{"id":4695,"date":"2026-01-27T01:56:11","date_gmt":"2026-01-26T17:56:11","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=4695"},"modified":"2026-01-27T01:59:37","modified_gmt":"2026-01-26T17:59:37","slug":"tar","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=4695","title":{"rendered":"TAR"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4695\" class=\"elementor elementor-4695\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-683bf0f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"683bf0f\" 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-7748c1a\" data-id=\"7748c1a\" 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-7e36324 elementor-nav-menu--stretch 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=\"7e36324\" data-element_type=\"widget\" data-settings=\"{&quot;full_width&quot;:&quot;stretch&quot;,&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-1-7e36324\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4703\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4695\" class=\"elementor-item menu-link\">TAR<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4689\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4675\" class=\"elementor-item menu-link\">THR<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3647\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3643\" class=\"elementor-item menu-link\">TKR<\/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-2-7e36324\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4703\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4695\" class=\"elementor-item menu-link\" tabindex=\"-1\">TAR<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4689\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4675\" class=\"elementor-item menu-link\" tabindex=\"-1\">THR<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3647\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3643\" class=\"elementor-item menu-link\" tabindex=\"-1\">TKR<\/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-2183a47 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2183a47\" 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-48dcc59\" data-id=\"48dcc59\" 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-20296bb elementor-widget elementor-widget-heading\" data-id=\"20296bb\" 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\">Total Ankle Replacement<\/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-1e71b71 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1e71b71\" 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-d2b7d25\" data-id=\"d2b7d25\" 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-4de4bf3 elementor-widget elementor-widget-shortcode\" data-id=\"4de4bf3\" 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-4691 .hotspots-image-container,\n\t#hotspot-4691 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-4691 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-4691 {\n\t\tbackground: #fafbff;\n\t\tborder: 0 #fafbff solid;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-4691 .hotspot-title,\n\t#hotspot-4691 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-4691 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-4691 .bc-product__title a {\n\t\tcolor: #20418d;\n\t}\n\n\t\t\t#hotspot-4691 .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-4691 .hotspot-style-1:hover,\n\t\t#hotspot-4691 .hotspot-style-1:focus,\n\t\t#hotspot-4691 .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-4691 .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-4691 .hotspot-default:hover,\n\t\t#hotspot-4691 .hotspot-default:focus,\n\t\t#hotspot-4691 .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-4691 .leaflet-tooltip,\n\t#hotspot-4691 .leaflet-rrose-content-wrapper {\n\t\tbackground: #fafbff;\n\t\tborder-color: #fafbff;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-4691 a.leaflet-rrose-close-button {\n\t\tcolor: #20418d;\n\t}\n\n\t#hotspot-4691 .leaflet-rrose-tip {\n\t\tbackground: #fafbff;\n\t}\n\n\t#hotspot-4691 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #001440;\n\t\tborder-top-color: #001440;\n\t}\n\n\t#hotspot-4691 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #fafbff;\n\t}\n\n\t#hotspot-4691 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #fafbff;\n\t}\n\t#hotspot-4691 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #fafbff;\n\t}\n\t#hotspot-4691 .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-4691\" 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\/2026\/01\/TAR.png\"\n\t\talt=\"TAR\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-4691\"\n\t\tdata-image-title=\"TAR\"\n\t\tdata-image-description=\"\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"4691\"\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-4691\" 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=\"102,281,102,224,398,224,398,281\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4691-0\"\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-4691-0\"\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=\"113,509,113,450,382,450,382,509\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4691-1\"\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-4691-1\"\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=\"856,325,856,256,1240,256,1240,325\"\n\t\t\t\t\thref=\"#hotspot-hotspot-4691-2\"\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-4691-2\"\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-4691-0\">\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\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"720\" height=\"1012\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/TAR-draping.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/TAR-draping.png 720w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/TAR-draping-213x300.png 213w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/>\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\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-4691-1\">\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 style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;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\">Skin incision <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">anterior approach <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">with surgical blade No. 20. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;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\">Haemostasis<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> with diathermy pen. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;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\">Superficial peroneal nerve left in virgin subcutaneous planed.<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;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\">Dissect between tibialis anterior and EHL.<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">5.<\/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\">tibia <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">jig (Prophecy)<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">6.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Alignment checked and confirmed with X-ray<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">7.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Fixed the tibia jig with guide pin<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">8.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Saw the tibia<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">9.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Apply talar jig (Prophecy)<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">10.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Alignment checked and confirmed with X-ray<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">11.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Fixed the talar jig with guide pin<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">12.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Saw talar<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">13.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Gutter debrided<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">14.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Trial implant<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">15.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Tibia <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">awled<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">16.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Talar chamfer sawed and milled<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">17.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Trial reduction <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">18.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Irrigate wound with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">pulsavac<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">19.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Insert real implant<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">20.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Irrigate wound with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">pulsavac<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> again. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">21.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Close wound with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 1, 2\/O <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> and 3\/O ethion<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">. <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">22.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Dress wound with PICO, plain gauze, <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">velband<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> and crepe bandage.<br \/>\n<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .25in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 14.0pt\"><span style=\"font-family: +mj-lt\">23.<\/span><\/span><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Wound closing <\/span><\/u><\/div>\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\">Vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 1 @2<\/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\">2\/O <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> @2<\/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\">3\/O ethion<\/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\">PICO dressing<\/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 gauze<span>\u00a0 <\/span><\/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\">Velband<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> @3<\/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\">Crepe bandage @3<\/span><\/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-4691-2\">\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 decoding=\"async\" width=\"657\" height=\"1017\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/TAR-Consumable.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/TAR-Consumable.png 657w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2026\/01\/TAR-Consumable-194x300.png 194w\" sizes=\"(max-width: 657px) 100vw, 657px\" \/>\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 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