Osteotomies
When do you do a proximal vs distal akin?
Proximal increased DASA, distal increased HIA.
When you are resecting the medial eminence, what are you cautious of?
Staking of the head/ preservation of sesamoidal groove.
Danis Weber classification.
A below joint, B at, C above
Most frequently fractured metatarsal.
5th met
Which President made Thanksgiving a national holiday?
Lincoln
Orientation of akin cuts.
proximal cut perpendicular to phalanx, distal cut parallel to HIPJ.
Lateral release sequence of release
Adductor tendon, lateral metatarso sesamoid ligament, FHB tenotomy (lateral head), fibular sesamoid.
Which type of lauge-Hansen fracture is most common?
SER II
What is the rosenthal classification used for and why is it important.
Nail bed injuries. Type III you amp it, II local skin flaps/grafts, I secondary intention
Who was the first president to pardon a turkey?
JFK
Draw a reverdin Green. What does it correct?
PASA, medial base closing wedge with plantar shelf intact.
Where is the location of blood supply to the first metatarsal?
Just proximal to the capsular attachments.
Draw a Sanders type 3 BC fracture.
Draw it
When do you need a tendon graft when repairing an achilles tendon? Use the kuwada classification for justification.
Kuwada IV, >6cm deficit
What two countries popularized Halloween costumes for trick-or-treating?
Scotland and Ireland
Draw a kalish modification, and why is it done?
55 degrees, longer dorsal arm for better fixation (2 screws).
Difference between structural and positional bunion.
Positional: Within ST, can be reduced, increased instability, distal osteotomy used.
Structural: Within the bones, more proximal osteotomy
What is a Hawkins type III fracture? How common is AVN?
Displaced talar neck fx with STJ and ankle dislocation. 83-100% AVN
Calcaneal fracture ORIF technique reduction steps
2. Calcaneal tuberosity to sustentaculum tali (pull out of varus.)
3. Reduce lateral joint fragment to sustentaculum tali.
What type of mask does michael myers wear in Halloween?
William Shatner mask
Name 3 procedures for a severe IMA (greater than 15 degrees).
Lapidus, offset V, OBWO, CBWO, Crescenteric, ludloff, scarf, mau
What is the difference between a rotational and translational procedure. Give examples of both.
Translational just moves laterally, with no change to orientation of articular surface. Austin. Rotational: MT and articular surfaces rotated laterally, joint will now be laterally deviated (CBWO).
Gustillo-Anderson classification type 3 antibiotic coverage, and how soon should they be getting abx? How soon until surgery?
Ancef, gentamycin, cipro, pen G (dirty/farm injuries). Abx within 3 hrs, surgery within 6.
What are the 5 true podiatric surgical emergencies?
What is the name of the computer in 2001: A Space Odyssey?
HAL (Heuristically programmed ALgorithmic computer)