2. Instrumentation - Bunions Flashcards
(76 cards)
1
Q
name and classification
A
- n: number 3 blade handles
- c: cutting and dissection
2
Q
use?
A
holds # 10 or #15 blade
3
Q
10 blade use
A
- used for making skin incision
- Too big for incision on 5th toe
4
Q
15 blade use
A
- smaller
- used for making subsequent (deeper) cuts
5
Q
classification:
A
SCISSORS AND TIPS
6
Q
Summary: name LEFT to RIGHT
A
- Crown and Collar,
- Utility,
- Metzenbaum,
- Mayo,
- Iris,
- Wire Cutter (“we do not have this”))
7
Q
name
use
classification
A
- n: Crown and Collar scissor
- u: used for sesamoidectomies
- c: scissors, tips
8
Q
name
use
classification
A
- n: Utility scissors
- u: cuts anything** (gauze, drapes, etc), **except tissue and sutures
- c: scissors, tips
9
Q
name
use
classification
A
- n: Curved Metzenbaum scissors
- u: used for sharp and blunt dissection**, **cuts tissue only, operating scissor
- c: scissors, tips
10
Q
name
use
classification
A
- n:Mayo scissors –
- u: TUSPM’s suture scissors, not a suture removal scissor, smaller than Utility but heavier than Metzenbaum
- c: scissors, tips
11
Q
name
use
classification
A
- n: Iris scissors
- u: sharp tips for tissue dissection, also for eye surgery
- c: scissors, tips
12
Q
name
use
classification
A
- n: Wire Cutter –
- u: fine serrated edges, used to cut stainless steel wire sutures, **not K-wires
- c: scissors, tips
13
Q
name
use
classification
A
- n : Bone Cutter
- u: sharp-edged blades**, **used to cut MT head**, **both sides bend when you squeeze it**, **flat blade**, **“can be easily mixed up with nail nipper”
- c: scissors, tips
14
Q
name
use
classification
A
- n: Ronguer
- u: sharp scoop-like edges**, **used to smooth sharp bone edges
- c: scissors, tips
15
Q
name
use
A
- n: Osteotome and Mallets
- u: osteotome is placed on bone to be cut and end is hit (tapped) with the mallet, not used much
16
Q
name (**TOP)
use
classification
A
- n: MALTZ RASP
- u: file bones smooth; used for larger bones
- c: rasp
17
Q
name (**BOTTOM)
use
classification
A
- n:Joseph nasal rasp
- u: file bones smooth; used for smaller bones
- c: rasp
18
Q
name/ use (top)
name/use (bottom)
classification
A
- Bone curette
- Fox Dermal** (soft tissue) – **removal of warts and lesions
- c: currette
- part of the cutting and dissection classification according to classification sheet, although introduced towards the end of lecture
19
Q
Number 3 scalpel/blade/knife handles
use
A
- holds #10 or #15 blade
- have sharp edges and are used to cut, dissect, incise, separate or excise tissues or other materials
20
Q
Crown and Collar scissor:
use
A
used for sesamoidectomies
21
Q
Utility scissors
use
A
cuts anything (gauze, drapes, etc), except tissue and sutures
22
Q
Curved Metzenbaum scissors
use
A
used for sharp and blunt dissection, cuts tissue only, operating scissor
23
Q
Mayo scissors
use
A
- TUSPM’s suture scissors, not a suture removal scissor, smaller than Utility but heavier than Metzenbaum
24
Q
Iris scissors
use
A
sharp tips for tissue dissection, also for eye surgery
25
Wire Cutter:
use
* fine serrated edges, used to **_cut stainless steel wire sutures**_, _**not K-wires_**
26
Bone Cutter
use
sharp-edged blades, used to cut MT head, both sides bend when you squeeze it, flat blade
27
What can easily be mistaken for a BONE CUTTER?
“can be easily mixed up with nail nipper”
28
Ronguer:
use
* sharp scoop-like edges,
* used to smooth sharp bone edges
29
Osteotome and Mallets
use
* **_osteotome is placed on bone to be cut and end is hit (tapped) with the mallet_**, not used much
30
Rasp:
use
files bone smooth;
incl: Maltz rasp, Joseph nasal rasp
31
Curettes
use
* **_Bone curette_**
* **_Fox Dermal**_ (soft tissue) – _**removal of warts and lesions_**
32
Classification: Grasping and Holding
Use?
Grasp and hold tissues in place so surgeon can perform the maneuver without injuring surrounding tissues, or sometimes without injuring the tissue excised
33
name
use
* **_Forceps (Pickups)_** – bodies of all 3 look the same
* grasping and holding
34
what are the 3 "tweezer type" pickups?
* **_Adson toothed_** (1x2, “rat-tooth”)
* **_Brown-Adson_** (multi-tooth)
* **_Adson plain_** (smooth, thumb or dressing)
35
what are the 2 "scissors-action type"?
hinged
* **_Allis Grasping Forceps**_ – _**small, fine teeth_**
* **_Kocher**_ – _**large sharp tooth on either side**_, traumatic, _**“often mistaken for large straight hemostat”_**
36
name
**Adson plain**
| (smooth, thumb or dressing)
37
name
* Brown-Adson (multi-tooth)
38
name
* **_Adson toothed_** (1x2, “rat-tooth”)
39
name (LEFT)
use
classification
* n: **_Allis Grasping Forceps_**
* u: **_small, fine teeth_**
* c: scissors-action type (hinged) grasping and holding
40
name
use
classification
* n: Kocher
* u: **_Large sharp tooth on either side**_, traumatic, _**“often mistaken for large straight hemostat”_**
* c: Scissors action type (hinged) grasping and holding
41
difference between ALLIS and KOCHER tips?
L=Kocher large sharp tips,
R=Allis multiple fine tips)
42
what is this?
* **_Allis Grasping Forceps**_ – _**small, fine teeth_**
43
what is this?
* **KOCHER** Grasping Forceps
* **_large sharp tooth on either side**_, traumatic, _**“often mistaken for large straight hemostat”_**
44
use of clamping instruments?
* instruments which **clamp and occlude to apply pressure**
45
purpose of HEMOSTATIC FORCEPS?
* (hemostats, stats) –
* used to occlude blood vessels
46
What are the 2 categories of hemostats?
straight, and
curved
47
name (TOP)
use
classification
* n: **_Straight Kelly_**
* u: **_serrations ½ way on blade;_** used to occlude blood vessels
* c: hemostatic forceps; clamping instruments
48
name (BOTTOM)
use
classification
* n: **Straight Mosquito**
* u: **serrations all the way on blade, smaller stat**
* c: hemostatic forceps; clamping instruments
49
name
use
classification
* n: **CURVED MOSQUITO**
* u: **serrations _all the way_,** smaller stat
* c: hemostatic forceps
50
name
use
classification
* n: **_Curved Kelly_**
* u: **_serrations ½ way on blade_**
* c: hemostatic forceps
51
retractor: use
* **_instruments used to pull aside soft tissues, muscles or other structures for exposure to the surgical site_**
52
what are the types of HANDHELD RETRACTORS?
* Senn
* Ragnell
* Rake
* Meyerding
* Army-Navy
* Malleable
53
what is the purpose of HAND-HELD RETRACTORS?
fine sharp skin hooks, used to open up surgical fields so you can see what you’re doing
54
name
use
classification
* n: **_Senn Retractors_** (blunt or sharp)
* u: **_right angle blade on one end, rake on the other end_**, rakes could be blunt of sharp
* One of the tips has three sharp hooks, which allows fixating the tissues more precisely, and is mostly used to hold **fat tissue**
* c: hand-held retractors
55
name
use
classification
* n: **_Ragnell Retractors_**
* u: **_curved blades at both ends**_, _**smaller than Senn_**
* c: handheld retractors
56
name
use
classification
* n: **_Rake Retractors_**
* u: **_ends may be sharp or dull_**, not used very often
* c: handheld retractors
57
name
use
classification
* n: **_Meyerding Retractors_**
* u: **_blades on one end**_, also called _**finger retractors_**
* c: **_handheld retractor_**
58
name
use
classification
* n: **_Army-Navy Retractors_**
* u: **_blades on both ends_**, come in various sizes, also called US Army retractors), not used very often
* c: handheld retractors
59
name
use
classification
* n: MALLEABLE
* u: ribbon, bendable
* used to **retract deep wounds.** May be bent to various shapes
* c: malleable handheld retractor
60
name
use
classification
* n: **Seaberger**
* u: – **_malleable on one end**_, band on the other end, _**fixed end_**
* reflect and hold tissue **around the corner of an exposed bone** region
* c: bendable handheld retractors
61
name
use
classification
* n: **_Weitlander Self-Retraining Retractor_**
* u: **_sharp tips on end**_, _**used when no assistant is available to retract**_, used for _**bunions and soft tissue neuromas_**
* c: bendable retractor
62
why would you use a Weitlander Self-Retraining Retractor ?
used when no assistant is available to retract,
63
use of elevator?
instrument inserted under a structure to lift or elevate the structure
64
what are the 2 types of elevators?
Freer Periosteal
Sayer
65
name
use
classification
* n: **_Freer Periosteal Elevator_**
* u: used to **_elevate the nail/periosteum**_, _**“looks like a rasp but don’t have bone files on end”_**
* c: ELEVATOR
66
name
use
classification
* n: **_Sayer Elevator_**
* u: used to **_elevate large bone, bunion_**
* c: ELEVATOR
67
suturing and stapling:
use
instruments used to facilitate the placement of materials used in wound repair and/or tissue approximation
68
name
use
classification
* n: **_Needleholder (Needledriver_**)
* u: used to **_hold needle for suturing**_, _**“can be mistaken or hemostat”_**
* c: suturing and stapling
69
suctioning or aspirating:
use
the removal of blood, bodily fluids, tissue and/or irrigating solutions from the surgical site using mechanical suction or manual aspiration
70
name
use
classification
* n: **_Frazier Suction Tip_**
* u: used to r**emove fluid (blood) from the surgical site,** helps keep the field dry for better exposure
* c: suctioning or aspirating
71
what are the accessory instruments discussed in class?
* k-wire/ pin cutter
* english anvil nail splitter
* pliers
* towel clamps
(mnemonic: "KEPT") accessory instruments are KEPT handy
72
name
use
classification
* n: **TOWEL CLAMPS**
* u: **used to hold towels or drapes on the sterile field,** not used often
* c: ACCESSORY
73
name
use
classification
* n: **_English Anvil Nail Splitter_**
* u: used for **_total nail avulsions**_, _**“easily mistaken for bone cutter”_**
* c: ACCESSORY
74
name
use
classification
* n: **Pliers**
* u: **needle-nosed pliers, K-wire bender**
* c: ACCESSORY instruments
75
name
use
classification
* n: **K-wire/pin cutter**
* u: **cuts K-wires and Steinmann pins**
* c: ACCESSORY instrument
76
name
use
classification
* n: Lister bandage scissors
* u: cutting bandages, cutting down drapes after surgery
* c: scissors
