{"id":3439,"date":"2023-11-19T17:47:48","date_gmt":"2023-11-19T09:47:48","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3439"},"modified":"2023-11-19T17:59:54","modified_gmt":"2023-11-19T09:59:54","slug":"edstp","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3439","title":{"rendered":"EDSTP"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3439\" class=\"elementor elementor-3439\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-57d0917 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"57d0917\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4ef0826\" data-id=\"4ef0826\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e369d03 elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"e369d03\" data-element_type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-e369d03\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3444\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3439\" class=\"elementor-item menu-link\">EDSTP<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open fas fa-book\"><\/i><i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close eicon-close\"><\/i>\t\t\t<span class=\"elementor-screen-only\">Menu<\/span>\n\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-e369d03\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3444\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3439\" class=\"elementor-item menu-link\" tabindex=\"-1\">EDSTP<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f613d44 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f613d44\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6c21e62\" data-id=\"6c21e62\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f83c422 elementor-widget elementor-widget-heading\" data-id=\"f83c422\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">EDSTP (Dr.C Li)<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b5ea2a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b5ea2a4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b6355c3\" data-id=\"b6355c3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-259b110 elementor-widget elementor-widget-shortcode\" data-id=\"259b110\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<style>\n\t#hotspot-3436 .hotspots-image-container,\n\t#hotspot-3436 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-3436 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-3436 {\n\t\tbackground: #fafbff;\n\t\tborder: 0 #fafbff solid;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3436 .hotspot-title,\n\t#hotspot-3436 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-3436 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-3436 .bc-product__title a {\n\t\tcolor: #20418d;\n\t}\n\n\t\t\t#hotspot-3436 .hotspot-style-1 {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3436 .hotspot-style-1:hover,\n\t\t#hotspot-3436 .hotspot-style-1:focus,\n\t\t#hotspot-3436 .hotspot-style-1.hotspot-active {\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\toutline: none;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t\t#hotspot-3436 .hotspot-default {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #20418d;\n\t\t\tfill-opacity: 0.01;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3436 .hotspot-default:hover,\n\t\t#hotspot-3436 .hotspot-default:focus,\n\t\t#hotspot-3436 .hotspot-default.hotspot-active {\n\t\t\tfill: #0d1b3a;\n\t\t\tfill-opacity: 0.01;\n\t\t\toutline: none;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3436 .leaflet-tooltip,\n\t#hotspot-3436 .leaflet-rrose-content-wrapper {\n\t\tbackground: #fafbff;\n\t\tborder-color: #fafbff;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3436 a.leaflet-rrose-close-button {\n\t\tcolor: #20418d;\n\t}\n\n\t#hotspot-3436 .leaflet-rrose-tip {\n\t\tbackground: #fafbff;\n\t}\n\n\t#hotspot-3436 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #001440;\n\t\tborder-top-color: #001440;\n\t}\n\n\t#hotspot-3436 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #fafbff;\n\t}\n\n\t#hotspot-3436 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #fafbff;\n\t}\n\t#hotspot-3436 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #fafbff;\n\t}\n\t#hotspot-3436 .leaflet-tooltip-right:before {\n\t\tborder-right-color: #fafbff;\n\t}\n<\/style>\n\n\n\t<div class=\"hotspots-container  layout-lightbox event-click\" id=\"hotspot-3436\" data-layout=\"lightbox\" data-trigger=\"click\">\n\t\t<div class=\"hotspots-interaction\">\n\t\t\t<div class=\"hotspots-image-container\">\n\t<img\n\t\twidth=\"1280\"\n\t\theight=\"720\"\n\t\tsrc=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/EDSTP.jpg\"\n\t\talt=\"EDSTP\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-3436\"\n\t\tdata-image-title=\"EDSTP\"\n\t\tdata-image-description=\"\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"3436\"\n\t\tdata-no-lazy=\"1\"\n\t\tdata-lazy-src=\"\"\n\t\tdata-lazy=\"false\"\n\t\tloading=\"eager\"\n\t\tdata-skip-lazy=\"1\"\n\t\t>\n<\/div>\t\t<\/div>\n\t\t<map name=\"hotspots-image-3436\" class=\"hotspots-map\">\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"101,275,101,216,380,216,380,275\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3436-0\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Position and Draping\"\n\t\t\t\t\talt=\"Position and Draping\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3436-0\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"108,506,108,453,377,453,377,506\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3436-1\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Procedure\"\n\t\t\t\t\talt=\"Procedure\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3436-1\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"878,316,878,273,1233,273,1233,316\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3436-2\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Instrument and Consumable\"\n\t\t\t\t\talt=\"Instrument and Consumable\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3436-2\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t<\/map>\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3436-0\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Position and Draping<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Anesthesia<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">GA\/SA<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Position<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Supine with splint leg<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Surgeon LA infiltration<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">2% lignocaine with adrenaline <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">10ml <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">syrine<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">23G needle<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Dressing set<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Draping<\/span><\/u><\/p>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Sterile<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">drape<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">(<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">\u9910\u5dfe<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">) for disinfection<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Extremity <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Drape<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Large drape for another leg<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">4.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Large drape for the upper extremity <\/span><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3436-1\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Procedure<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .09in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Procedure<\/span><\/u><\/p>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">GA\u00a0 <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Supine <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">positioning with split legs<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">USG with LA infiltration<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">4.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Skin preparation<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">5.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Draping <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">6.+\/- <\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">On <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">turniquet<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 250mmHg <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">7.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Prepare <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">1st MTPJ <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">arthroscrope<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> with medial portal <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">8.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Synovectomy<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">done <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">9.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">1 <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">st<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> toe web endoscopy with toe and plantar <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">portals<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">10.<\/span><\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Intermetatarsal<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">ligament, adductor halluces insertion and lateral capsule released\u00a0<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">11.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Bunion <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">endoscope done with proximal and distal <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">portals<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">12.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Bunionectomy<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">with arthroscopic burr(<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">acromionizer<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">)\/<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vilex<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> burr <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">13.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Drill <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">with 2.0 drill bit <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">14.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">PDS <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">1 interosseous suture close up 1, 2 <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">metartarsal<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">15.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">1&amp;2 <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">intermetatarsal<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> space close up <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">16.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Medial <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">capsular plication with PSD1\u00a0<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">17.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">1st <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">MTPJ arthroscopy with medial suspensory anchored with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">minitapex2 <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">and anchored to MT head using 3.5 <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">suture anchor<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.38in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .38in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">18.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Apply <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">reduction forceps and transfixed with 4.0mm cannulated screw<\/span><\/div>\n<div><\/div>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Wound <\/span><\/u><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">closing <\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">E<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">thilon<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 3\/O<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Intertulle<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">\u00a0<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Plain <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">gauze\u00a0 <\/span><\/p>\n<p>Small crepe<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3436-2\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Instrument and Consumable<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"675\" height=\"1020\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/EDSTP-C.Li-draping.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/EDSTP-C.Li-draping.png 675w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/EDSTP-C.Li-draping-199x300.png 199w\" sizes=\"(max-width: 675px) 100vw, 675px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ff9cf9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1ff9cf9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2e36ce0\" data-id=\"2e36ce0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8aa92f6 elementor-widget elementor-widget-text-editor\" data-id=\"8aa92f6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Indication:\u00a0<\/strong><\/span><\/p><p>Hallux Valgus<\/p><p>\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6103c54 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6103c54\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a4cc0a8\" data-id=\"a4cc0a8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f1ce47c elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"f1ce47c\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/ndhorth.synology.me\/wordpress\/?page_id=903\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-undo\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>EDSTP (Dr.C Li) Indication:\u00a0 Hallux Valgus \u00a0<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[35],"tags":[],"class_list":["post-3439","post","type-post","status-publish","format-standard","hentry","category-reference"],"_links":{"self":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3439"}],"version-history":[{"count":10,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3439\/revisions"}],"predecessor-version":[{"id":3454,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3439\/revisions\/3454"}],"wp:attachment":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}