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Surgical Approch > lower limb > Flashcards

lower limb Flashcards

1
Q

What are the approaches to the hip?

A

Anterior (Smith-Peterson)
Anterolateral (Watson- johns )
Lateral (Hardinge)
Posterior (Moore, Southern)
Medial (Ludloff)

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2
Q

Anterior (Smith-Peterson)

usd in THR

A

superfical -Sartorius (femoral) and TFL (superior gluteal)
deep - Rectus femoris (femoral) and
gluteus medius (superior
gluteal)

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3
Q

What are the complication of smit -pterson approch

A

LFCN
Femoral nerve and artery
Superficial iliac circumflex artery
LFCA (ascending branch)

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4
Q

Anterolateral (Watson- johns )

susd in THR

A

superfical- Sartorius (femoral) and TFL (superior gluteal )
Split gluteus medius (superior glutial )

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5
Q

What is the complication of Watson- johns

A

Femoral nerve and artery
branch Superior gluteal nerve
LFCA (descending branch)

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6
Q

Lateral (Hardinge)

usd in THR

A

superficial Split IT band
deep- Divide gluteus medius (superior
gluteal); divide vastus lateralis
(femoral)

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7
Q

What is the complication of Hardinge

A

Superior gluteal nerve&artery
LFCA (transverse branch

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8
Q

Posterior (Moore, Southern)

susd in THR

A

superficial Divide gluteus maximus (inferior gluteal), IT band
deep- Piriformis, short external rotators, and femur

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9
Q

What is the complication Moor

A

Sciatic nerve
Inferior gluteal artery
MFCA

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10
Q

Medial (Ludloff)

A

superficial Adductor longus (obturator) and gracilis (obturator)
deep- Adductor brevis (anterior division of obturator) and adductor magnus (obturator and tibial)

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11
Q

What are the approaches to the knee

A

Anterior (medial parapatellar)
Medial
lateral
posterior

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12
Q

Anterior (medial parapatellar)

A

Rectus femoris (femoral) and vastus
medialis (femoral), patella and medial
patellar retinaculum

complication - Infrapatellar branch of saphenous nerve

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13
Q

medial knee

A

Medial patellar retinaculum and sartorius
(femoral)

complication -Saphenous nerve , MCL

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14
Q

lateral knee

A

Iliotibial band and biceps femoris (sciatic)

complication - Peroneal nerve
Superior and inferior lateral geniculate artery
Popliteus tendon
LCL

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15
Q

posterior knee

A

Semimembranosus (tibial), biceps femoris
(sciatic), and lateral head gastrocnemius (tibial)

complication - Popliteal artery
Tibial nerve
Peroneal nerve
Medial sural cutaneous nerve

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16
Q

What are the approaches to the acetabulum?

A

Anterior (ilioinguinal)
Posterior (Kocher-Langenbeck)

17
Q

Posterior (Kocher-Langenbeck)

A

superficial -Divide gluteus maximus (inferior gluteal) ITB band
deep - Piriformis (nerve to piriformis),
and gluteus medius (superior
gluteal)

18
Q

complication of (Kocher-Langenbeck)

A

Sciatic nerve
Superior and inferior gluteal
nerve and artery
MFCA

19
Q

complication of Medial (Ludloff)

A

Obturator nerve
MFCA
Deep external pudendal artery

Surgical Approch (2 decks)

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