Plastics

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Phalanx Fracture Pinning
-Usually Ancef peri-op
-Hand prep (not truly sterile)
-Scrub with CHG sponge or Soap sponge
-Alcohol to 4×4 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)