HIGH YIELD Flashcards
etiology from a biomechanical perspective?
excessive STJ pronation dorsiflexed 1st ray long 1st ray metatarsal shape trauma
staging and grading based on what scale?
coughlin
1st MPJ surgery goals?
*preservative
pain relief
- dorsal osteophyte
- dorsal synovitis
- joint jamming
functional improvement
- cheilectomy
- phalangeal osteotomy
- 1st metatarsal osteotomy
procedures used in 1st MPJ surgery that are destructive?
keller
-resection Demi arthroplasty of the phalanx
mayo
-resection hemi arthroplasty (1st metatarsal head)
implant arthroplasty
1st MP joint arthrodesis
indications for Keller arthroplasty?
geriatric
sedentary
apropulsive
DJD with or without HAV
indications for Mayo arthroplasty?
geriatric
sedentary
apropulsive
DJD with or without HAV
indications for use in HAV correction for a 1st MP joint arthrodesis?
severity of deformity
concerns over non compliance with non-WB
concerns over recovery durability
short 1st ray
RA
Glissans 4 principles?
complete removal of all cartilage and intervening tissue or material
accurate and close fitting of fusion surfaces
optimal position of fusion
maintenance of bone apposition until complete fusion
technique use in 1st MP joint arthrodesis?
incision dissection lateral release bunionectomy cheilectomy joint preparation -curettage -wedge/planal resection -fixation -position
1st MPJ arthrodesis most used procedure for MPJ joint correction, T/F?
T
