Orthopedic Surgical Conditions 1

Question 1

for what condition do we perform a laminectomy

Answer 1

with the presence of a disk protusion or spinal stenosis

Question 2

what is a complete laminecotmy

Answer 2

the completed removal of the
lamina
SP
or ligament flavum

the vert seg is much less stable

Question 3

what is a partial lamiectomy

Answer 3

the removal of only one lamina

Question 4

what are is the normal approach for a laminectomy

Answer 4

posterior approach

Question 5

what is normally limited following laminecotomy

Answer 5

ext and weight lifting

Question 6

spinal fusion - indication

Answer 6

axial pain with unstable spinal segments

advance arthritis

uncontrolled peri pain

Question 7

spinal fusion - procedure

Answer 7

bone is harvested from another part of the body (iliac crest) and is used to help fuse to vert together

instrument are often used to fuse segments together until a boney callus forms

Question 8

total shoulder arthroplasty - why

Answer 8

joint component have become arthy

seondayr to fx

RC arthropathy

Question 9

what is RC arthropathy

Answer 9

a type of arthritis that can develop in the shoulder after a large or long-term rotator cuff tear

Question 10

what occur with total shoulder arthroplasty

Answer 10

replaces both the glenoid and the head of the humerous

Question 11

what occurs with a shoulder hermiarthroplasty

Answer 11

one of the gleniod or the humeral components

Question 12

what happens with a reverse should arthoplasty

Answer 12

reverse the concave and convex component

vex: glenoid

cave: humeral hea d

Question 13

when do we perform a reverse shoulder arthroplasty

Answer 13

when the pt has a dysfunction of the RC

Question 14

what muscle of the RC is impacted by shoulder arthoplasty

Answer 14

subscaulris is detached for easier ascess to the joint

Question 15

muscle and tendon repair impact on shoulder arthoplasty rehab

Answer 15

in a sling for longer

Question 16

subacromial decompression - when perfromed

Answer 16

shoulder impingment that does not response to conservative rehab

Question 17

subacromial decompression - open

Answer 17

deltoid is detached

Question 18

subacromial decompression - mini- open

Answer 18

deltiod is split

Question 19

subacromial decompression - recovery time

Answer 19

quick
sling for 1-2 weeks

Question 20

rotator cuff repair - small tear

Answer 20

<1 cm

Question 21

rotator cuff repair - medium tear

Answer 21

1-3 cm

Question 22

rotator cuff repair - large tear

Answer 22

3-5 cm

Question 23

rotator cuff repair - massive

Answer 23

> 5 cm

Question 24

rotator cuff repair - small partial thickness tear treatment

Answer 24

debridement

this is the only type of injury that can be fixed with this

Question 25

shoulder stabilization - capular shoft procedure is performed when

Answer 25

presence of chronic should instabiity

Question 26

shoulder stabilization - what is involved with the procedure

Answer 26

tightening of the joint capsule by cutting the capsule and overlapping the ends to reduce capsule redundancy the portion of the capsule that is tightened depends on the area of instability

Question 27

what is the most common form od shoulder instability

Answer 27

anterior

Question 28

two disorders associated with anterior shoulder dislocation

Answer 28

bankart hillsachs

Question 29

what is a bankart lesion

Answer 29

humerus is compressed against the labrum as happens anterior shoulder dislocations or subluxations anteroinferior aspect of the glenoid labral

Question 30

what is a hillsachs lesion

Answer 30

osseous defect or "dent" of the postero-supero-lateral humeral head that occurs in association with anterior instability or dislocation of the glenohumeral joint.

Question 31

SLAP repair rehab - what should be avoided

Answer 31

contracting or stretching the biceps becasue the biceps insert into the superior larbumm

Question 32

hip ORIF - method used depends on

Answer 32

previous activity level fx location amount of displacement

Question 33

for proximal hip fracture what area are normally injured

Answer 33

femoral neck intertrocahntieric region

Question 34

what can proximal fx lead to in the femur

Answer 34

cut off of blood supply leading AVN

Question 35

what muscle can be affects with a ORIF hip

Answer 35

TFL glute med vastuas lateralis

Question 36

what is a ORIF

Answer 36

open reduction and internal fixation our surgeon will insert metal fasteners into your bone to hold the pieces together.

Question 37

what are signs of fixation failure

Answer 37

persistant thigh or groin pain leg length discrepancy - not initially present positioning of the limb in ER trandelenburg that does not improve with strengthening

Question 38

what is a osteochrondral autograph transplantation

Answer 38

cart is retrieved from several non-weight bearing areas that form a plug for the osteochondral defect

Question 39

ACL reconstruction - performed on what pts

Answer 39

pt's with a ACL tear that is causing pain and insatbility

Question 40

ACL reconstruction - autograft or allograftperfered

Answer 40

autograft

Question 41

what is a allograft

Answer 41

is tissue, cells, or an organ that is transplanted from one person to another who is not an identical twin

Question 42

what standard ACL grafting

Answer 42

bone-patellar tendon graft b/c it uses bone to bone healing

Question 43

ACL repair - when is the brace unlocked

Answer 43

when the patient demonstrates quad control

Question 44

during what period of rehab is the graft material most vunerable

Answer 44

6-8 weeks after surgery

Question 45

what time is the graft mature

Answer 45

12-26 months

Question 46

what are some of the requirement to return to sport with a ACL injury

Answer 46

no pain no effusion full ROM no instability quad strength that is 85-90% of contralateral side hamstring strength that is 90 -100% on contra side functional testing that is 85-90% of opposite side

Question 47

meniscus injuries - two ways to surgically repair

Answer 47

partial menisectomy men suturing

Question 48

partial men is used in what population

Answer 48

older person tear is in 2/3 on men - where men healing is poor

Question 49

what is the procedure fro partial men

Answer 49

the torn pieces of the men is removed

Question 50

men suturing is used in what pop

Answer 50

young pop tear is in out 3rd of the men

Question 51

when is lateral ankle reconstruction done

Answer 51

tear of anterior talofibular or the CFL or chronic ankle instability

Question 52

what are the two methods to repair the ankle

Answer 52

both use open approach acute repair of the torn lig - sutured back together harvesting of a autogrpah

Question 53

what autograph is often used of lateral ankle reconstruction

Answer 53

peroneus brevis

Question 54

why do we perform autograph reconstruction

Answer 54

when the original ligament cannot be repair due to deteration

Question 55

what is the progression of protective braces following lateral ankle instability recontruction

Answer 55

protective brace - NWB walking boot - PWB>FWB brace

Question 56

achilles tendon repair - how is the srugery perfromed

Answer 56

suture the tendon back together sometime a graft is needed to augment missing tissue

Question 57

what is the progression of protective braces following achilles tendon repair

Answer 57

brace in PF cast or boot - foot in neutral

Question 58

hip anterior lateral approach - precaution

Answer 58

ext ER add

Question 59

what are standard hip precuations - posterior lateral approach

Answer 59

no IR crossing the legs flexion past 90

Question 60

what are the hip precautions for the direct lateral approach

Answer 60

hip flex >90 ext ER add abd - if going through glute med

Question 61

what are the most popular options for ACL recontruction graft

Answer 61

patellar bone tendon semitendinosis gracilius

Question 62

achilles tendon when graft is commonly used

Answer 62

flexor hallucis longus peronus brevis plantaris

Question 63

what muscle do we go through for PL THR

Answer 63

the glute max