OSTEOTOMIA PELVICA Flashcards

1
Q

OSTEOTOMIAS DE RECONSTRUCAO

A

REMODELAMENTO: PEMBERTON / DEGA

REDIRECIONAMENTO: SALTER / KALAMCHI / STEEL / GANZ

ARTICULACAO CONCENTRICA

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2
Q

OSTEOTOMIAS DE SALVAMENTO

A

SHELF / STAHELI
CHIARI

ARTICULACAO NAO CONCENTRICA - PACIENTE SINTOMATICO E QUADRIL INCONGRUENTE

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3
Q

PEMBERTON: ONDE E COMO CORTA:

A

ENTRE ESPINHAS ILIACAS ANTERIORES
CORTE INCOMPLETO (FULCRO NA CARTILAGEM TRIRRADIADA)
+ ENXERTO ILIACO PARA PREENCHER

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4
Q

PEMBERTON: COBERTURA

A

ANTERO LATERAL

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5
Q

PEMBERTON: DESVANTAGENS

A

CI SE ACETABULO PEQUENO EM RELACAO CABECA FEMORAL

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6
Q

PEMBERTON: INDICACAO

A

2-6 ANOS

TRIRRADIADA ABERTA E MOVEL

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7
Q

DEGA: ONDE CORTA

A

RETA NA TABUA EXTERNA

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8
Q

DEGA: FULCRO

A

TRIRRADIADA (MENOS MOVEL)

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9
Q

DEGA: COBERTURA:

A

MULTIDIRECIONAL

BOM PARA LX PARALITICA

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10
Q

DEGA: INDICAÇAO

A

8-15 ANOS

TRIRRADIADA ABERTA MAS MENOS MOVEL

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11
Q

SALTER: O QUE CORTA

A

DA EIA AO NO ISQUIATICO

+ LIBERACAO ADUTOR LONGO E ILIOPSOAS

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12
Q

SALTER: VANTAGEM

A

NAO INTERFERE NA CARTILAGEM DE CRESCIMENTO

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13
Q

SALTER: FULCRO

A

SINFESE PUBICA

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14
Q

SALTER: O QUE COBRE

A

ANTEROLATERAL

DESCOBRE POSTERIOR

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15
Q

SALTER: INDICAÇAO

A

2-9 ANOS, DISPLASIA RESIDUAL (A CORRECAO É LIMITADA)

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16
Q

STEEL/TONNIS: O QUE É E OQ CORTA?

A

OTT TRIPLA

ILIO, ISQUIO E PUBE

17
Q

STEEL/TONNIS: O QUE COBRE?

A

ANTERO-LATERAL

POSICIONAMENTO + AMPLO DO ACETABULO

18
Q

STEEL/TONNIS: INDICACAO

A

ADOLESCENTES E ADULTOS JOVENS

19
Q

STEEL COMPLICACOES

A

INFECCAO
LESAO N CIATICO
NAO CONSOLIDACAO DOLOROSA DOS RAMOS
ROTACAO EXTERNA EXCESSIVA ACETABULO

20
Q

GANZ: O QUE CORTA:

A

OTT TRIPLA, MANTEM COLUNA POSTERIOR

21
Q

GANZ: OQ COBRE:

A

GRANDES CORRECOES

22
Q

GANZ: INDICACAO

A

FISE FECHADA COM DISPLASIA ACETABULAR SINTOMATICA
QUADRIL CONGRUENTE
ACETABULO MAL ORIENTADO
SEM OA

23
Q

CHIARI: OQ CORTA

A

OTT NO ILIO

24
Q

CHIARI: FULCRO

A

SINFESE PUBICA

25
Q

CHIARI: OQ COBRE

A

SUPERIOR

26
Q

CHIARI: INDICACAO

A

QUADRIL INCONGRUENTE

QUADRIL NAO REDUTIVEL COM FISE FECHADA