Surgical Illustration Process Sketches

Step 1: Operating Room Sketches

These sketches were drawn during surgical observation of a hand surgery at Sunnybrook Hospital in Toronto. During surgical observation close attention was paid to the sequence of surgical events, techniques and tools used, and patient positioning.


Step 2: Reference Models

After a sequence of key surgical events was determined, I created reference models to ensure accurate illustrations. I created a 3D model of the fracture and surgical screw placement in Cinema 4D. These 3D models were based off of patient radiographs from the observed surgery.



Step: 3 Surgical Sequence Sketches

These are the final sketches laying out the surgical sequence. The key event of the surgery (the placement of the screws using the lag-screw method) was rendered fully in pen and ink (below). These illustrations would accompany text detailing this surgical technique.



Step 4: Final Illustration

This illustration is intended to teach medical students the lag-screw fixation technique and show the final screw placement for a specific spiral fracture of the middle phalanx. This illustration was developed from surgical observation of hand surgeon Dr. Paul Binhamer at Sunnybrook Hospital in Toronto.


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