Welcome to The UW Shoulder Site @ uwshoulder.com
Please note that information on this site was NOT authored by Dr. Frederic A Matsen III and has not been proofread or intended for general public use. Information was intended for internal use only and is a compilation for random notes and resources.
If you are looking for medical information about the treatment of shoulders, please visit shoulderarthritis.blogspot.com for an index of the many blog entries by Dr. Frederick A Matsen III.
Shoulder and Elbow Grafts
As you may be aware, each time we order a graft and send it back there is a
$150 charge. This adds up over time and can easily add up to thousands of
dollars per year.
We have a system that allows us to have grafts ready in a timely manner, without the waste created by having unnecessary grafts in the room on cases that end up not requiring a graft. The key is determining whether a graft will be necessary or just a remote possibility.
Here is what we need to do:
On the morning of the day of surgery, someone from the team should touch
bases with the implant room to make sure ON HOLD grafts are on hold and that
ordered grafts are in house. Ideally, that person should put their hand on each Styrofoam container
containing the graft to make sure that each graft is actually there and none
have been inadvertently sent back.
When setting up the pt in room, you should ensure that the graft has actually made it to the proper OR prior to surgery.
During surgery, if you decide that you will need the ON HOLD graft tell the circulator to call the implant room to get the graft delivered. This can take between 30-60 minutes depending on traffic so timely decision making during the case is important to prevent excessive delays.