SASx - Surgery Lab Quiz Material Flashcards
Which bandage layer is in direct contact with the wound or the patient surface?
primary layer
This is the most common adherent bandage:
wet to dry
What are the 3 primary components of bandages?
primary layer, secondary layer, tertiary layer
What method of bandage anchoring is shown below?
torso strap
figure 8 bandage material around forelimbs further helps to hold the chest bandage in a cranial position
What method of bandage anchoring is shown below?
tie over bandage
A Spica Splint is a temporary splint for fractures or luxations at what location?
proximal to, or including the elbow or stifle
provides immobilization of upper extremities
-
Materials used:
- Porous tape
- Roll cotton
- Conforming bandage
- Elastikon
- Splint rod
What sling would be recommended to create a non-weightbearing forelimb?
Velpeau Sling
- Creates non-weightbearing forelimb
- immobilization after reduction of shoulder luxation
- Primary stabilization for some scapular fractures
- Materials: cast padding, conforming gauze, elastikon
What sling would be recommended to create a non-weightbearing hindlimb with inward hip rotation?
Ehmers Sling
- Figure of Eight sling
- Creates non weight bearing hind limb
- Provides femoral abduction
- Inward hip rotation
- Indication after reduction of cranial dorsal hip luxation
What are some indications for a Robinson Sling (pelvic limb sling)?
- Tibial or femoral fracture repair
- Post-op coxofemoral or stifle surgery
T/F: When applying the secondary bandage layer on small animal patients, it is important to always apply the rolled material proximal to distal on the limb
False
It is important to apply the material _distal_ to _proximal_. If we go proximal to distal, we almost always cause venous congestion in the distal limb and swelling of the paw
What orthopedic examination is being performed in this image?
cranial drawer test
What is shown here?
coxofemoral luxation
What diagnostic modality is being used here?
nuclear imaging
-
Indications for Nuclear Imaging
- Normal radiographs in presence of clinical lesion
- Unable to localize the lesion
- Evaluation for suspected metastasis
- Monitor response to therapy
- CT has replaced this diagnostic in many instances
What materials are used for a Modified Robert Jones bandage?
porous tape, cast padding, conforming bandage, elastikon or vet wrap
What are some indications for a full leg cast?
-
Indications
- Minimally displaced stable fractures
- Distal to the elbow or stifle
- Young fast healing patients
- Used as adjunct following internal fixation or arthrodesis
What are some contraindications for a full leg cast?
- Don’t apply over wounds
- Don’t apply with significant inflammation
- Don’t cast femur or humerus
When using radiography for diagnosis of orthopedic limb disorders, __________ views are a necessity for making a proper diagnosis.
orthogonal views
What fracture configuration is ideal for the use of cerclage wire?
Long oblique
How far apart from the fracture ends should cerclage wires be placed?
0.5 cm
Name the cerclage wiring technique used on short oblique fractures in conjunction with a K-wire:
Skewer pin
Which fixation technique would be ideal for treatment for the fracture shown in this radiograph (avulsion fracture)?
Tension band
What two types of Salter Harris fractures might go undiagnosed on initial radiographs?
SH-1 and SH-5
What type of fixation would be best for treatment of a Grade IIIA open fracture?
External Skeletal Fixation
What determines the bending strength of a screw?
Core diameter
What fractures must always be anatomically reconstructed?
Articular fractures
Name at least three ways to increase the rigidity of an external skeletal fixator construct:
- Frame type (I-III)
- Double bar
- Interconnecting bars
- Reduce bone-connecting bar distance
- Pin distribution à Pins close to ends of bone & fracture = most stable
- Increased number of pins
- Larger diameter of pins and connecting bar
Name the condition that can occur when a young animal’s comminuted femoral fracture is treated with rigid immobilization for an extended period of time
Quadriceps contracture
Of the four A’s that are evaluated in post-op fracture repair radiographs, which term relates to the positioning of the joints?
Alignment
In biomechanics, what is the term for the point at which a material transitions from elastic to plastic deformation?
Yield Point
What antibiotic is the best first choice for treatment of an open fracture?
Cefazolin
What is the most common complication associated with external skeletal fixation?
Pin tract morbidity/drainage/infection
What percentage of the medullary canal should be filled by a Steinmann pin if it is the primary means of fixation?
70%