Operative Report Preoperative Explained for Students (Easy Guide)

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Original Question

OPERATIVE REPORT Preoperative Diagnosis: Traumatic amputation, tip right 2nd toe Postoperative Diagnosis: Open fracture, distal phalanx, right third toe Procedure(s) Performed: Irrigation and debridement wounds, revision amputation right 2nd toe The left foot, ankle, and lower leg were prepped sterilely and the right foot was draped in the usual sterile fashion. A piece of bone was protruding from the amputation site of the second toe. This was cleared to soft tissue. The amputation site will remain open to allow for granulation. The tip of the third toe was not completely amputated and was actually a flap or open Bookman type of laceration with underlying fracture of the distal phalanx. This was tacked loosely with a single simple suture. Signed Surgeon Signature Responses 28810-T6 28810-T6 28810, 12001-59 28810, 12001-59 28124-T6, 12001-59 28124-T6, 12001-59 28825-T6, 12001

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