gutter of the finger. As we excised this, the contracture was released and much more extension was obtained, specifically at the proximal interphalangeal joint.

Once the Dupuytren’s tissue had been released and excised along the ulnar border of the long finger and the specimen collected, attention was directed toward the radial side, and we repeated this step on the radial side dissecting out the neurovascular bundle, this time from distal to proximal, releasing and excising Dupuytren’s tissue along the radial border of the long finger as well. This allowed the finger to get into full extension.

There were then several nodules in the palm on either side of the long finger ray that we dissected by lifting the skin edges and dissecting around the neurovascular bundles in the area of the mid and distal palmar creases. These were all then gathered together and passed off as one specimen. We palpated the finger and palm. There were no large nodules left. The patient’s finger was easily extended into full extension, and there was no need for a proximal interphalangeal joint capsular release.

The wound was then thoroughly irrigated and the skin closed using 5-0 nylon. A digital block of 0.25% plain Marcaine was administered. A sterile dressing and volar extension splint was applied. The patient was extubated and taken to the recovery room in stable condition. He will be discharged home on p.o. pain medicine, and follow up in 10 days.

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DATE OF OPERATION: MM/DD/YYYY

PREOPERATIVE DIAGNOSES:
1.  Left open patella fracture.
2.  Left open tibial plateau fracture.

POSTOPERATIVE DIAGNOSES:
1.  Left open patella fracture.
2.  Left open tibial plateau fracture.

OPERATION PERFORMED:
1.  ORIF of left patella.
2.  ORIF of lateral tibial plateau.
3.  Irrigation and debridement of left knee open fractures.

SURGEON:  John Doe, MD

ASSISTANT:  Jane Doe, MD

ANESTHESIA:  General endotracheal anesthesia.

DRAINS:  None.

SPECIMENS:  None.

ESTIMATED BLOOD LOSS:  Minimal.

INDICATIONS FOR OPERATION:  The patient is a (XX)-year-old male who was involved in a motor vehicle accident, sustaining the above-stated injuries. Informed consent was obtained prior to the operative fixation.

DESCRIPTION OF OPERATION:  The patient was brought to the operating room and laid supine on the operating room table. General anesthesia was induced. A tourniquet was placed high up on his left thigh. The left lower extremity was then prepped and draped in the usual sterile fashion. Next, an Esmarch bandage was used to exsanguinate the left lower extremity, and the tourniquet was inflated to 300 mmHg.

An anterolateral approach to the knee joint was performed. The patella fracture was exposed, as was the tibial plateau. Lateral parapatellar arthrotomy was used to expose the patella fracture. Next, attention was directed towards the plateau fracture, which was an incomplete fracture involving the anterior portion of the articular surface only. Reduction of the articular surface was obtained, and one 70 mm Asnis screw, partially threaded, was inserted from lateral to medial obtaining compression across the fracture. The tibial plateau fracture was felt to be stable and did not require buttress plating.

Next, attention was directed towards the patella fracture. The inferior pole of the patella was noted to be comminuted; therefore, the bone fragments were excised. Advancement of the patellar tendon was then performed using #5 Ticron suture. Excellent fixation was obtained from the patellar tendon to the patella.

The wound was thoroughly irrigated with nine liters of normal saline, the middle three liters of which contained 100,000 units of bacitracin. After thorough irrigation, the parapatellar arthrotomy was closed using 9 Ethibond suture in figure-of-eight fashion. The skin was closed with a subcutaneous layer of 2-0 Vicryl suture in inverted fashion. The skin was closed with staples. Sterile dressings were applied, and the patient was placed into a knee immobilizer. He will be maintained nonweightbearing.

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DATE OF OPERATION: MM/DD/YYYY

PREOPERATIVE DIAGNOSIS: Left open segmental tibia/fibula fracture.

POSTOPERATIVE DIAGNOSIS: Left open segmental tibia/fibula fracture.

OPERATION PERFORMED:
1.  Removal of external fixator, left leg.
2.  Open reduction internal fixation, left segmental tibia fracture.
3.  Application of a VAC sponge to open wound.

SURGEON: John Doe, MD

ASSISTANT: Jane Doe, MD

ANESTHESIA: General endotracheal.

COMPLICATIONS: None.

ESTIMATED BLOOD LOSS: 300 mL.

INDICATIONS FOR OPERATION: The patient is a (XX)-year-old male involved in a motor vehicle accident three days ago. He was initially taken to the operating room for irrigation and debridement as well as application of an external fixator for provisional stability. The patient was brought back to the operating room today for definitive fixation.

DESCRIPTION OF OPERATION: The patient was brought to the operating room and laid supine on the OR table. General anesthesia was induced. The left lower extremity was then prepped and draped in the usual sterile fashion. The external fixator was then removed. Standard lateral approach to the proximal tibia was performed. Dissection was carried down elevating the anterior compartment muscles of the tibia. The tibial plateau was brought into visualization.

Next, attempts were made to reduce the fracture under C-arm fluoroscopy. Reduction was not obtained. Therefore, the open wound on the medial and lateral side of the leg, which was at the level of the distal segmental piece, was extended allowing for direct reduction. Once acceptable reduction was obtained on both the AP and lateral planes, a 12-hole LISS plate was passed down through the proximal wound along the lateral aspect of the tibial shaft. Screws were then placed in the proximal segment followed by placement of cortical screws distal to the fracture site. The remaining holes in the LISS plate were then filled using standard AO technique with the LISS plate. Excellent reduction was obtained on both the AP and lateral fluoroscopic images. Overall anatomic alignment of the tibia was restored.

Next, plain films were obtained in the OR. The wounds were all thoroughly irrigated with normal saline. All wounds were closed with 2-0 Vicryl suture in the subcutaneous layer, except for the medial and lateral traumatic wounds. The medial wound was able to be closed using 2-0 nylon suture using trauma stitches. The lateral leg wound was unable to be closed due to excessive tension. Therefore, a VAC sponge was placed on this wound. Adhesive drapes were then placed around the VAC sponge obtaining a vacuum tight closure. Staples were placed for the skin closures. Sterile dressings were applied. The patient was placed into an AO splint. The VAC sponge was then hooked up to the canister and was functioning postoperatively. The patient was awakened from anesthesia and transferred back onto a stretcher and taken to the SICU for further care.

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PREOPERATIVE DIAGNOSIS: Right knee abscess.

POSTOPERATIVE DIAGNOSIS: Superficial right knee abscess.

OPERATION PERFORMED: Incision and drainage along with debridement of right knee abscess with cultures.

SURGEON: John Doe, MD

ASSISTANT: None.

ANESTHESIA: Local 0.25% Marcaine with MAC.

ESTIMATED BLOOD LOSS: Minimal.

TRANSFUSIONS: None.

DRAINS: None.

SPECIMEN: C&S from purulent materials.

INDICATIONS FOR OPERATION: The patient is a very pleasant (XX)-year-old gentleman with a two-week history of a lesion in the middle of his right knee, which he attributed initially to an injury, which became progressively worse. The patient presented to the emergency department and was found to have an area of fluctuation. This began to drain spontaneously. Cultures were taken to show MRSA. The patient was placed on vancomycin. Because of this area of fluctuation, incision and drainage is being recommended. The procedure, risks, complications which include, but are not limited to, bleeding, infection, the possibility of requiring further treatment was thoroughly explained to the patient, and he agreed to proceed.

OPERATIVE FINDINGS:  There was a 2.5 x 2.5 cm area of what appeared to be partially necrotic superficial skin and subcutaneous tissue down to the tendinous fascia; after debriding out, this area appeared nice and viable. Cultures were taken from purulent material.

DESCRIPTION OF OPERATION:  The patient was in the main operating room under adequate IV sedation care provided by Anesthesia. He had been already receiving vancomycin and Zosyn.

Attention was directed to the right knee region along the patella and anterior tibial plateau region. This area was then identified. There was a 1 x 1 cm area of opening where he had been draining spontaneously. At this point, this area was infiltrated using 0.25% plain Marcaine. This area was then sterilely prepped using iodoform and draped in sterile fashion.

At this point, an incision was made to remove the area of the partially necrotic skin, carried through the subcutaneous tissue where at this point an area of purulent material was encountered. At this point, aerobic and anaerobic cultures were taken. Some of the more superficial subcutaneous tissue appeared to be somewhat necrotic; this was all debrided down to good viable tissue down to the tendinous fascia, down to the patellar area. At this point, the area was thoroughly debrided and thoroughly irrigated. There were no further pockets of purulent material or necrotic skin. Once having debrided all necrotic tissue and drained all the purulent material, this area was then thoroughly washed as mentioned with saline.

Next, after adequate hemostasis was obtained, this was then packed with 4 x 4 gauze along with a sterile dressing. The estimated blood loss was minimal. None was transfused. No drains were placed. Sponge, needle, and instrument counts were correct x3 at the end of the case. The patient subsequently tolerated the procedure well. He was then returned to the recovery room in a very stable condition.

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PREOPERATIVE DIAGNOSIS:  Chronic pain, right shoulder.

POSTOPERATIVE DIAGNOSES:
1.  Labral degeneration type 1, right shoulder.
2.  Chronic synovitis, right shoulder.
3.  Biceps tendinosis, right shoulder.
4.  A 3 cm rotator cuff tear, right shoulder.
5.  Acromioclavicular arthritis, right shoulder.

OPERATION PERFORMED:
1.  Arthroscopy of right shoulder with extensive debridement of labral degeneration, biceps tendinosis, and synovitis.
2.  Acromioplasty.
3.  Acromioclavicular joint resection arthroplasty.
4.  Repair of 3 cm rotator cuff tear, right shoulder.
5.  Insertion of catheter for postoperative pain management.

SURGEON:  John Doe, MD

ANESTHESIA:  General.

FLUIDS:  Crystalloids.

ESTIMATED BLOOD LOSS:  Minimal.

DRAINS:  None.

SPECIMEN:  None.

INDICATIONS FOR OPERATION:  The patient is a (XX)-year-old female with chronic pain in the right shoulder. Exam, x-rays, and MRI consistent with rotator cuff tear, and she has failed to respond to conservative treatment and presents at this time for arthroscopy.

DESCRIPTION OF OPERATION:  The patient was brought to the operating room and placed in the supine position. After adequate anesthesia was obtained using a general anesthetic, the right shoulder was examined with no signs of adhesions. She was turned to a left lateral decubitus position. The right arm was suspended in 15 pounds of traction with it in 20 degrees of flexion and 40 degrees of abduction. The right shoulder was then prepared and draped in the usual sterile manner. The right shoulder was then marked on the skin with the bony prominences of the clavicle, the AC joint, the acromion and coracoid process. We injected Marcaine with epinephrine.

We started with the posterolateral portal where an incision was made in the skin. The sheath and semisharp trocar were used to introduce the 4.0 Stryker scope in the joint. We did an immediate inside-out technique for introduction of an anterior cannula where a shaver was used for drainage and debridement.

On initial inspection, the patient had labral degeneration type 1. This was very carefully smoothed and saucerized back to a healthy stable rim. She had significant synovitis, which was cleaned and then we identified that there was moderate biceps tendinosis. The tendon, however, had good substance and we used the VAPR and the shaver to smooth it down so that there were no large nodules. We found that there was rotator cuff tear of approximately 3 cm in size, and we used the shaver and the VAPR to clean the bed and to create a nice bleeding surface of bone.

We then inspected the joint, which showed chondromalacia grade 2/4. After flushing and cleaning the joint, we went to the subacromial space where, after an extensive bursectomy, we identified the tendon tear and then cleaned the bed again from the bursal side. We used the shaver and the bur to resect the anterior process of the acromion, tapering it posteriorly in a smooth fashion. We used the shaver and the bur to resect the distal end of the clavicle, taking 1 cm of the distal clavicle and a parallel resection of the medial border of the acromion. We then used the shaver to remove any fragments that escaped during the burring process and now went to an open procedure.

We extended our lateral portal for a distance of approximately 4 cm and dissected down through subcutaneous tissue to the deltoid, where we did a deltoid-splitting incision into the subacromial space. We identified the rotator cuff tendon tear and placed one Panalok RC double suture anchor. We used the medial side to use a modified Kessler stitch to reapproximate the medial edge and then at the lateral, we used a grasping inverting stitch to help attach laterally. We did reinforce the line of the tear using a #2 Polydek in a figure-of-eight stitch. We then irrigated out copiously. We then placed in a catheter from the Accufuser. We closed the deltoid with a 2-0 Vicryl in a running simple stitch, and 4-0 Monocryl was used to perform a subcuticular closure. Dermabond was applied, and she was placed in a compressive dressing and a sling and taken to the recovery room in good condition.

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PREOPERATIVE DIAGNOSIS:  Left small finger open fracture, distal phalanx, with complex laceration.

POSTOPERATIVE DIAGNOSES:
1.  Left small finger open fracture, distal phalanx, with complex laceration.
2.  Laceration of flexor tendon, radial digital nerve and radial digital artery, left small finger.

OPERATION PERFORMED:
1.  Left small finger wound exploration with irrigation and debridement.
2.  Left small finger irrigation and debridement of open fracture, distal pharynx, with open reduction internal fixation.
3.  Left small finger repair of flexor digitorum profundus tendon laceration.
4.  Small finger microscopic repair of radial digital nerve and radial digital artery lacerations.

SURGEON:  John Doe, MD

ANESTHESIA:  Axillary block.

COMPLICATIONS:  None.

OPERATIVE FINDINGS:  The patient sustained a near circumferential laceration involving the distal aspect of the left small finger extending from the eponychium across the radial surface of the distal phalanx onto the palmar ulnar aspect of the distal interphalangeal joint. There was an intact dorsoulnar skin bridge, including the terminal neurovascular structures on the ulnar side of the finger tip.

Exploration revealed a comminuted oblique fracture of the base of the distal phalanx with displacement and contamination of the bone surface. The fracture occurred at the level of the insertion of the flexor digitorum profundus tendon. The radial digital nerve was found to have one intact fascicle group with two lacerated terminal branches. The radial digital artery was completely transected.

DESCRIPTION OF OPERATION:  Consent was signed. The patient was taken to the operating room on an emergency basis. Axillary block anesthetic was administered by the anesthesiologist to the left upper extremity, which was then prepped and draped sterilely. A tourniquet was inflated on the upper arm following exsanguination of the limb.

The left small finger wound was explored under loupe magnification. The jagged skin edges were debrided sharply. The wound was irrigated thoroughly with antibiotic solution.

The fracture site was debrided using a curette and rongeur and irrigated with additional IV antibiotic solution. The fracture was then reduced and stabilized using a 0.035 inch K-wire placed in retrograde fashion across the fracture site. The alignment was checked clinically and by fluoroscopy and found to be satisfactory.

A K-wire was then driven across the distal interphalangeal joint, maintaining the joint in a slightly flexed position for protection of the soft tissue repairs. The end of the K-wire was then cut short beneath the skin following confirmation of its position via fluoroscopy.

Next, the flexor tendon was repaired using multiple sutures of 4-0 Supramid. A portion of the tendon insertion was intact at the proximal fracture fragment. The remaining distal fibers were repaired securely to the distal stump of the profundus tendon.

Next, the operating microscope was brought in. The terminal branches of the radial digital nerve were repaired using 9-0 nylon epineural sutures. The radial digital artery was dissected and prepared for repair. This appeared to be the larger of the two digital arteries measuring approximately 1.5 mm in diameter. The artery ends were debrided and irrigated with heparin solution. Anastomosis was performed using circumferential sutures of 10-0 nylon without excessive tension.

The field was again irrigated with antibiotic solution. The skin edges were reapproximated with nylon sutures. The tourniquet was deflated. Circulation returned to the left hand with normal capillary refill distally in the small finger. Bleeding was controlled with pressure, and hemostasis was achieved. A sterile bulky gauze dressing was applied followed by a forearm-based ulnar gutter plaster splint. The patient was transferred to recovery in stable condition. He tolerated the procedure well with no complications. Prior to application of the splint, the small finger was observed and perfusion remained intact distally with normal capillary refill and pink color.

The patient was given IV antibiotic prophylaxis and baby aspirin in the recovery room. The patient tolerated the procedure well with no complications.

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PREOPERATIVE DIAGNOSIS:  Right knee medial meniscal tear.

POSTOPERATIVE DIAGNOSIS:  Right knee medial meniscal tear.

OPERATION PERFORMED:  Right knee arthroscopy, partial medial meniscectomy.

SURGEON:  John Doe, MD

ANESTHESIA:  General.

ESTIMATED BLOOD LOSS:  Minimal.

TOURNIQUET TIME:  Less than 45 minutes.

COMPLICATIONS:  None.

INDICATIONS FOR OPERATION:  The patient is a (XX)-year-old female who has been having medial-sided right knee pain, which has been refractory to conservative management. The patient had an MRI, which revealed a degenerative posterior horn medial meniscal tear. She understands the risks and benefits of a right knee arthroscopy and wishes to proceed.

DESCRIPTION OF OPERATION:  After the patient was identified in the preop holding area and 600 mg of clindamycin was administered, she was then transferred back to the operating room and placed supine on the operating room table. After adequate general anesthesia was administered and all bony prominences were padded, a right upper thigh tourniquet was then placed. The right lower extremity was then prepped and draped in a standard sterile fashion.

Standard superomedial, anterolateral, and anteromedial arthroscopic portals were then made. The suprapatellar pouch was explored initially and revealed small areas of outer bridge grade I and II changes to the undersurface of the patella. The trochlear groove was without defect. The medial and lateral gutters were also without pathology. The notch was explored and revealed an intact ACL and PCL. The lateral compartment was explored and revealed outer bridge grade II and III changes to the lateral tibial plateau. The lateral femoral condyle was pristine.

The lateral meniscus was probed and was found to be intact. The medial compartment was then explored and revealed some areas of outer bridge grade II changes to the medial femoral condyle and medial tibial plateau. There was a degenerative posterior horn medial meniscal tear, which was saucerized to a stable rim using basket forceps and a 4.0 full-radius resector.

At this point, all instruments were removed, and 20 mL of 0.5% Marcaine with epinephrine was then placed in the joint. Staples were then used for skin followed by a sterile dressing. The patient was then awakened from general anesthesia and transferred to the recovery room in good condition. There were no complications.

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