OPERATIVE REPORT
PATIENT NAME: Thomas Sellaki
MEDICAL RECORD NO.: 45-B-DT
PRIMARY PHYSICIAN: Jackson Daily, MD
DATE OF ADMISSION: 2012/04/24
SURGEON: Hector Allejandro, MD
ANESTHESIOLOGIST: Mandy Jones, MD
PREOPERATIVE DIAGNOSIS: Left hip fracture.
POSTOPERATIVE DIAGNOSIS: Left hip fracture.
OPERATIVE PRCEDURE: Reduction of left hip fracture.
OPERATIVE NOTE: The patient was brought to the Operation Room and given a spinal anesthetic. He was
then prepped and draped in the usual manner with his left hip in traction and his right hip flexed,
abducted, and externally rotated. With a combination of traction and rotation his fracture was reduced.
An excellent reduction was obtained.
A standard lateral approach to the hip was utilized. The fascia lata was split in line with the incision. The
vastus lateralis was then elevated off the posterior intermuscular septum revealing the lateral cortex of
the femur. A guide wire was inserted into the center of the femoral head on anteroposterior and lateral
images. It was measured and over-reamed. A tap was used to provide threads in the femoral head. A
105 mm screw with a four-hole 135 degree side-plate was then inserted. Each of the holes was drilled,
measured, tapped, and filled with cortical screws. The traction was released once I was satisfied that the
fracture and the hardware were in excellent position, and a compression screw was inserted. Under
fluoroscopic control the fracture was gently compressed. Satisfied with the position of the hardware, as
well as the fracture on anteroposterior and lateral images, the wound was thoroughly irrigated with
saline and closed in layers. Stainless steel stapes were used for the skin. He was then taken off the
fracture table, placed in his hospital bed, and transferred to the Recovery Room in stable condition.
PLAN: Postoperatively he will be progressively weightbearing as tolerated on the affected extremity. He
will be discharged home once safe on crutches. He will receive three doses of intravenous antibiotics
and he will be places on Coumadin postoperatively.
_________________________
Hector Allejandro, MD
Department of Orthopedic Surgery
HA:tm
D: 2012/04/24
T: 2012/04/24