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EBM Forefoot > EBM Forefoot > Flashcards

EBM Forefoot Flashcards

1
Q

What are risk factors for DVT

A

Prior DCT, birthcontrol, smoking, immobilized etc

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2
Q

What is anticoagulant for surgery? dose?

A

Lovenox 30mg/BID or 40mg/day. Start night after surg. can’t use NSAIDS w

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3
Q

Why do bunion patients have tingling of medial 1st met?

A

nerve damage, before and after surg

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4
Q

What happens to foot if take out fibula sesmoid

A

hallux varus

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5
Q

what is included in a lateral release?

A

adductor hallux, fib sesmoid lig, flexor hal brev

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6
Q

size of screws for osteotomy?

A

2.7-3.0 headless

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7
Q

what do you inflate ankle tourniquet to?

A

250 or 100 above systolic

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8
Q

what sizes are ankle tourniquet?

A

12-18

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9
Q

thigh tourniquet size? inflate to?

A

24-42 300-350

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10
Q

Whats go to preop antibiotic?

A

2g Ancef

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11
Q

When are most likely times to clot?

A

2 wk 4 wks

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12
Q

what is nicotine test

A

cotinine

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13
Q

normal IMA

A

<10

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14
Q

norm Hallux abductus

A

<15

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15
Q

Normal pasa? dasa?

A

<8 for both

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16
Q

Norm sesmoid position?

A

1-3

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17
Q

Austin

A

IM 9-15, long plantar arm

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18
Q

Akin

A

corrects DASA, medial closing wedge

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19
Q

Reverdin

A

Medial wedge for PASA

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20
Q

Silver

A

bumpectomy

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21
Q

McBride

A

silver + release/transfer of add H tendon and removal of fib sesmoid

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22
Q

when do post op infection start? causes?

A

7 days wind water wound walk wonder

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23
Q

axis guide for austin

A

parallel to wt bearing surface

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24
Q

axis guide for lateral wedge

A

perpendicular to wt bearing surface

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25
Q

Long acting insulin day of surg

A

1/2 dose before 1/2 after

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26
Q

short acting insulin day of surg

A

hold

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27
Q

shellfish allergy

A

iodine allergy

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28
Q

inverted scarf->

A

causes dorsiflexion

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29
Q

Scarf

A

rotation allows fix higher IMA

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30
Q

crescentric

A

transverse cut

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31
Q

ludloff

A

oblique cut. proximal dorsal-> plantar distal

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32
Q

causes of hallux limitus

A

long first met, elevated first, trauma, genetic hypermobile

33
Q

Drago oloff and Jacobs classification

A

1- functional limitus, pain at end of ROM
2- joint adaption, flattening of 1st met head, OCD, dorsal exostosis
3- joint destruction, narrowing
4-ankylosis no joint space. < 10 degrees dorsiflex

34
Q

When do you do what type of surgery?

A

class 1 or 2 joint sparing, class 3 or 4 joint destruction

35
Q

Keller

A

resect base of proximal phalanx, decompresses first MTP

36
Q

Joint sparing=

A

cheilectomy, osteotomy, arthrodiastasis

37
Q

what angles is 1st MPJ fused in

A

10-15 abduction 10-20 dorsiflex

38
Q

youngswick

A

dorsal wedge removal of austin to plantarflex

39
Q

waterman

A

dorsal wedge of austin

40
Q

lambrinudi

A

plantarflex osteotomy

41
Q

Kessel bonney

A

phalangeal osteotomy in kids

42
Q

moberg

A

phalangeal osteotomy in adults

43
Q

dosage of hydrocodone/Percocet?

A

5-325

44
Q

arthrodiastasis

A

joint distraction .5mm/day 2 wks

45
Q

flexor stabilization

A

most common, excessive gripping, pronation, flexors fire early

46
Q

flexor substitution

A

flexors have advantage over interossei, weak gastroc

47
Q

extensor substitution

A

pes cavus, neuromuscular, equinus,

48
Q

normal 5th met IMA? bunionette?

A

6, 8

49
Q

normal Lateral deviation angle? bunionette?

A

2.64, 8

50
Q

normal mtpj angle 5th? bunionette

A

10, 16

51
Q

why do you do a syndactly?

A

prevent floppy toe

52
Q

foot type of RA patient?

A

pes planus

53
Q

Methotrexate

A

leave on, increases infection

54
Q

prednisone

A

if >20mg stress dose 50mg, 25mg every 8 hours

55
Q

infliximab

A

hold 2 weeks prior, increases neuropathy

56
Q

simavastatin

A

hold day of surg, rhabdomyolysis and muscle aches

57
Q

TNFa

A

hold 2 weeks before and after

58
Q

RA have increased chance for

A

kidney and liver failure

59
Q

what size k wires?

A

.45 or .62

60
Q

incisions can’t be closer than

A

1cm

61
Q

colchicine dosage

A

1.2mg than .6

62
Q

long term gout med

A

uloric (flaboxistat) better for renal

63
Q

goal uric acid for gout patients?

A

<6

64
Q

what responds quicker SED or CRP?

A

CRP

65
Q

what is gout sign?

A

martels

66
Q

dose for allopurinol

A

100-300 mg

67
Q

optimal vit d?

A

30-50

68
Q

dosage vit D

A

2000 IU daily, 6000 per day to get there

69
Q

where is most common for neuroma

A

3rd met space

70
Q

alcohol injection for neuroma

A

4%

71
Q

if neuroma reoccurs

A

plantar approach

72
Q

brachymet callus distraction

A

1mm/day due to neurovascular

73
Q

brachymet timeline

A

7 days latent, 3-4 wk extraction, ossification= latent+ extraction

74
Q

freibergs

A

immobilize acute, 2nd met, smillies stages (1-3=cresecent 4=body)

75
Q

epiphyodisis

A

stop lateral growth allow medial growth for juvenile HAV

76
Q

causes of Hallux varus

A

medial staking, lat release, sesamoidectomy

77
Q

complication of sesmoiditis

A

decrease plantarflex strength after surgery

78
Q

bipartite sesmoid

A

differentiate from fracture

EBM Forefoot (1 decks)

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