Get Answer: Dorsum Wrist Shaved Question Guide

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This question relates to dorsum wrist shaved and requires a structured academic response.

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Original Question

The dorsum of the wrist was shaved as needed prior to prepping and draping in the proposed incisional location. Tourniquet was inflated to 250 mm Hg. Longitudinal skin incision was made on the dorsum of the hand and wrist from the area of the distal radius to the level of the mid shaft of the third metacarpal. The incision was carried through subcutaneous tissue. Hemostasis was achieved as necessary. Full-thickness skin flaps were raised. The extensor pollicis longus tendon was released from its sheath and was retracted during the procedure. The dorsal hump of the distal radius was then removed with rongeurs. Soft tissue was removed from the dorsal bones, including the lunate capitate and base of the third metacarpal. A burr was used to decorticate the posterior aspects of these bones as well as the joint surfaces between the radius and lunate, lunate and capitate, and capitate and third metacarpal. A nine-hole 3.5-mm dynamic compression plate was then bent in appropriate fashion to allow 10-20 degrees of extension at the wrist after arthrodesis. The plate was applied and attached to the radius and third metacarpal in compression type fashion. The overall alignment of the wrist was quite good. The plate was placed beneath the extensor pollicis longus tendon that was not damaged during the procedure. A short-arm fiberglass cast was applied, not limiting flexion or extension to any joint of any finger. Signed Surgeon Signature 25800-RT 25810-RT 25805-RT 25820-RT

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