Differences

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--- resident:kia_washington [2021/04/03 19:40] – [Scaphoid Excision and 4-Corner Fusion] jonathan
+++ resident:kia_washington [2021/08/04 15:21] (current) – [Table Saw Injury] jonathan
@@ Line 578: / Line 578: @@
 Dressing: Xeroform on suture line, then 4x4 gauze, well-padded plaster splint with Webril, 4x15, x12 thick, (thumb spica, in this case) - she generally splits the plaster longitudinally, with an extra piece to mold around the thumb\\
-Anatomy: Nerve/muscle anatomy relevant to the area that was injured\\
+Anatomy: Obviously for a mangaled hand all hand and forearm anatomy is critical. Usually attending will explore the injury and then write out what needs to be repaired with check boxes. Usually the order is bony fixation, tendon repair and then nerve. If the hand is dysvascular, then that needs to be addressed to prevent muscle necrosis.\\
-Post-operative care: Include restrictions, splints, etc...\\
+Post-operative care:\\
+Immobilization in splint until clinic. Depending on repair may attempt early mobilization.\\
 Attending Pearls (Learning points/Pimp Questions): Known how to draw a modified Kessler prior to performing the suture repair. Know relevant anatomy of the hand and palm.\\