Orthopedic Hardware Flashcards
Principles in Management of Fracture
Recognition
Reduction/Retention
Retention/Immobilization
Rehabilitation
Involves history taking skills of nurses to assess the type of fracture and its manifestations specifically the signs and symptoms
Recognition
Putting back the bone to its proper alignment
Reduction/Retention
2 Categories of Reduction/Retention
Close Reduction
Open Reduction
Manual manipulation of the bone back to its proper alignment
Close Reduction
Surgical intervention in aligning the bone back to its normal form
Open Reduction
Maintaining alignment of the fractured bone using immobilization gadgets such as Cast, Traction, External Fixators and Orthopedic Braces
Retention/Immobilization
Putting and helping the patient achieve the optimum level of functioning after having the retention phase
Rehabiliation
Self retaining retractors commonly used for spinal surgery
Beckman
Retractor used to minimally invasive hip knee surgery
Hohmann
Self retaining retractors used for shallow incisions such as radius ulna
Weitlaner
For lifting and dissecting periosteum and other bone lining
Cobb’s Elevator
For holding bone fragments and plates during manipulation and fixation
Lowman
For holding bone during open reduction
Reduction clamp
For holding complicated bone fragments such as patella in tension bond wiring
Tenaculum
For holding bone and manipulation during multiple orthopedic surgeries
With longer and shorter rachet
Verbrugge
For gouging, cutting, and harvesting bone chips
With different tips such as gooseneck, double action, and fine tip
Rongeur
For cutting and removing vertebral body and discs in minimally invasive spine surgery
Pituitary
For removal of ligaments and bone tissues adjacent to nerves in spinal surgery
Kerrison
Used in harvesting skin grafts
Blair Knife
For boring hole through the bone using drill bits, screws, and pins
bone drill
Battery operated for cutting small and large bones during amputation
Oscillating Bone Saw
For cutting bones during amputation
Gigli saw
For cutting pins and wires in surgical procedures
Pin Cutter
For cleaning and scraping bones, intramedullary cavity and soft tissues in debridement
Curette
Used for obtaining bone chips, for scraping dead or necrotic bones
Osteotome
Used for beating or giving pressure on an osteotome
Mallet
Enlarges an existing hole in the bone to a desired size for the implant to fit its desired location
Reamer
Used to grip, pull, twist, cut, and tighten wires, pins, and rods
Pliers
To hold the skin together post-operatively
Skin Stapler
Used to remove skin stapler after 2-3 weeks
Skin Wire Remover
For removal of intramedullary nail
Intramedullary Nail Extractor
For fracture of the middle 3rd or distal 3rd femur. It may be inserted on the trochanter or retrograde approach
Intramedullary Nail
used for multiple fracture patterns that allow placement of guidewire for better alignment
Cannulated screw
Used to affix bone plates and implants to the cortical bone
Cortical Screw
For unstable pertrochanteric, intertrochanteric, or subtrochanteric fracture of femur
Proximal Femoral Nail
Used for screw fixation to large bone fragments with spongy bones. It can be full threaded, half threaded, and tip threaded
Cancellous screw
Instrumentation for spinal surgery such as scoliosis and spinal fusion
Pedicular Screws and Rods
For long bone uncomplicated fracture lines such as transverse and oblique fracture. It can be mini, narrow, or broad
Dynamic Compression Plate (DCP)
For fracture of flat bones usually used in facial, clavicular, or iliac crest fracture
Recon plate
For fracture of tibia, distal 3rd and supraacondylar fracture of femur. It can be T-plate, Y-plate, or hockey plate
Buttress Plate
For pediatric patients long bone fracture, also for fracture of the fibula
Semi-tubular Plate
For tension band wiring usually used in patellar fracture
Cerclage wire
For partial hip replacement arthroplasty (PHRA) with head of the femur and stem components
Bipolar Hip Prosthesis
For total hip replacement arthroplasty (THRA) with head stem, acetabular cap and linear components
Bipolar Hip Prosthesis with Acetabular Cap
For total knee replacement arthroplasty, for degenerative joint disease. With femoral and tibial component
Total Knee Prosthesis
Replacement of infected hip prosthesis
Antibiotic spacer
Provides therapeutic effect for osteomyelitis
Antibiotic Beads
