ORIF of Patella Operative Sample Report
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.
