Name That Surgery

Question 1

Akin

Answer 1

• Medially based wedge osteotomy of proximal phalanx
• Indications:
  
  • Large DASA-proximal
  • Large HAA-distal
  • Both-oblique

Question 2

Austin

Answer 2

• Distal chevron osteotomy, arm forming 60˚ angle
• IM of 12-14˚

Question 3

Louisan-Balaceau

Answer 3

• Closing lateral base wedge at base of 1st met
• High IM angle

Question 4

Crescentic

Answer 4

• Crescentic osteotomy at the base of the 1st met
• High IM angle

Question 5

DRATO (Derotational Abductory Transpositional Osteotomy)

Answer 5

• Derotational osteotomy of 1st met head (cartilage rotated for realignment)
• Large IM angle + Large PASA + Valgus rotation of 1st met

Question 6

Hohmann

Answer 6

• Through and through transverse osteotomy at the met neck
• Mild IM angle

Question 7

Juvara

Answer 7

• Oblique CBWO
• Severe HAV

Question 8

Kalish

Answer 8

• Long dorsal arm Austin, 55˚ angle between arms
• Mild HAV

Question 9

Keller

Answer 9

• Resection of the base of the proximal phalanx
• HL/HR; joint destructive

Question 10

Kessel-Bonney

Answer 10

• Dorsiflexory wedge at the base of the proximal phalanx
• HL; joint sparing

Question 11

Lambrinudi

Answer 11

• Plantarflexory wedge at the base of the 1st met
• HL

Question 12

Lapidus

Answer 12

• Fusion of 1st met + 1C
• HAV, 1st ray hypermobility

Question 13

Logroscino

Answer 13

• LB + Reverdin
• Severe HAV + Abnormal PASA

Question 14

Ludloff

Answer 14

• Oblique osteotomy of met shaft from prox-dorsal to distal-plantar
• Moderate HAV

Question 15

Mau

Answer 15

• Oblique osteotomy of met shaft from prox-plantar to distal-dorsal
• Moderate HAV

Question 16

McBride

Answer 16

• Resection of bump and lateral soft tissue release
• Mild HAV

Question 17

McKeever

Answer 17

• 1st MPJ Fusion
• HAV, HL/HR (joint destructive)

Question 18

Mitchell

Answer 18

• Distal metaphyseal osteotomy with rectangular block of bone removed and preservation of lateral cortical spur that hangs over shaft when transposed
• Mild HAV

Question 19

Trethowan

Answer 19

• OBWO at 1st met base
• Severe HAV

Question 20

Peabody

Answer 20

• Medially based wedge resection at met neck
• Abnormal PASA

Question 21

Reverdin

Answer 21

• Medially based wedge resection at 1st met head
• Mild HAV + Abnormal PASA

Question 22

Reverdin-Green

Answer 22

• Reverdin with plantar step to preserve sesamoids
• Mild HAV + Abnormal PASA

Question 23

Reverdin-Laird

Answer 23

• Reverdin-Green with lateral shift of capital fragment
• Mild HAV + Abnormal PASA

Question 24

Reverdin-Todd

Answer 24

• Triangular shaped wedge removed from both the top and side of distal 1st met
• HL + Mild HAV

Question 25

Scarf

Answer 25

* Z-type osteotomy through shaft of 1st met * Moderate HAV

Question 26

Silver

Answer 26

* Resection of the medial eminence * Mild HAV

Question 27

Valenti

Answer 27

* Dorsal wedges from 1st met and proximal phalanx * HL (joint destructive)

Question 28

Vogler

Answer 28

* Chevron osteotomy at the neck of the 1st met * Mild HAV

Question 29

Watermann

Answer 29

* Dorsiflexory wedge at the first met head * HL (joint preserving)

Question 30

Watermann-Green

Answer 30

* Watermann with a plantar shelf to protect sesamoids * HL (joint preserving)

Question 31

Wilson

Answer 31

* Oblique through and through osteotomy at 1st met neck from prox-lat to distal-med * Mild HAV, long 1st met

Question 32

Youngswick

Answer 32

* Austin with a dorsal block taken out, allowing head to plantarflex * Mild HAV, DF 1st met, HL (joint preserving)