[Expert Solution]: DESCRIPTION OF PROCEDURE: Under general…

DESCRIPTION OF PROCEDURE: Under general anesthesia, he was positioned supine, and all bony prominences were well padded. His right lower extremity was prepped and draped in the usual sterile fashion. There was significant asymmetry in the amount of tension in his anterior compartment. We felt for a dorsalis pedis pulse again and were unable to localize one, so we employed a Doppler device. That also was unsuccessful. We did get a very faint signal for a couple of beats but were unable to repeat it reliably. We were able to reliably find a posterior tibial pulse. We then made an incision on the lateral aspect of his leg. It was just anterior to the fibula. It measured 12 cm in length. Dissection was carried down to the deep fascial layer. At that point, we localized the intramuscular septum and made a linear incision, both anterior and posterior to it using a Metzenbaum scissors. This allowed the muscle to expand. It was somewhat dusky but did respond to stimulation by Bovie electro- cautery. The anterior muscle was slightly duskier than the lateral compartment. The superficial peroneal nerve was protected. After we performed the anterior and lateral compartment fasciotomies, we again tried to find a dorsalis pedis pulse and were successful, both by palpation and with Doppler. We then proceeded to the medial side, where we made an incision measuring 9 cm in length. Dissection was carried down sharply, and the deep posterior compartment fascia was opened. We spread down, and felt down to FHL, which was soft. The interval between gastrocnemius and soleus was explored, and both superficial and deep posterior compartments were felt to be okay. All of them did respond to stimulation by Bovie electrocautery. At this point, the medial sided wound was thoroughly irrigated prior to being closed in layers beginning with 2- 0 Vicryl at the deep dermal level and a running 4- 0 Monocryl subcuticular for skin. Steri- Strips and a Tegaderm were applied. We placed a wound VAC on the lateral incision, which was too expanded to close at this point. He was then placed into a Robert Jones splint containing plaster. He was emerged from general anesthesia and will be admitted to the Ortho floor. He will complete a 24- hour prophylactic course of Ancef. He will be non- weightbearing on the right lower extremity. He will return to the Operating Room in approximately 48 hours for either a change of the wound VAC, or closure of the lateral incision. What is the ICD-10-PCS code(s)?