Soft Tissue Procedures
Proximal Phalanx Procedures
Distal First Met Head Procedures
Diaphyseal Procedures
Base Procedures/
Arthrodesis
100
This procedure involves resection of the dorsomedial eminence of first metatarsal head while preserving the plantar sesamoidal shelf.
What is the Silver procedure?
100
Name 5 methods of fixation for an Akin osteotomy.
- K-wire - Nonabsorbable suture - Wire suture - Absorbable pin - Staple
100
Name two modifications of the Reverdin osteotomy (intra-articular closing adductory wedge osteotomy, preserving an intact lateral cortical hinge).
What is Green (horizontal plantar osteotomy made trough metatarsal head dorsal to sesamoid to protect the plantar surface and sesamoidal articular surfaces), Todd (Green + penetration of plantar cortex to enable sagittal plane correction), Laird (completion of osteotomy through lateral cortex allowing transverse plane translocation of the capital fragment to reduce the first IMA).
100
This is a diaphyseal Z-plasty osteotomy that employs three bone cuts.
What is the SCARF?
100
The side (medial or lateral) of the cortex kept intact for a Juvara osteotomy.
What is the medial cortex?
200
This is a joint destructive procedure that involves resection of base of proximal phalanx of the hallux.
What is the Keller?
200
True or false? Inadequate correction of the first MTPJ can be adequately corrected with a "cheater Akin".
False.
200
An Austin is traditionally used to correct an IMA of up to __?
16 degrees
200
This diaphyseal osteotomy is oriented from dorsal-proximal to plantar-distal.
What is the Ludloff.
200
What is a common physical exam finding would lead to the consideration of performing a Lapidus procedure?
What is hypermobility of the first ray.
300
This version of this procedure involves a medial exostectomy, excision of fibular sesamoid, medial capsulorraphy, and transfer of adductor hallucis tendon to deep surface of medial capsular flap.
What is a true McBride?
300
This Akin procedure corrects an abnormally high DASA and/or HIA.
What is the Cylindrical Akin osteotomy?
300
What is the Kalish modification of the Austin?
Angle of osteotomy is 55 degrees. Longer dorsal arm.
300
This diaphyseal osteotomy is oriented from dorsal-distal to plantar-proximal.
What is the Mau osteotomy?
300
This is an indication to perform a Trethowan osteotomy.
What is a short first metatarsal?
400
These are complications of which procedure? • Shortening of hallux • Recurrent hallux abductus • Hallux elevates • Lesser metatarsalgia • Sub-2nd MTH IPK
What is the Keller?
400
This version of the Akin procedure addresses: • Correction of true hallux interphalangeus • Increased DASA
What is the proximal/standard Akin?
400
What was originally used as fixation for the Austin osteotomy?
Nada!
400
How many centimeters from the first met-cuneiform joint should the Ludloff osteotomy be performed?
What is 1 cm?
400
What planes of correction does a Juvara osteotomy correct?
What are the transverse and sagittal planes.
500
This ________ modification of the _______ procedure involves a medial capsular flap over the metatarsal head.
What is the Ganley modification of the Keller.
500
This Akin osteotomy is indicated for an hallux interphalangeus angle of >10-12 degrees.
What is the distal Akin osteotomy?
500
What are some complications of the Reverdin osteotomy?
- AVN - Sesamoiditis - First MPJ stiffness
500
True or false? The Off-set V (Vogler) osteotomy allows correction of the IMA and PASA.
What is true. Allows correction of a moderate to high first IMA, and PASA via swiveling of the dorsal fragment.
500
What is an epiphysiodesis?
Used in the correction of juvenile HAV (mild) where the IMA is not greatly increased. It is an effort to control the final position of the first metatarsal by staple fixation or bone graft interposition at the lateral aspect of the first met base physis.
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