Digital amputation/ arthrodesis surgery Flashcards

1
Q

What are indications for digital amputation?

A
  • Deep digital sepsis / septic arthritis of the distal interphalageal joint
  • Retroarticular abscess
  • ‘Non healing’ wall lesions
  • Toe necrosis (amputation)
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2
Q

What are the 3 methods of digital amputation?

A
  • Method 1 = disarticulation, proximal interphalangeal joint
    -foot = washed + disinfected, IV regional block w tourniquet
  • Method 2 = not indicated - disruption of blood supply to second phalanx that is left = prolonged recovery
  • Method 3
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3
Q

What are things that can go wrong with arthrodesis(fusion of bones)? (joint resection)

A
  • Poor post op care
  • Problems with remaining claw
  • Ascending infections
  • Chronic pain
  • Failure to achieve ankylosis of the joint
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