Tuesday, September 12, 2006

Metacarpal

I'm getting into the next installment in my virtual hand surgery series. This time I'm having the user repair a broken metacarpal. The 5th metacarpal is the one most frequently broken. Most stories I've seen have involved people falling off their bikes.
So after several days of online research and pouring through medical tomes (I couldn't put the book down. Hell, I could barely pick it up.) the boss finally got off the phone long enough to answer my questions.



We start with introducing the players - the anesthesiologist, the circulating nurse, and the surgical assistant.
The anesthesiologist will do a nerve block.
The user starts by putting on betadine solution.
Feel along the side of your hand. The pinky side. You can feel the pad of the muscle and the bone. The user may or may not mark along that line where they meet. Then the user cuts along that line.
In the fasciotomy program the internal pressure of the hand held the incision open. In this case the user will use self retaining retractors to hold it open.
I have to figure out how to get the user to get the pieces of bone together.
Then bone holding forceps will hold it in place.
A variety of lengths of plate will be available. The user will have to pick the one that fits. The correct answer is the 6 hole plate.
The user will drill the holes using the plate as a guide.
The user will then screw the plate in place and fix the bone pieces in place.
Then the user will close the hand. A much more satisfactory ending than the faciotomy where we just walked away from the wide open hand while waiting for swelling to go down.

3 comments:

TooMuchCoffeeLady said...

Another hand injury?! You have got to get yourself a girlfriend, man.

Unknown said...

Browse GPC Medical for more info on Malleolar Forceps with Two Point. These Malleolar Forceps have two points, which meet at angle of 15 degree and provide easier working. With speed locks.

Unknown said...

Bone Holding Forceps have the purpose of grasping and manipulating entire bones or bone fragments in order to reduce a fracture. These bone holding forceps also secure a bone in place while applying orthopedic implants.