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CP3 MDD > Joint Surgery > Flashcards

Joint Surgery Flashcards

1
Q

Indications joint surgery (2)

A

Relieve pain

Restore function

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2
Q

Complications joint surgery (12)

A 
Wound infection (esp open fracture)
Infection;UTI/resp 
MI
NV injury 
DVT/PE
Compartment syndrome 
Bleed 
Paralysis 
Peri-osthetic fracture 
Malposition implant or dislocation 
Malunion/non-union
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3
Q

What is soft tissue release

A

Correction of deformity due to soft tissue contracture

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4
Q

What are the limiting factors in soft tissue release?

A

Nerves and vessels

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5
Q

How to maintain correction in soft tissue release?

A

Plaster cast

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6
Q

What is tendon transfer and repair

A

Tendon transferred short distance

And implanted firmly into bone under tension

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7
Q

Why is controlled stress on tendons important in tendon transfer and repair?

A

–> incr healing, joint nutrition and viability

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8
Q

How to limit movement after tendon transfer and repair?

A

Splints

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9
Q

Complications tendon transfer and repair (3)

A

Scar tissue formation –> < smooth movement
Partial loss of joint use
Stiffness

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10
Q

What is a synovectomy

A

Removal of all/part of synovial membrane of joint

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11
Q

Indications synovectomy (5)

A 
Tumours 
Inflamm arthritis 
Septic arthritis 
rec haemoarthroses 
Stiffness
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12
Q

Complications synovectomy (4)

A

Infection
Chronic pain
Nn palsy
Phlebitis `

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13
Q

What is a Salter procedure

A

Osteotomy through innominate bone - restore acetabular alignment in congenital hip dysplasia

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14
Q

What is a Dwyer procedure

A

Osteotomy Through OS Calcis

Correct heel inversion in club foot

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15
Q

What is a McMurray procedure

A

Osteotomy to relieve pain in OA of hip and knee

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16
Q

Complications osteotomy (4)

A

Compartment syndrome
Failure and recurrence
Avascular necrosis
Non-union

17
Q

What is a hemiarthroplasty

A

1 surface of joint removed

18
Q

When is a hemiarthroplasty beneficial?

A

When 1 joint surface is still in a good condition

19
Q

What is a total arthroplasty

A

Both joint surfaces removed –> good function

20
Q

With a total arthroplasty, what are you more vulnerable to? (2)

A

Sepsis

Mechanical failure

21
Q

Indications arthroplasty (2)

A

Pain resistant to conservative methods

Improvement of function

22
Q

How long do 95% of all hip replacements last?

A

10 years

23
Q

Who should arthroplasties be cautioned in? (2)

A

Young patients

If neurological imbalance

24
Q

Total C/I athroplasty

A

Sepsis in joint

CP3 MDD (13 decks)

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