Wednesday, July 18, 2007

Operative Report 3/5/07

First Surgery
*these reports are dictated, therefore, some words are missing and or incorrect

After the patient was correctly identified in the holding area, she was brought to the operating room. Spinal Anesthesia was administered. She was placed in supine position on the traction table and approximately 10mm of traction was achieved across the femeroacetabular joint.

The right hip was then prepped and draped in the standard, sterile fashion. A lateral portal was established under fluroscopic guidance using the Seldinger technique, distal lateral accessory portal was then established.

Arthroscopic examination demonstrated some cartilaginous loose bodies within the joint and demonstrated a large anterior superior labral tear with an acetabular rim lesion and associated synovitis.

The tissue of the labral tear was of nonviable quality. At this point, a labral debridement was performed . Labrum was recontoured to a normal anterior inferior and posterior superior labrum. Acetabular rim lesion was clearly identified and then, using a 5.5mm high speed bur, the acetabular rim lesion was shaved down to remove the rim osteophyte.

At the completion of the acetabuloplasty and labral debridement, a wide synovectomy was performed using the TAC-S radiofrequency probe. All cartilagenous loose bodies were then removed from the joint. Remaining cartilage surfaces on the femoral head and acetabulum were in good condition. the ligamentum teres demonstrated no significant fraying.

At this point, traction was released. Suction was re-established. No further pathology was identified. The arthroscopy portals were closed with 3-0 nylon sutures and the wounds were cleaned, dried.
The bottom of the page says continued, but I do not have more!

1 comment:

Anonymous said...

Hi Suzie,
I had my left hip scoped May of 2007. I had a labral tear and a bone spur. I started having pain again in my left hip except for now I have alot of cracking and clicking. Different Dr. than the surgeon ordered an arthrogram MRI and said there is no reoccuring labral tear.I have a paralabral cyst there that was not removed from last surgery and a new bone spur on the lateral head of the femur. I am trying to research if an arthrogram MRI is 100% accurate in diagnosing a labral tear. Can you give me any input?