Treatment of Tailor's Bunion Flashcards Preview

Biomechanics & Surgery Exam 4 > Treatment of Tailor's Bunion > Flashcards

Flashcards in Treatment of Tailor's Bunion Deck (21)
Loading flashcards...
1
Q

What are some conservative treatment options for Tailor’s bunion?

A
  • debridement of lesions
  • padding
  • shoegear modifications
  • NSAIDs
  • physical therapy
  • injections
  • orthoses
2
Q

what are some surgical treatment options for Tailor’s bunion?

A
  • exostectomy
  • arthroplasty
  • osteotomies
3
Q

what is an arthroplasty and when is it used?

A

last resort removal of the 5th met head. indicated in elderly patients or those who are sedentary since it is joint destructive and may cause retraction of the toe

4
Q

what are some of the osteotomies done at the capital (head) of the metatarsal?

A
  1. Hohmann
  2. reverse wilson
  3. chevron
  4. mercado
5
Q

describe the hohmann procedure.

A

(capital osteotomy) - transverse osteotomy of metatarsal neck

6
Q

what are some drawbacks to hohmann procedure?

A

fixation is difficult bc it is a transverse osteotomy

7
Q

what are some complications associated with hohmann procedure?

A

undercorrection, delayed or non-union, transfer lesions

8
Q

describe the reverse wilson procedure.

A

(capital osteotomy) - an oblique osteotomy is made distal lateral to proximal medial.

9
Q

describe the chevron osteotomy.

A

(capital osteotomy)- a V shaped cut made on the 5th met

*aka “mini-austin”

10
Q

describe the mercado procedure.

A

(capital osteotomy)- distal closing wedge in subcapital bone with apex proximal-lateral

11
Q

describe the fixation ability and technical ability for mercado procedure.

A
  • increased technical difficulty to perform

- but fixation is easier

12
Q

what complications are associated with mercado procedure?

A

hinge fx

fixation failure/retrieval

13
Q

what is the name for the procedure that is done at the 5th metatarsal shaft?

A

Yancey

14
Q

describe the yancey procedure.

A

(shaft osteotomy)- closing wedge at metatarsal shaft

15
Q

what is the disadvtg of Yancey procedure?

A

NWB bc osteotomy is made in the shaft (which is not good healing bone)

16
Q

what complications are associated with Yancey procedure?

A

fx
delayed healing
non-union

17
Q

what is the procedure done at the base of the metatarsal?

A

Gerbert

18
Q

describe the Gerbert procedure.

A

(basilar osteotomy)- closing wedge procedure done at the base of the met

19
Q

which surgical procedures have post-op instructions that must be NWB?

A

Yancey (shaft osteotomy) and Gerbert (basilar osteotomy)

*all the capital osteotomies can be WB

20
Q

If you have an increased lateral deviation angle (>8), which procedure would you elect do it?

A

capital procedures

21
Q

if you have an increased IM angle btwn 4th and 5th mets, which procedure would you choose to do?

A

basilar procedure (Gerbert)