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Details

Digital surgery
Pod Sur-midterm
17
Other
Professional
02/05/2013

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Cards

Term
Soft tissue surgeries
Definition
tenotomy
tenectomy
extensor hood release
capsulotomy
tendon lengthening
tendon transfer
skin plasty
Term
MTPJ reduction
Definition
should be evaluated pre-op
extent of soft tissue surgery
determine arthroplasty or fusion pre-op
Term
soft tissue surgery to reduce the MTPJ
Definition
Term
Digital implants
Definition
maintain joint space
maintains length of toes
provides transverse IPJ stability
Still must treat MTPJ
Term
middle phalangectomy
Definition
used for claw toes and mallet toe deformity
must consider volume of bone removal
helps reduce flexion contracture on both sides of the joint
Term
Double joint arthroplasty
Definition
gun barrel sign
bone removal at PIPJ and DIPJ
Term
Double joint arthroplasty
Definition
flexor stabilization
MTPJ deformity
Need to stabilize the IJP with K wire
Term
Fifth toe arthroplasty
Definition
freeing the lateral half of the middle
phalanx
Hemi-phalengectomy
Free the tendon distal lateral
Term
Fifth toe arthroplasty
Definition
adducto varus
lesion distribution
aggressive bone removal
transfer lesion on toe
Term
k-wire
Definition
need transverse plane stability at the
pipj
Term
utilize bone rasp to file uneven surfaces
Definition
rasp periosteum to prevent re-growth of bone
Term
reminder
Definition
bone removal from PIPJ does not reduce
the MTPJ contracture
Term
hammer toe
Definition
removal of the head of the proximal phalanx, resect enough bone to reduce the flexion contracture
Term
Adducto varus fifth toe
Definition
Keratosis PIPJ and distal lateral
Quadratus plante-flexor accessorius
stabilizes the pull of the flexor tendon from proximal to distal
Term
Flexor substitution
Definition
occurs in a supinated foot in the late stance phase (heel off-propulsive phase) of gait
Machenical advantage over the interossei
Long flexor tendons substituting to help plantarflex the foot
Term
Extensor substitution
Definition
In swing phase, extensor tendons contract to dorsiflex the foot at the ankle, mechanical advantage of extensors over the lumbricles
Term
Flexor stabilization
Definition
occurs in late midstance, machanical
advantage of flexors over interossei.
Toe grasping the ground in an attempt to gain stability-pronated foot type
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