Nice Experience

Last week was so wonderful.Alhamdulillah...Allah gives me chance to operate plating of femur for my first experience under senior guidance, Dr Anuar Ramadhan.Learning process needs hard work, patience and motivation.Belief to yourself, be confident insyaAllah He will lead you throughout the way.

To plate a femur, for a thin young man, usually not so difficult.We may begin with place our patient in lateral position, putting the fractured limb at the uppermost on the operation table.Locate his greater trochanter, and move superiorly to find tip of it.Then incise the skin in line with that mark, only do at the area that need to be exposed.The first that you will see after subcutaneous tissue is tensor facsia lata.Do another incision to this fascia until you find vastus lateralis muscle lying beneath.Split this musle by blunt incision until reach the bone.Once femur identified, use retractors to lift up the bone.Then you may now begin plating !

Sounds easy, but be careful with perforater vessels around.Ligate or coagulate them to control bleeding.Like what Dr Anuar told me, to do open reduction is the most difficult part in this operation.Imagine the fractured site as a jingsaw puzzle, then try to fix the bone as complete as possible to replace it back to the normal alignment.Once able to reduce, maintain with bone holder.Select your plate size and start making holes for the screws.Before closing, make sure tighten all the screws first to reduce risk of implant failure.

Lots of energy needed, indeed.So prepare yourself fisrt before entering operation theathre ! All the best.

# Thanks a lot to Dr Anuar Ramadhan for your kindness and supports.May Allah bless you all the while and helps you to become a good excellent orthopaedic consultant one day, insyaAllah.

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