PROCEDURES Flashcards
procedure used as a bump and run, shave off the bump
indications:
HAV deformity with painfree 1st MTPJ ROM
no need to realign hallux
minimal surgery necessitated
silver
procedure for silver and soft tissue work where you excise fibular sesamoid?
what is the modified McBride?
indications:
HAV deformity with painfree 1st MTPJ ROM and need to realign hallux, deviated/subluxed MTPJ
McBride
leave fibular sesamoid
adductor tendon release/transfer
what are the type of phalangeal osteotomies?
akin osteotomy
- distal akin
- proximal akin
- cylindrical akin
- oblique akin
what is this phalangeal osteotomy?
wedge cut in distal aspect of proximal phalanx
indications: abnormal HIPA prox phalanx of normal length minimal valgus rotation of hallux ROM of IPJ is WNL
fixation: Kwire, staple, screw, cerclage wire
post op: NWB 4-6 weeks with serial XR, return to shoe gear 6 weeks
distal akin
what is this phalangeal osteotomy?
wedge cut in proximal aspect of proximal phalanx
indications:
- abnormal HIPA
- prox phalanx
- minimal valgus rotation of hallux
- ROM of IPJ is WNL
fixation: kwire, staple, screw, cerclage wire
post op: NWB 4-6 weeks with serial XR, return to shoe gear 6 weeks
proximal akin
what is this phalangeal osteotomy?
more severe oblique cut in central proximal phalanx
distal or proximal
more oblique, the easier it is to fixate
oblique akin
what is this phalangeal osteotomy?
no hinge left behind
cylindrical wedge taken (wider medially)
not often done
cylindrical akin
what are the distal metatarsal osteotomies?
chevron
reverdin green
reverdin green laird
crescentic
