=====Dr. Irwin Introduction=====

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===== Operative Reports =====

Phalanx Fracture Pinning\\
-Usually Ancef peri-op\\
-Hand prep (not truly sterile)\\
-Scrub with CHG sponge or Soap sponge\\
-Alcohol to 4x4 boat and scrub hand up to 1010\\

-Non-sterile tourniquet with 1010\\
-Sub-sterile draping so 2x down sheets needed (1x for table and 1x over patient)\\
-Towel out extremity and secure with 2x clamps\\
-No gown, gloves only\\

-Reduce and pin\\
-May cap K-wires with JURGAN pin ball and cut flush\\
-Requires crank/screw driver to secure on K-wire\\

-Usually a few 4x4s over surgical site, sterile 2” cast padding + 2” fiberglass\\
-Typically cast for 3 weeks then remove in clinic, then 3 additional weeks of no sports / rough housing\\
-So 6 total weeks of no physical activity)\\