Open Fracture Melody study case

Question 1

Anderson Gustillo classification

Answer 1

I: <1cm
II: 1-10 cm
IIIA: >10cm, contamination, severe fractures, not enough soft tissue coverage

IIIB: plus periosteal stripping

IIIC: plus vascular damage

Question 2

antibiotics for Anderson Gustillo fracture

Answer 2

Ancef (cefazolin) for I & II.
III needs additional Gentamicin (aminoglycoside)

Question 3

What is creatinine/ what does it measure?

Answer 3

Waste product from muscle damage. Measures kidney function.

Question 4

Volkman fracture

Answer 4

Fracture of the post mall/ tibia attached to PITFL

Question 5

Tillaux fracture

Answer 5

Fracture of the tibial attachment to the AITFL

Question 6

Kohler disease

Answer 6

AVN of navicular in children

Question 7

Osteochondrosis

Answer 7

Self-limiting, aseptic, ischemic necrosis. Kohler disease is example.

Question 8

Mueller-Weiss syndrome

Answer 8

AVN of navicular in adults

Question 9

Osteopetrosis

Answer 9

Rare disorder that causes bones to grow abnormally and become overly dense. When bones become overly dense, they are brittle and can fracture (break) easily. In addition, bones may be misshapen and large, causing other problems in the body.

Question 10

What are some radiographic findings of osteopetrosis?

Answer 10

• Bone within bone
• Erlenmeyer flask

Question 11

Rickets = ____ deficiency

Answer 11

Vitamin D deficiency

Question 12

Salter Harris classification

Answer 12

Fracture in children
- same
- above
- lower
- through
- RUSH (crush/ER)

Question 13

Thurston Holland sign

Answer 13

saltar harris type II

Question 14

Vertical medial mal fracture is associated with Lauge Hansen type…

Answer 14

Supination Adduction 2

Question 15

Weber A fracture is associated with Lauge Hansen type?

Answer 15

Supination Adduction

Question 16

Most common Lauge Hansen type

Answer 16

Supination External Rotation

Question 17

Weber B fracture associated with Lauge Hansen type

Answer 17

Supination External Rotation

Question 18

Supination External Rotation order

Answer 18

1. Syndesmosis
2. Lateral
3. Posterior
4. Medial

Question 19

Weber C fracture associated with which LH type?

Answer 19

Pronation ER or abduction

Question 20

Lauge Hansen type for Maisonneuve fracture

Answer 20

PER 3

Question 21

What mechanical test can you do to test syndesmotic injury?

Answer 21

squeeze test or dorsiflexion + eversion

Question 22

Which MRI is water and what color is the water?

Answer 22

T2. Water is white.

Question 23

Intraoperative hemostasis techniques

Answer 23

thrombin, gel foam, electrocautery, tying

Question 24

Name 5 IV drugs for MRSA

Answer 24

Vancomycin
Linezolid
Clindamycin
5th gen cephalosporin
Tigacycline

Question 25

Name 3 oral drugs for MRSA

Answer 25

Bactrim
Clindamycin
Doxycycline

Question 26

Axbx reasonable for in office paronychia

Answer 26

Keflex
Augmentin
Clindamycin

Question 27

Anti-pseudomonal drugs

Answer 27

Zosyn
Ciprofloxacin
Levofloxacin