PHTY207 Lecture Notes - Lecture 22: Hand Surgery, Joint Stiffness, Hair Removal
Document Summary
Smokers, diabetics, obese pts have higher risks: common to wrist and hand surgery. Joint stiffness: nerve injury frequently altered sensation in small patch around scar, allergies to drugs, dressings etc, abnormal pain response, circulatory problems. Surgery game plan needs to developed: patient preparation skin care, hair removal, draping, tourniquet - bloodless field, cleaner approach, appropriate surgical approach, post-op. "no other field of surgery does the post-op care of the patient play such a crucial role as it does i(cid:374) ha(cid:374)d surger(cid:455)(cid:863) gree(cid:374)(cid:859)s operati(cid:448)e ha(cid:374)d urger(cid:455: every effort made to, minimizing postoperative swelling, relieving pain. Incidence: 15% of all fractures, moi, predominantly females 60-70 age group from a foosh, high energy injury in younger people, more associated soft tissue involvement, anatomical considerations - normal, medical management. Step three: early motion as fracture stability allows: what is a good reduction, anatomical considerations, articular congruity, radial shortening/ulnar variance, difficulty in ulnar radiation, pronation/supination difficult, dorsal angulation, end of radius tilts backwards, extension easy.
