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Crozer Surgery Keegan Duelfer > Bunion surgeries > Flashcards

Bunion surgeries Flashcards

1
Q

Proximal akin (indication)

A

corrects a large DASA

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2
Q

Central akin (indication)

A

shortens a long proximal phalanx

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3
Q

Distal akin (indication)

A

corrects a high hallux abductus angle

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4
Q

Austin (what is it and indications)

A

V-shaped osteotomy with apex in center of met head and arms forming a 60 degree angle

Indicated if HAV with IMA 12-14

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5
Q

Cheilectomy (what is it and indications)

A

removal of dorsal bone spur and dorsal 1/3 of 1st met head. May also remove prominences from proximal phalanx base. Indicated for Hallux limitus

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6
Q

Closing base wedge/ Louisan-Balasceau

(what is it and indications)

A

closing wedge osteotomy straight across base of 1st met

Indicated for HAV with high IMA

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7
Q

Crescentic (indications)

A

HAV with IMA >13

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8
Q

DRATO (what is it and indications)

A

It is a derotational osteotomy of 1st met head

Indicated for a large IMA + abnormal PASA + valgus rotation of 1st met

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9
Q

Hohmann (what is it and indications)

A

It is a transverse osteotomy of the metatarsal neck (unstable)

For HAV

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10
Q

Juvara (what is it and indications)

A

it is a CBWO with the apex set proximal medial and the wedge set laterally

For a HAV > 15

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11
Q

Kalish (what is it and indications)

A

similar to Austin but with a long dorsal arm for screw fixation.

HAV with IMA >15

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12
Q

Keller ( what is it, specific patient population, and indications)

A

It is a resection of proximal 1/4-1/3 base of proximal phalanx and cheilectomy with capsular tissue sewn

Used in patients 50-55 years old

HAV with <16 IMA + hallux limitus/rigidus

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13
Q

Kessel-Bonney (what is it, indications)

A

it is a removal of a pie shaped dorsiflexory wedge of bone from the proximal phalanx

Used for Hallux limitus

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14
Q

Lambinudi (what is it and indications)

A

a plantarflexory wedge osteotomy of 1st met base

hallux limitus

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15
Q

Lapidus (what is it and indications)

A

Fusion of 1st metatarsal base to medial cuneiform

HAV with 1st ray hypermobility

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16
Q

Logroscino (what is it and indications)

A

Closing based wedge osteotomy to correct HAV with Reverdin to correct the cartilage orientation

HAV with IMA >15 in rectus foot with 13 adductus and abnormal PASA

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17
Q

Loison (what is it and indications)

A

Transverse CBWO and used for HAV

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18
Q

Ludloff (what is it, indications and comparison to Mau)

A

it is an oblique transpositional osteotomy (dorsal/proximal to plantar distal)

Used for HAV

opposite orientation to Mau

19
Q

Mau (what is it, indications and comparison to Ludloff)

A

it is an oblique rotational osteotomy (dorsal/distal to plantar proximal)

Used for HAV

opposite orientation to Ludloff

20
Q

McBride (what is it, and indications)

A

It is a Silver + soft tissue repair +capsular release/tightening

21
Q

McKeever (what is it and indications)

A

it is a 1st MPJ arthrodesis/ fusion where you position the hallux at 5-10 degrees abduction and 5-10 degrees dorsiflexion.

Used for HAV with dislocation and for Hallux limitus/rigidus

22
Q

Mitchell

A

for HAV

23
Q

Trethowan (what is it and indications)

A

it is an OBWO across base of 1st met

used for HAV

24
Q

Peabody (what is it and indications)

A

it is a reverdin done in the 1st met neck

used for an abnormal PASA

25
Q

Reverdin (what is it and indications)

A

it is a medial base wedge resection in 1st met head

for mild HAV + abnormal PASA

26
Q

Reverdin Green (what is it and indications)

A

Reverdin osteotomy but with an L-shaped portion to preserve sesamoid articulation

HAV with abnormal PASA

27
Q

Reverdin Laird (what is it and indication)

A

Reverdin green with lateral shift of the capital fragment to correct for IMA

For Moderate HAV + abnormal PASA

28
Q

Reverdin-Green-Laird-Todd (what and indications)

A

Triangle shaped wedge from top and side of distal 1st met

Correction of 3 planes

For Hallux limitus + HAV

29
Q

Scarf (what is it and indications)

A

Z-type osteotomy through shaft of the 1st met (watch out for troughing)

HAV with an IMA 12-18

30
Q

Silver (what and indications)

A

an isolated resection of medial eminence of 1st met head

Used for medial 1st MPJ pain and mild HAV

31
Q

Stamm (what and indications)

A

OBWO in medial cuneiform
For HAV

32
Q

Valenti (what and indications)

A

Removal of angled dorsal wedges from 1st met and proximal phalanx to increase ROM

Hallux limitis

33
Q

Vogler (what and indications)

A

V- osteotomy made in neck of 1st metatarsal. Similar to Kalish but more proximal

HAV

34
Q

Watermann (What and indications)

A

removal of closing wedge of bone from 1st met head to dorsiflex the capital fragment

Hallux limitus

35
Q

Watermann- Green (what and indications)

A

Watermann osteotomy but includes a plantar shelf to preserve sesamoid articulation

Hallux limitus

36
Q

Wilson (what and indications)

A

Oblique cut from distal/medial to proximal/lateral

For HAV + a long 1st met

37
Q

Youngswick (what and indications)

A

Austin but with extra slice take out on the dorsal arm to allow head to drop plantarly

HAV+ DF 1st met
HAV+ Hallux limitus

38
Q

Gerbert (what and indications)

A

Wedge osteotomy of 5th met base with K-wire or screw fixations

For Tailor’s bunion

39
Q

Mercado (what and indications)

A

Oblique wedge osteotomy at 5th met neck

Tailor’s bunion

40
Q

Reverse Austin (what and indications)

A

Transverse plane V- osteotomy

tailors bunion

41
Q

Reverse Hohmann (what and indications)

A

Transverse osteotomy in distal metaphysis of 5th met. Fixation not used

Tailor’s bunion

42
Q

Reverse Wilson(what and indications)

A

Osteotomy from distal/ lateral to proximal medial to shorten 5th met and medial transposition

Tailor’s bunion

43
Q

Yancey (what and indications)

A

Oblique or transverse wedge osteotomy at 5th met proximal mid diaphyseal.

Tailor’s bunion

Crozer Surgery Keegan Duelfer (16 decks)

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