Patient Name: Clarita J. Wilson
Patient ID: 110854 DOB: 02/17/1960 Age: 54 Sex: F
Date of Admission: 05/11/2014
Date of Procedure: 05/12/2014
Admitting Physician: Linda Geribaldi, RN, FNP
Surgeon: Max L. Hirsch
Assistant: Markus LeRoy Johnson, PA-C
Preoperative Diagnosis: Left hip osteoarthritis.
Postoperative Diagnosis: Left hip osteoarthritis.
Operative Procedure: Left total hip arthroplasty.
Anesthesia: General Endotracheal.
Specimen Removed: None.
IV fluids: 2,300 mls. Crystalloid.
Estimated Blood Loss: Trace.
Urine Output: 650 mls.
Complications: None.
Sponge Count: Verified, correct at the end of procedure.
Prosthetic Devices: Zimmer trilogy 50 mls acetabular shell with 40 mm and 38 mm fixation screws. Size 32, 10 degree left longevity acetabular liner. Size 12 versys midcoat femoral stem. 32mm perin plus 0mm closed perin cobalt perin femoral head.
INDICATIONS: This 54 year old female has a history of acetabular retroversion and severe pain in both hips with associated degenerative arthritis of the hips. She previously underwent a right total hip arthroplasty and is doing well from that. She has had persistent complaints of pain in the left hip with limited function. She presents for a left total hip arthroplasty.
DESCRIPTION OF OPERATION: patient was seen by anesthesia staff at pre-op holding are. Patient received pre-op antibiotics. She was brought to the operating room and placed in the supine position on the operating table. Appropriate monitoring devices were placed. General endotracheal anesthesia was induced by anesthesia staff without difficulties. Fully catheter was inserted. The patient was turned to the right lateral decubitus positon on a pinboard table. She was positioned with pegs that were used to secure her pelvis and the chest wall.
OPERATIVE REPORT
Patient Name: Clarita J. Wilson
Patient ID: 110854
Date of Procedure: 05/12/2014
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Axillary roll was placed leg length that been determined