Surgeries

Injuries

  • Left hand crush injury
  • Closed displaced fifth metacarpal diaphysis fracture
  • Closed displaced fourth metacarpal diaphysis fracture
  • Open displaced third metacarpal diaphysis fracture
  • Open displaced second metacarpal diaphysis fracture, with extensive bone loss of the second metacarpal base
  • Open displaced trapezoid fracture, with extensive bone loss
  • Open displaced trapezium fracture, with extensive bone loss
  • Diffuse muscle crush
  • Rupture of Flexor Pollicis Longus Tendon at the thenar eminence
  • Rupture of Flexor Carpi Radiali at wrist
  • Digital nerve laceration of thumb
  • Rupture of radial artery

MEDICAL STABILIZATION

Surgery One (5/13/18)

  • Emergent irrigation and debridement and wound exploration

Surgery Two (5/13/18)

  • Open treatment of trapezium fracture, with excision
  • Open treatment of trapezoid fracture, with excision
  • Open treatment of second metacarpal fracture, with excision
  • Excisional debridement of skin, subcutaneous tissue, and muscle including the thenar eminence, palm, first dorsal interspace, hypothenar region, and interossei, over 105 square cm
  • Open reduction internal fixation of fifth metacarpal shaft fracture
  • Open reduction internal fixation of fourth metacarpal shaft fracture
  • Open reduction internal fixation of third metacarpal shaft fracture
  • Suture repair of complex laceration over length of 25 cm
  • Carpal tunnel released
  • Compartment fasciotomies, all ten compartments

Surgery Three (5/16/18)

  • Excisional debridement of skin, subcutaneous tissue, fascia, muscle, and bone over 25 square cm
  • Repair of flexor digitorum profundis of index finger
  • Repair of Flexor Pollicis Longus Tendon of thumb
  • Debridement of partial laceration of flexor digitorum superficialis of index finger
  • Placement of antibiotic spacer drug delivery implant

Surgery Four (5/19/18)

  • Irrigation and debridement with excisional debridement of skin, subcutaneous tissue, fascia, 20 square cm
  • Antibiotic spacer replacement

RECONSTRUCTION

Surgery Five (6/25/18)

  • Second metacarpal cement spacer removal L
  • Second metacarpal excisional debridement skin to bone L
  • Harvest of atricortical bone graft L pelvis
  • Interpositional autograft open reduction internal fixation with iliac crest bone autograft MC2 L
  • Harvest of cancellous bone L pelvis iliac crest
  • Second carpometacarpal joint arthrodesis third carpometacarpal joint arthrodesis
  • Autograft L 2nd and L 3rd CMC joint area for fusion

Surgery Six (1/9/19)

  • Irrigation and debridement of L hip incision 

Surgery Seven (4/5/19)

  • Tenolysis of extensor indicis proprius (EIP) tendon and extensor digitorum communis (EDC) of 2nd finger
  • Hardware removal from 2nd and 3rd Metacarpal

Surgery Eight (5/24/19)

  • Tenolysis of index flexor

Surgery Nine (5/29/19) 

Right shoulder, secondary to hand accident as a result of becoming right hand dependent on a previously injured shoulder. 

  • Severe labrum repair
  • Capsulorraphy
  • Bankart repair
  • SLAP repair
  • Subacromial decompresiion with acromioplasty
  • Biceps tenodesis