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EDSTP (Dr.C Li)
Position and Draping
Anesthesia
GA/SA
Position
Supine with splint leg
Surgeon LA infiltration
2% lignocaine with adrenaline
10ml syrine
23G needle
Dressing set
Draping
1.Sterile drape (餐巾) for disinfection
2.Extremity Drape
3.Large drape for another leg
4.Large drape for the upper extremity
Procedure
Procedure
1.GA
2.Supine positioning
3.USG with LA infiltration
4.Skin preparation
5.Draping
6.On turniquet 250mmHg
7.Prepare 1st MTPJ arthroscrope with medial portal
8.Synovectomy done
9.1 st toe web endoscopy with toe and plantar portals
10. Intermetatarsal ligament, adductor halluces insertion and lateral capsule released by retrograde knife
11.Bunion endoscope done with proximal and distal portals
12.Bunionectomy with arthroscopic burr(acromionizer)/Vilex burr
13.Drill with 2.0 drill bit
14.PDS 1 interosseous suture close up 1, 2 metartarsal
15.1&2 intermetatarsal space close up
16.Medial capsular plication with PSD1
17.1st MTPJ arthroscopy with medial suspensory anchored with minitapex4 and anchored to MT head using 3.5 SwiveLock
18.Apply reduction forceps and transfixed with 4.0mm cannulated screw
Wound closing
Ethilon 3/O
Intertulle
Plain gauze
Instrument and Consumable
Indication:
Hallux Valgus