HAV/ HL/HR Flashcards
normal ROM MTPJ
65-75 dorsiflex. 15-20 Plantarflex
normal ROM 1st ray
5mm up and 5 mm down
Wt bearing ROM
20-30 dorsiflexion
Normal angles met adductus
<15
normal angles IMA
<8 (>10=bunion)
true IM=
IMA+ (met adductus-15)
PASA/DASA
<8
normal angles Hallux abductus interphalangeus
<10 (>18=bunion)
Normal tibial sesmoid angle
<3
Surgical tx: Distal phalanx
medial nail bed rotation
Surgical tx: Hallux IPJ
amp of distal phalanx, IPJ arthrodesis
Surgical tx: Proximal Phalanx
distal akin
central akin
oblique akin (juvara)
proximal akin
Keller arthroplasty- (resect proximal Phalanx) corrects hallux abductus angle w HL/HR
Keller-bradis- remove 2/3 of prox phalanx
Bonney-Kessel- remove dorsal wedge.
Distal hemi implant
regnauld: corrects for abnormal phalanx length
Sagittal Z
Surgical tx:MPJ
McKeever Arthrodesis: fusion Silver Bunionectomy McBride=silver +lateral relsease ModifiedMcBride: leaves fibular sesamoid Hiss=Modified McBride+Dorsal AH advancement
surgery: distal 1st met
Mayo:met head resection Stone:Mayo with sesamoid articulation left intact Reverdin:Correction of PASA.Incomplete osteotomy. Reverdin Green: and plantar shelf Reverdin Laird: complete osteotomy and plantar shelf Reverdin Todd:Correction of elevatus Youngswick:austin with double dorsal cut
surgical: distal/sub capital met osteotomies
Mitchell:Rectangular: osteotomy with lateral spicule to correct
for IMA, elevatus and met length
Roux:Wedged Mitchell
Miller:Mitchell w oblique ostomy to correct IM and length
Hohmann- transverse through cut
Wilson-oblique through cut
Distal L- Reverdin Green w out correction of PASA
Kalish: Austin w long dorsal arm
vogler (offset v)- proximal Kalish
Peabody- proximal reverdin
scarf
percutaneous DMO- hohmann
Derotational abdutory transpositional osteotomy
Distal crescentic
Surgery: central 1st met
scarf
ludloff-dorsal proximal to distal plantar
mau- distal dorsal to proximal plantar
Surgery: proximal 1st met
Cresentic: Cresentic shelf OBWO Trethowan:OBWO using medial eminence for graft CBWO(Loison-Balacescu) Logroscino:CBWO with Reverdin Juvara:Oblique CBWO Proximal Austin Lambrinudi:Plantar CBWO
surgery 1st met cuneiform
Lapidus
Westman:OBWO of cuneiform (corrects transverse plane
Cotton:(sagittal(plane)
Cotton- Westman:correct transverse and frontal
HL/HR surg- joint sparing proximal phalanx
Kessel bonney- Dorsiflexory wedge
Regnauld: Peg hole in proximal phalanx allows for
correction of DASA and proximal phalanx length
Sagittal Z
HL/HR surg- joint sparing 1st MTPJ
cheilectomy
HL/HR surg- joint sparing1st met
Youngswick: Waterman: dorsiflexory wedge osteotomy Watermann- Green-plantar flexes Dorsal OBWO Lambrinudi-plantarflexory wedge met shaft Cotton OWO-medial cuneiform
HL/HR joint destructive
Proximal phalanx -Keller (do EHL lengthening) -Keller Brandes (lat release 1sst MTPJ -Valenti-resect met head and proximal halanx -McKeever 1st met -Mayo (met head resection) -Stone(mayo but leave sesmoid)
