ANKLE ARTHRITIS Flashcards

1
Q

for diagnosis?

A

usually only a plain film radiograph

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2
Q

smaller % of people have ankle arthritis than knee arthritis because?

A

greater reservoir for chondrocytes

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3
Q

ankle arthritis is predominantly?

A

post traumatic

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4
Q

glissans principles?

A

removal of all interposing tissue

accurate and close fitting fusion surfaces

optimal position

maintenance of bony apposition until fusion

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5
Q

essential for success?

A

comprehensive understanding of the reason for undergoing the surgery

comprehensive biomechanical evaluation-understand the supramalleolar and inframalleolar influencing factors

outline in detail plan for surgery

consider adjuncts for success

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6
Q

transfibular approach is a technique that uses a plate on what side?

A

lateral plate

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7
Q

this serves as a source for autogenous bone graft?

A

fibula removal

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8
Q

this type of graft increases triplanar stability of construct-resists rotation/shear forces?

A

fibula onlay grafting

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9
Q

arthroscopy preserves?

if there is more than 15 degrees varus or valgus, can you do arthroscopy?

A

periosteum

nope

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10
Q

this type of screw is needed for fixation of an arthrodesis?

A

compression screw

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11
Q

this type of ankle arthrodesis is not used for primary cases, but for revision cases only, infected joints…ideal for septic fusions?

A

external fixation

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12
Q

this type of external fixation is ore stable triplanar and you can bare weight in this?

A

ilizarov ring fixation

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13
Q

major complications of ankle arthroscopy?

A

degenerative arthritis of adjacent joints

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14
Q

what is a peritalar joint arthritis?

A

arthritis around the talus (STJ and TN joint)

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15
Q

what does arthroplasty mean?

A

joint replacement

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16
Q

if there is 15 degrees or greater of deformity don’t pick what techniques?

A

joint replacement or arthroscopic fusion technique

*fusion is best