DATE OF PROCEDURE: MM/DD/YYYY
PREOPERATIVE DIAGNOSES:
1. Prepatellar tendon bursitis, right knee.
2. Remnant bone from Osgood-Schlatter disease, right knee.
POSTOPERATIVE DIAGNOSES:
1. Prepatellar tendon bursitis, right knee.
2. Remnant bone from Osgood-Schlatter disease, right knee.
OPERATION PERFORMED:
1. Excision of prepatellar tendon bursa.
2. Excision of remnant bone Osgood-Schlatter, right proximal tibia.
SURGEON: John Doe, MD
ANESTHESIA: General.
DRAINS: Penrose x1.
COMPLICATIONS: None.
INDICATIONS FOR PROCEDURE: The patient is a (XX)-year-old Hispanic male. He complained of pain and swelling over the anterior aspect of his right knee that has been going on for the last 3 or 4 weeks. Initially, the patient had a cellulitis with what appeared to be an infected prepatellar tendon bursitis. We treated it with oral antibiotics. An MRI of the knee showed no involvement of the knee joint itself. He has had persistent swelling, however, which we have not been able to get down with the antibiotics, even though the cellulitis has significantly improved. We recommended excision of this bursa.
CONSENT: We discussed the procedure with him as well as inherent risks, complications, lack of guarantees, infection, recurrence, damage to nerve, artery or tendon, anesthetic complications, etc., and consent was obtained.
DESCRIPTION OF PROCEDURE: The patient was taken to the operating suite and given a general anesthetic by the Department of Anesthesiology. A well-padded tourniquet cuff was applied on the patient’s proximal right leg. The right lower extremity was prepped and draped in the usual sterile fashion. The leg was exsanguinated and the tourniquet cuff inflated to 325 mmHg pressure.
A linear incision was then made over the prepatellar tendon and bursa and this was carried down to the bursa itself, which was found to be very hard, thick and inflamed, and this was excised in toto. We split the patellar tendon and there was found to be a large osteocyte or remnant from an apophysitis of Osgood-Schlatter disease and this was removed. The wound was irrigated and the patella tendon was repaired with 0-Vicryl in an interrupted fashion.
The skin was closed in a layered fashion utilizing 3-0 Vicryl and 4-0 nylon. A Penrose drain was placed in the depth of the wound. Betadine-impregnated Owens with a sterile dressing was applied. The tourniquet cuff was released and there was good blanching of the toes distally. The patient tolerated the procedure well and was transferred to the recovery room in satisfactory condition. Appropriate orders were written.
