BONES

Question 1

The pin should just take __% of the bone

Answer 1

70-80%

Question 2

at the start of the surgery, the pin should be longer than the bone

Answer 2

true

Question 3

you can prepare just 1 size

Answer 3

false

Question 4

incision approach

Answer 4

craniolateral border

Question 5

tool for reduction

Answer 5

bone holding forceps

Question 6

tool used to reduce space between bones

Answer 6

bone holding forceps

Question 7

key to bone surgery

Answer 7

proper visualization

Question 8

steps in bone suegry

Answer 8

1. reduction
2. apposition
3. preliminary fixation

Question 9

used to hold bones togetehr

Answer 9

cerclage wires

Question 10

differentiate normograde vs retrograde

Answer 10

1. going distal
2. going proximal, then into and towards the distal end of bone

Question 11

angle of pin insertion

Answer 11

20

Question 12

pin insertion should be aligned with the ______ of the bone

Answer 12

medullary axis

Question 13

drive the pin into the ___ of distal metaphysis

Answer 13

cancellous bone

Question 14

when penetrated may cause inflammation

Answer 14

cortex

Question 15

aftercare phase 1

Answer 15

resolve inflamm, edema and pain

Question 16

aftercare phase 2

Answer 16

Resolve hematoma/edema
Prevent muscle contracture

Question 17

how long do bone healing lasts

Answer 17

6 or 8-12

Question 18

indication for FHO

Answer 18

hip dysplasia, fractures esp. recurrent

Question 19

tools needed for FHNO

Answer 19

major surgical pack
bone hammer
chisel (osteotome)
bone saw/cutter
bone rasp/file

Question 20

incision approach for FHNO

Answer 20

craniolateral to thigh
cranial to greater trochanter

Question 21

where to cut in FHNO

Answer 21

neck

Question 22

how many people to do FHO

Answer 22

at least 3

Question 23

what are checked after FH is freed

Answer 23

bony prominences
irregularities
range of motion [grinding, bony contact]

Question 24

suture pattern on deep gluteal

Answer 24

mattress

Question 25

suture pattern on muscle reattachment

Answer 25

simpl. int.

Question 26

suture material for closing of joint capsule over acetabulum

Answer 26

o - 2-0

Question 27

popular rehab

Answer 27

swimming

Question 28

supplements are for life

Answer 28

true

Question 29

Healing is generally complete after 4 weeks

Answer 29

6 weeks

Question 30

primary fixation, external fixation

Answer 30

cast or splint - external coaptation

Question 31

primary fixation , internal fixation

Answer 31

IM pins and/or k wires ESF ILN BPaS

Question 32

ancillary fixation, internal fixation,

Answer 32

lag screws full cerclage hemi cerclage

Question 33

indications for IM pin + cerclage wire

Answer 33

long oblique fractures, spiral fractures of feumir, tibia and humerus

Question 34

indications for ILN

Answer 34

comminuted fractures, limited bone length, very rigid repairs

Question 35

ESF indication

Answer 35

open contaminated fractures, avulsion, concern to implants causing infection, osteomyelitis or explantation

Question 36

BPS indication

Answer 36

Any fracture in which there is enough bone length proximal and distal to the fracture to allow placement of 3 screws in each fragment, engaging a minimum of 6 cortices

Question 37

aftercare for FHNO

Answer 37

1-14 days anti inflamm, edema, pain rehab early

Question 38

first muscle seen after first incision

Answer 38

biceps muscle

Question 39

second muscle seen after biceps muscle

Answer 39

vastus lateralis on left adductor magnus muscle on right and under

Question 40

FNO or FHNO meaning

Answer 40

FHO (FHNO) FEMORAL HEAD (AND NECK) OSTECTOMY

Question 41

when can sutures be removed after pin placement

Answer 41

10-14 days