New students: get 15% off your first order with code WELCOME15 Claim offer

admin 3 min read Nursing

[Verified Answer]: Please assign the correct ICD-10-PCS codes…

Need help with your Antibiotics & Anti-Infectives case study or NCLEX preparation? Connect with a verified Nursing expert now.

Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Degenerative arthritis of the 1st metatarsophalangeal joint, left foot, resulting in a hallux limbus Hammertoe deformity, second toe left foot POSTOPERATIVE DIAGNOSIS: Same OPERATION: Mayo-Keller arthroplasty resection with total joint implant, left foot. Hammertoe correction, second toe left foot. PROCEDURE: The patient was brought to the OR and placed in the dorsal recumbent position. After the induction of general anesthetics, the left foot was prepped and draped in normal aseptic technique, and it was locally infiltrated with approximately 14 mL of 2 percent Xylocaine plain and 0.5 percent Marcaine. An Esmarch bandage was utilized to exsanguinate the blood. Ankle tourniquet was elevated to 250 mm Hg. Attention was directed over the 1st metatarsophalangeal joint, where a dorsal longitudinal incision was placed. This was deepened down to the neurovascular structures, which were retracted, and the joint capsule was entered dorsally and reflected off of the head of the 1st metatarsal and the base of the proximal phalanx. It was noted at the time that there were severe degenerative changes of the joint itself, which were consistent with x-ray findings. A sharp sagittal bone saw was then utilized to resect the head of the 1st metatarsal and base of the proximal phalanx. Both pieces then were removed. Utilizing appropriate instrumentation and technique, a 2.0 short Swanson double-joint implant was placed in the surgical site. There was a good range of motion post implantation. The area was copiously flushed with antibiotic irrigation throughout the procedure. Then, the joint capsule was re-approximated and closed utilizing a series of eight simple interrupted 2-0 Vicryl sutures and the skin and subcutaneous tissues were re-approximated and closed utilizing 5-0 nylon continuous non-interrupting suturing. The patient was then draped toward the 2nd toe where a dorsal longitudinal incision was placed over the proximal interphalangeal joint, deepened down to the neurovascular structures, which were retracted. Joint capsule was entered transversely and reflected the extensor tendon complex dorsally off of the proximal phalanx and the base of the middle phalanx. The extensor tendon complex was re-sutured more proximally utilizing four 3-0 Vicryl sutures, and the area was irrigated throughout the procedure. The skin and subcutaneous tissues were re-approximated and closed utilizing a series of simple interrupted 5-0 nylon sutures and a horizontal mattress type suture. There was excellent alignment post closure of the second toe and the tourniquet was released before dressing. Circulation returned instantaneously to all digits of the left foot. A Betadine compressive dressing was then placed around the left forefoot. The patient was transferred from the OR to postoperative recovery room with all vital signs appearing normal.

Share:
Was this helpful?

Take the next step with this assignment

Every order includes a free originality report, unlimited revisions and 24/7 human support.

  • Subject expert matched to your exact course
  • Original work, written from scratch for you
  • On-time delivery, with free revisions
Purchase This Solution Order a Custom Written Paper

Secure checkout · Confidential service · No reselling

Join the discussion