Term
| What is the goal of triple arthrodesis? |
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Definition
| relieve pain from arthritic, deformed, or unstable joints. |
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Term
| What three joints are fused during a triple arthrodesis? |
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Definition
| Subtalar, Calcaneocuboid, and Talonavicular Joints |
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Term
| What is the position and why do we use a sandbag? |
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Definition
| Supine with a sandbag under the hip of the operative side. The sandbag internally rotates the foot and makes the graft site easier to reach |
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Term
| What is the depression located on the lateral side of the tarsus and distal to and at the same level of the lateral malleolus called? (Hint-this is where we pack the bone graft) |
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Definition
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Term
| The Surgical Technologist should prepare extra gloves for the surgical team. Why? |
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Definition
| Some surgeons will have the team remove their outer gloves and replace them after draping due to the high risk of contamination. |
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Term
| How can the Surgical Technologist help the surgeon (and the patient) to not have to take a bone graft? |
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Definition
| By ensuring that as much of the resected bone as possible is saved for the bone graft. |
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Term
| If a bone graft needs to be taken, where is it taken from? |
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Definition
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Term
| Why can we not perform this procedure on children younger than 10-12 years of age? |
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Definition
| Because the procedure limits foot growth and has a high failure rate. |
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Term
| What should the patient expect for the first 6-8 hours? |
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Definition
| A good amount of bleeding |
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Term
| What is the order of the resections? |
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Definition
1)Subtalar joint
2)Calcaneocuboid joint
3)Talonavicular joint |
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Term
| When can the patient begin weight bearing? |
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Definition
| 10-12 weeks postoperative |
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Term
| What kind of conditions is this procedure performed for? |
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Definition
| Forefoot or hindfoot deformities. |
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Term
| What incisions can be used for this procedure? |
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Definition
Oblique-parallels the subtalar joint
Anterolateral-a longitudinal incision between tip of lateral maleolus and base of fourth metatarsal |
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Term
| What are the three screws and one pin that are (usually)used during a triple arthrodesis? |
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Definition
| One 65 mm screw, two 4.5mm cannulated screws, and a Steinman pin. |
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Term
| What will the surgeon do at the end of the triple arthrodesis procedure? |
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Definition
| Irrigate, check foot and heel for alignment, place a Jackson-Pratt suction drain, and close the wound in layers. A short leg cast or splint will be applied |
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