How is the procedure worked into a busy office schedule?
The mechanics of working the in-office release into a busy office should be addressed by the surgeons and their staff. Dr. Dellacqua’s approach is as follows: A patient with a known locking digit who calls for an appointment is given the first or last appointment of the morning or afternoon. They are asked to report to the office prior to the scheduled appointment and placed into a cast room for the procedure. A new patient who presents with a locking digit and who wants to have a release that day is anesthetized with 1% plain lidocaine during the office visit. The patient is then moved to a cast room by office staff and prepped for the procedure. Once the patient is ready for the release (blood pressure cuff on the arm, prepped with duraprep and good lighting available), I am called to the room for the release. The release takes approximately 5-7 minutes from start to the application of the ace wrap.
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