Orthopedic Management

Question 1

Lengthening is typically performed at the ____ and _____ tendons. What should be done as soon as the child is comfortable?

Answer 1

Achilles
Hamstring

Remobilization done as soon as child is comfortable

Question 2

Describe the tendon transfers done for brachial plexus injuries (2) and CP (1).

Answer 2

Brachial plexus

1. Lat Dori as ER
2. Gracilis to biceps (free muscle transfer)

CP = anterior/posterior tibial split transfer

Question 3

Osteotomies are typically done to correct ____ problems and following dislocation of the ____. Describe 2 osteotomies performed at the femur.

Answer 3

Correct ROTATIONAL problems
HIP dislocation

Femoral

1. Proximal = varus/derotation
2. Distal = knee extension

Question 4

_______ procedures are a form of extremity lengthening that lengthen _____ mm per day to allow for ______.

Answer 4

Ilizarov procedures
1mm per day
Allow bone to fill in

Question 5

Patients who receive extremity lengthening are at risk for ______. What is their WB status?

Answer 5

Osteomyelitis

WB as tolerated

Question 6

Intermedullary rods may be used to treat children with _____ and ______.

Answer 6

Osteogensis imperfecta

Severe fractures

Question 7

Describe 2 conditions where arthrodesis may be indicated.

Answer 7

1. Shoulder in brachial plexus injuries with minimal stability
2. Ankle in CP and myelomeningocele