Location: Inpatient Hospital OPERATIVE REPORT

question 29

Short Answer

Location: Inpatient Hospital
OPERATIVE REPORT
PREOPERATIVE DIAGNOSIS: Left knee medial meniscus tear.
POSTOPERATIVE DIAGNOSIS: Left knee medial meniscus tear.
PROCEDURE PERFORMED: Left knee arthroscopic partial medial meniscectomy.
ANESTHESIA: Spinal.
ESTIMATED BLOOD LOSS: Minimal, no drains.
This 41-year-old female suffering with left knee pain was taken to surgery. After appropriate level of anesthesia achieved, the left knee was prepped and draped in orthopedic manner. We made two portals in the knee, one medial and the other lateral to the patellar tendon. Sharp dissection was carried through skin; blunt dissection was carried into the joint space. On examination of the knee, there was a sort of a bucket-handle type tear of the posterior horn of the medial meniscus, in the avascular area, but it was very complex. We went ahead and debrided this back to stable tissue, again in the avascular area. Remainder of the meniscus was probed and felt to be intact. The anterior cruciate ligament was probed, felt to be intact, lateral meniscus probed and felt to be intact. No loose bodies were appreciated in the suprapatellar pouch, medial or lateral gutters. The articular surface was generally in good condition except for the patellofemoral joint. The patella had some areas of Grade 3 chondromalacia especially centrally. We went ahead and irrigated the wound copiously. We injected 20 cc of 0.25% Marcaine through the joint space and portal sites. We dressed the wound with interrupted nylon sutures. The patient tolerated the procedure well and left the operating room in good condition.
CPT Code: ____________________

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