Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pimp Questions > Firecracker HAV Procedures > Flashcards

Firecracker HAV Procedures Flashcards

1
Q

What is the most likely name of a procedure performed in the proximal phalanx?

A

some sort of Akin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the Distal Akin.

A

medial closing wedge osteotomy at the distal aspect of the proximal phalanx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the indications for a distal Akin?

A

abnormal HIA

long proximal phalanx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the indications for a proximal Akin?

A

increased DASA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the proximal Akin.

A

medial closing wedge osteotomy in metaphyseal bone of the proximal phalanx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Name some procedures that are used to shorten a long proximal phalanx.

A

Cylindrical Akin
Chevron (2 V-osteotomies)
Z-osteotomy
Regnauld

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the advantage of the oblique Akin?

A

can use cortical lag screw fixation because of orientation of osteotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe the Keller procedure.

A

is a resection arthroplasty of the base of the proximal phalanx used for end stage HL and geriatric bunions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the Kessel-Bonney procedure.

A

resection of a dorsally based wedge from the base of the proximal phalanx used to correct early stages of HL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the McBride bunionectomy.

A
  1. removal of medial eminence of 1st met
  2. transfer of ADH into medial met head
  3. removal of fibular sesamoid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the Silver bunionectomy.

A

partial ostectomy of the medial eminence on the 1st metatarsal head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the Reverdin procedure.

A

medial closing wedge osteotomy in the 1st met head for correction of abnormal PASA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the Peabody procedure.

A

medial closing wedge osteotomy (similar to the Reverdin) but done in the metatarsal neck to avoid sesamoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the Reverdin-Green procedure.

A

Reverdin + plantar shelf to protect the sesamoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the Reverdin-Laird procedure.

A

medial closing wedge osteotomy of 1st met head that is through the lateral cortex with a plantar shelf

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Name the historical procedures.

A

Peabody
Hohmann
DRATO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe the Hohmann procedure.

A

trapezoid wedge removed from anatomic neck of metatarsal

18
Q

Describe the Mitchell procedure.

A

transpositional, step-down osteotomy in the 1st met that corrects IMA and plantarflexes met head

19
Q

Describe the Capp procedure.

A

transverse osteotomy across the 1st met head

20
Q

Describe the Wilson procedure.

A

oblique osteotomy in 1st met directed proximal-lateral to distal-medial

21
Q

Describe teh Austin procedure.

A

horizontal V osteotomy with 60 deg apex in the central met head

22
Q

What is the kalish modification to the Austin.

A

decreasing the apex angle to 55 deg to create a longer dorsal arm to allow for dorsal fixation with screws

23
Q

What is the Youngswick modification to the Austin?

A

chevron cut + second dorsal cut to remove rectangular wedge of bone to shroten the met

24
Q

Describe the Traditional scarf osteotomy.

A

Z osteotomy with shorter arms oriented proximal-plantar and distal-dorsal

25
Q

How many times stronger is the inverted scarf osteotomy/

A

1.6x stronger (bc troughing plantarflexes the met head which is more desirable than dorsiflexing the head which is seen if troughing occurs in the traditional scarf)

26
Q

Describe the Inverted scarf osteotomy

A

Z osteotomy with shorter arms oriented proximal-dorsal to distal-plantar.

27
Q

Name two diaphyseal osteotomies.

A

Ludloff

mau

28
Q

Describe the Ludloff osteotomy.

A

oblique diaphysesal osteotomy that runs dorsal-proximal to plantar-distal

29
Q

Describe the Mau osteotomy.

A

oblique diaphyseal osteotomy that runs plantar-proximal to dorsal-distal

30
Q

Name the proximal hallux osteotomies.

A 
Loison-balacesu
Juvara
crescentic
Trethowan`
Logroscino
31
Q

what are the iatrogenic causes of hallux varus?

A
  1. removal of fibular sesamoid
  2. staking of the 1st met head
  3. over-correction of IMA
  4. over-zealous capsulorraphy
  5. aggressive post-op bandaging
  6. over-extensive lateral release
  7. over-correction of PASA
32
Q

What is the normal Hallux-abductus angle?

A

10-15 deg

33
Q

What is the normal Hallux -interphalangeal angle?

A

0-10 deg

34
Q

What are the possible 1st metatarsal diaphyseal osteotomies?

A

SCARF or Z-osteotomy
Ludloff
Mau

35
Q

What are some proximal 1st metatarsal osteotomies?

A 
Loison-bbalacescu
Juvara
Crescentic
Trethowan
Logroscino
36
Q

Describe the Logroscino procedure?

A

(double 1st met osteotomy) CBWO + Reverdin

37
Q

Describe the Trethowan procedure.

A

opening abductory wedge osteotomy used to correct abnormally high IMA on short metatarsals
*BONUS: Where does the opening wedge graft come from?

38
Q

The Trethowan procedure is often combined with a bone graft. What is the harvesting procedure called?

A

Stamm procedure- taking a resected base of the proximal phalanx and using it as teh bone graft in the Trethowan

39
Q

Where does the opening wedge bone graft in the Trethowan procedure come from?

A

medial eminence of 1st met head

OR resected base of proximal phalanx

40
Q

Describe the Juvara osteotomy.

A

oblique medial closing wedge (CBWO) osteotomy of the metatarsal base

Pimp Questions (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions