How to Answer Operative Report Preoperative Questions (Complete Guide)

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Original Question

OPERATIVE REPORT Preoperative Diagnosis: Comminuted, markedly displaced fracture of the distal mid 1/3 junction of the left tibia and fibula with associated bacterial infection, and delayed union Status post multiple debridement and insertion of antibiotic impregnated methyl methacrylate beads Post operative Diagnosis: Same Procedure(s) Performed: Operative, multicultures of fracture site, removal of methyl methacrylate and antibiotic beads from distal lower leg fracture site, wound irrigation, local debridement Approach was made to the distal anterior aspect of the lower leg, utilizing previous old surgical scar in a slightly curvilinear fashion. Sharp dissection was taken down through the skin and subcutaneous tissue. The previous open wound area, measuring approximately 11/2 cm in widest diameter, directly over one of the methyl methacrylate beads, was easily discernible. Utilizing meticulous sharp and blunt dissection, the entire anteromedial antibiotic impregnated methacrylate bead construct was removed. Multiple cultures were obtained, including Gram stain of the area, and cultures for aerobic and anaerobic organisms. Signed Surgeon Signature Responses 10120 X 2 10120 X 2 10120 10120 10120, 97597 10120, 97597 10120, 11042

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