Elective Surgery

Question 1

Surgical management of an arthritic joint - what are the options?

Answer 1

1. Arthoplasty/joint replacement (most successful are hip and knee)
2. Excision or resection arthroplasty (removal of bone/cartilage from joint - effective for smaller joints)
3. Arthodesis (stiffening/fusion of join in a position of function - cartilage removed and joint stabilized)
4. Osteotomy (surgical realignment of bone to redistribute load across arthritic joint)

Question 2

What will an Achilles tear require?

Answer 2

splintage

Question 3

What will a quadriceps or patellar tendon tear require?

Answer 3

surgical repair

Question 4

What requires tendon transfer?

Answer 4

tibialis posterior, extensor pollicis longus tear

Question 5

How can cartilage (meniscal) tears in the knee be treated if locking occurs or pain fails to settle?

Answer 5

arthoscopic removal or repair

Question 6

What should be done in labral tears of the acetabulum of glenoid?

Answer 6

resection/repair

Question 7

What is instability?

Answer 7

abdnormal motion of joint resulting in subluxation or dislocation with pain / giving way

Question 8

What anatomical variations can presdispose people to patellofemoral instability?

Answer 8

shallow trochlea of distal demur
femoral neck anteversion
genu valgum

Question 9

Where are the most common sites for trapped nerves?

Answer 9

median nerve at wrist (carpal tunnel syndrome)

ulnar nerve at elbow (cubital tunnel syndrome)

Question 10

How can symtpoms of nerve decompression be improved?

Answer 10

surgery

Question 11

What may compress spinral nerve roots?

Answer 11

disc material

bony osteophytes

Question 12

Is performing joint surgery, what must be made sure?

Answer 12

no active infection