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Dynamic Hip Screw or DHS ACCOURDING TO ORTHO SURGICAL ASSISTANT PERSPECTIVE

 AT FIRST WE NEED A SCRUB TROLLY , AND THEN WE COVER THE UPPER PART WITH STERILE RUBBER SHEET , THEN AGAIN WE WOULD LIKE TO COVER IT WITH STERILE SHEET PROPERLY , 

AFTER FIXING IT PROPERLY , BELOW MENTION INSTRUMENT  PROVIDED 

INSTRUMENT

DRAPPING PART 

BOWL + SWAB HOLDING FORCEP  + GAUZE 

FOR PROPER DISINFECTENT THE AREA 

THEN STERILE RUBBER SHEET AND THEN STERILE NORMAL COTTON SHEET 

FOR PROPER COVERING THE OTHER BODY PART RATHER THAN THE DRAPPING SITE ONE 

SURGICAL PART 

AT FIRST WE NEED USUALLY 4 NO BARD PARKER HANDLE AND 24 NO BLADE FOR INCISION AND THEN WE NEED A ARTERY FORCEP , A RETRACTOR AND ALSO A DIATHERMY TO COAGULATE THE ARTERY AND VEIN ONE OF THE PARTICULAR OPERATION SITE 

AND THEN WE WOULD LIKE TO USE HOMANS FORCEP AND BONE LIVER TO EXPOSE THE BONE AND THEN WE TAKE THE C- ARM SHOT TO SEE THE POSITION OF THE FRACTURE SITE AND THE DISPLACED BONE WE WOULD LIKE TO USE A STAINMANN PIN TO RELOCATE THE FRACTURE SITE BONE .

 AND FIX THE GUIDE WIRE TO LOCATE THE FRACTURE DIRECTION WITH THE HELP OF C- ARM

THEN WE USE THE HIP SCREW NAIL TO FIX THE HIP  SCREW AND THEN FIX THE DHS PLATE WITH THE HELP OF DRILLING MECHINE AND THEN THE TOP SCREW

IF NEEDED  WE WOULD COLLECT NEEDED BONE GRAFTING  FROM ANOTHER PART OF BODY AND AFTER RESIZING ACCOURDING TO THE FRACTURE PLACE , HAVE TO FIX IT 

AND THEN AT FIRST WE CLOSED THE BONE TAKEN SITE AND THEN ,, AFTER WASHJING THE OPERATION SITE PROPERLY , WOULD HAVE TO CLOSED THE OPERATION SITE 

FOR CLOSING WE LIKE TO USE VICRYL 1 USUALLY FOR SUB CUTUNAS LYRE AND NON ABSORBABLE SUTURE METERIAL FOR  SKIN FOR BOTH THE SITE . 

DRESSING 

FOR DRESSING AT FIRST WE CLEAND THE OT SITE WITH DISINFECTANT SOLUABLE AND THEN PUT GAUZE THEN ROLLING THE COTTON ROLE ACCOURDING TO THE LEG THEN BANDAGE THE AREA PROPERLY 

AFTER THAT AGAIN WE USE BENGINE AROUND THE DRESSING 

SAME AS DONG FOR THE BONE GRAFTING PLACE 














THANK YOU ..................................................................

GOURAB DAS

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