Chapter 21 procedures

Question 1

procedural steps for bone graft

Answer 1

• incision: 10 blade
• dissect down
• dissect fascia and periosteum
• procure graft
• close

Question 2

what is a bankart lesion

Answer 2

tear of the anterior capsule of the labrum of shoulder

Question 3

what is a SLAP lesion

Answer 3

superior labral avulsion on top part of labrum from anterior to posterior

Question 4

what is impingement syndrome

Answer 4

tendons get pinched in the shoulder between the bones during movement

caused by inflammation

Question 5

what is the most common cause of shoulder pain

Answer 5

impingement syndrome

Question 6

what are bone spurs

Answer 6

bony projections from repeated trauma

Question 7

what is shoulder arthroscopy for

Answer 7

used to diagnose defects, can sometimes repair

Question 8

procedure steps for shoulder arthroscopy

Answer 8

• 18 g spinal needle inserted
• posterior incision 11 blade
• trocar inserted
  anterior incision 11 blade

Question 9

what are the steps for examination in shoulder arthroscopy

Answer 9

• insert probe
• bicep tendon located
• articulating surfaces located
• repairs performed
• close

Question 10

what are the steps for repairing bankart in shoulder

Answer 10

• scapular neck smoothed down
• holes drilled for suture anchors
• suture anchors are placed
  —- holds the tissue down on labrum
• post op

Question 11

what is an acromioplasty for

Answer 11

shaves off anterior side of acromian so that it doesnt rub against the tendons

Question 12

what are the 3 most common open shoulder anterior dislocation repairs

Answer 12

putti platt
bristow
bankart

Question 13

what is the pathology needed for a total shoulder arthroplasty

Answer 13

osteoarthrosis
4 part humerus fracture

Question 14

what is a reverse total shoulder arthroscopy

Answer 14

put the ball on the scapula and the plate on the humerous, opposite of how it should be

Question 15

what is a collies fracture

Answer 15

fracture of distal radius at its epiphysis

Question 16

what are the two types of fixes for collies fracture

Answer 16

external fixation
percutaneous pinning

Question 17

what is ORIF of a fracture hip

Answer 17

femoral neck fracture
needs sliding screw plate system

Question 18

what is an internal fixation of femoral shaft fracture

Answer 18

IM rods or femoral nails, not an open procedure

lower infection rate, smaller scar

Question 19

what instruments are needed for knee arthroscopy

Answer 19

video, tourinquet, fluid pump, shaver

Question 20

procedure steps for knee arthroscopy

Answer 20

11 incision
irrigation cannula placed
2nd incision (11)
explore joint
repair
close

Question 21

procedure steps for arthroscopic meniscus tear repair

Answer 21

perform Dx arthroscopy
free torn piece from meniscus
grasp torn segment
place cannulas for suture
incise (15)
advance needles, tie suture
close

Question 22

procedure steps for ACL tear

Answer 22

arthroscopic exam
harvest graft from tibia
graft insertion
close

Question 23

procedure steps for above the knee amputation

Answer 23

incision with 10 blade
hemostasis
amputate soft tissue
elevate femoral periosteum
transect bone
close

Question 24

what is a TKA

Answer 24

total knee arthroplasty

Question 25

why do you perform TKA

Answer 25

restore joint function, reduce pain, improve mobility

Question 26

TKA procedure steps

Answer 26

incision prepare: - femur - tibia - patella (in that order)

Question 27

how do you prepare the femur in a TKA

Answer 27

distal, anterior, end posterior femur cuts across the end of it

Question 28

how do you prep the tibia in a TKA

Answer 28

proximal tibia cut tibial punch- slot for implant

Question 29

how do you prep the patella in a TKA

Answer 29

saw over the top of it patellar implant installed

Question 30

what is trialing for a TKA

Answer 30

testing all the new components, check its balance

Question 31

order of implantation for a TKA

Answer 31

tibia femur poly insert patella

Question 32

what is the charnley retractor for

Answer 32

used during arthroplasty of the hip

Question 33

*when do you need a fracturetable*

Answer 33

*internal fixation of femoral shaft fracture* *hip fracture*

Question 34

*what do oyu use to notch the femur*

Answer 34

*osteotome or awl*

Question 35

*what do you use to ream out bone marrow and cancerous bone*

Answer 35

*reamers*

Question 36

*what are the three important things to remember for internal fixation of femoral shaft fracture*

Answer 36

*listen for chatter* *insert nail* *locking screws in needed*

Question 37

*what is the most important thing you use for a hip fracture*

Answer 37

*dynamic hip system*

Question 38

what blade do you use for a hip fracture

Answer 38

10 blade

Question 39

*what are the options for a total knee*

Answer 39

*unicompartmental* *bicompartmental* *tricompartmental*

Question 40

*what is a unicompartmental total knee*

Answer 40

*medial or lateral side of femur and tibia*

Question 41

*what is bicompartmental total knee*

Answer 41

*femur and tibia*

Question 42

*what is tricompartmental total knee*

Answer 42

*femur, tibia, and patella* most popular

Question 43

what is a triple arthrodesis

Answer 43

fusing togethe the calcaneocuboid and talonavicular joints

Question 44

what bones does the triple arthrodesis fuse

Answer 44

cubiod calcaneous talus