Axial Flaps of the Lower Extremity
243 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which artery anastomoses with the superficial sural artery?

  • Posterior tibial artery
  • Dorsalis pedis artery
  • Peroneal artery (correct)
  • Anterior tibial artery
  • What is the main source of the superficial sural artery?

  • Radial artery
  • Femoral artery
  • Popliteal artery (correct)
  • Brachial artery
  • Which nerve descends between the two heads of the gastrocnemius muscle?

  • Superficial peroneal nerve
  • Saphenous nerve
  • Deep peroneal nerve
  • Sural nerve (correct)
  • What type of flap was developed based on the conclusions of the anatomic study mentioned?

    <p>Neuro-skin island flap</p> Signup and view all the answers

    In which part of the leg does the superficial sural artery give off small branches to the skin?

    <p>Lower 1/3</p> Signup and view all the answers

    What structure does the superficial sural artery regularly give off small branches to, while following?

    <p>Skin</p> Signup and view all the answers

    What is the typical origin of the Lateral Calcaneal Artery?

    <p>Peroneal artery</p> Signup and view all the answers

    What was the purpose of the surgical debridement with application of skin equivalent graft?

    <p>To treat the exposure of the tendon with necrosis and infection</p> Signup and view all the answers

    What is the advantage of performing an immediate Split Thickness Skin Graft?

    <p>It reduces the number of procedures required</p> Signup and view all the answers

    Who originally described the Reverse Sural Artery Flap?

    <p>Masquelet</p> Signup and view all the answers

    What is the size of the flap raised in the procedure?

    <p>4.5 cm x 8 cm</p> Signup and view all the answers

    What is the purpose of determining the level of calcaneal periosteum during dissection?

    <p>To start the dissection</p> Signup and view all the answers

    What is the main focus of the axial flaps of the lower extremity?

    <p>Creating axial grafts</p> Signup and view all the answers

    Which of the following is NOT part of the Soft Tissue Reconstructive Ladder for diabetic foot and ankle wounds?

    <p>Rotational flaps</p> Signup and view all the answers

    What is an example of a regional axial flap mentioned in the text?

    <p>Reverse sural artery flap</p> Signup and view all the answers

    Which treatment is NOT listed as an option available for diabetic foot and ankle wounds?

    <p>Soft Tissue Reconstructive Ladder</p> Signup and view all the answers

    What is a significant consideration with diabetic foot wounds, according to the text?

    <p>Many treatment options are usually available</p> Signup and view all the answers

    Which of the following is NOT a category of wound closure factors mentioned in the text?

    <p>Axial Flaps</p> Signup and view all the answers

    What type of muscle flap has one vascular pedicle?

    <p>Type II</p> Signup and view all the answers

    Which muscle flap can be used for foot and small ankle deficits with a dominant proximal pedicle?

    <p>Flexor digitorum brevis</p> Signup and view all the answers

    Where is the pivot point located in a Type IV muscle flap of the lower leg?

    <p>6 cm proximal to the tip of the fibula</p> Signup and view all the answers

    Which muscle type has two major pedicles from separate regional arteries in its muscle flap classification?

    <p>Type III</p> Signup and view all the answers

    What muscle flap is primarily used for defects on the lower leg, ankle, heel, and dorsal foot?

    <p>Peroneus brevis</p> Signup and view all the answers

    Which type of muscle flap classification is characterized by one dominant pedicle at origin with several smaller secondary pedicles at insertion?

    <p>Type V</p> Signup and view all the answers

    What is the main difference between a peninsular flap and an island flap?

    <p>A peninsular flap has no named vessels at its base while an island flap has named vessels.</p> Signup and view all the answers

    What type of flap has composition that includes muscle, fascia, subcutaneous tissue, and overlying skin?

    <p>Musculocutaneous flap</p> Signup and view all the answers

    Which type of flap has blood supply provided by many small unnamed vessels of the subdermal plexus?

    <p>Random flap</p> Signup and view all the answers

    What is the key principle that describes a flap as a transfer of tissue with its blood supply?

    <p>Angiosome transfer</p> Signup and view all the answers

    In soft tissue flap classifications based on composition, which type includes skin, fat, and fascia components?

    <p>Cutaneous flap</p> Signup and view all the answers

    What distinguishes a free flap from an axial flap?

    <p>A free flap has vessels dissected out from the tissue while an axial flap has a named blood vessel at its base.</p> Signup and view all the answers

    What is a characteristic of a Type I muscle flap?

    <p>One vascular pedicle</p> Signup and view all the answers

    What is the primary use of a Type II muscle flap in foot and ankle reconstruction?

    <p>Foot and small ankle deficits</p> Signup and view all the answers

    What is the characteristic of a regional flap in relation to the defect?

    <p>The flap uses tissue that abuts the soft tissue defect</p> Signup and view all the answers

    What is the classification of a muscle flap with one dominant pedicle at origin with several smaller secondary pedicles at insertion?

    <p>Type V</p> Signup and view all the answers

    What is an advantage of using local flaps in soft tissue reconstruction?

    <p>Minimizing donor site morbidity</p> Signup and view all the answers

    What is the classification of a muscle flap with segmental minor pedicles along entire length of muscle?

    <p>Type IV</p> Signup and view all the answers

    Which type of flap is typically delayed before transfer to allow for neovascularization?

    <p>Perforator flap</p> Signup and view all the answers

    What type of muscle flap has two dominant pedicles from separate regional arteries?

    <p>Type II</p> Signup and view all the answers

    Which intrinsic muscle of the foot is used as a flap in soft tissue reconstruction?

    <p>Abductor hallucis</p> Signup and view all the answers

    What is the primary classification of muscle flaps based on?

    <p>Pedicle anatomy</p> Signup and view all the answers

    At which step of the Soft Tissue Reconstructive Ladder are local random flaps used?

    <p>Step 4</p> Signup and view all the answers

    What is the primary focus of the axial flaps of the lower extremity?

    <p>Soft tissue reconstruction</p> Signup and view all the answers

    In a soft tissue flap classification based on blood supply, which type of flap has a specific named vessel that enters the base of the flap and runs along its axis?

    <p>Axial flap</p> Signup and view all the answers

    What is the main principle that describes a flap as a transfer of tissue with its blood supply in the reconstructive ladder?

    <p>Transfer of tissue with its blood supply</p> Signup and view all the answers

    What type of muscle flap classification has more than one dominant pedicle?

    <p>Type II</p> Signup and view all the answers

    In the classification of soft tissue flaps based on composition, which type includes skin, fat, and fascia components?

    <p>Fasciocutaneous flap</p> Signup and view all the answers

    What is the purpose of Hyperbaric Oxygen Therapy in the reconstructive ladder?

    <p>As an adjunctive treatment when indicated during all phases</p> Signup and view all the answers

    In the classification of soft tissue flaps based on proximity, which type of flap has the donor tissue adjacent to the recipient site?

    <p>Regional flap</p> Signup and view all the answers

    What was NOT correlated with the discrepancy or per cent discrepancy of the lower extremities?

    <p>Pelvic inclination</p> Signup and view all the answers

    For discrepancies of less than 3% of the length of the long extremity, what was NOT associated?

    <p>Pelvic torsion</p> Signup and view all the answers

    What compensatory strategy was used when the discrepancy exceeded 5.5%?

    <p>Toe-walking</p> Signup and view all the answers

    What was the clinical manifestation when children had less of a discrepancy?

    <p>Combination of compensatory strategies</p> Signup and view all the answers

    What outcome was observed when a longer extremity performed more mechanical work?

    <p>More vertical displacement</p> Signup and view all the answers

    Which factor was associated with discrepancies of less than 3%?

    <p>Substantial rotational deformity</p> Signup and view all the answers

    What is the limitation of direct clinical measurement in limb length discrepancy?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of adding a third reference point in clinical examination of limb length discrepancy?

    <p>To account for pelvic height difference</p> Signup and view all the answers

    What is the most common compensation for limb length discrepancy?

    <p>Functional scoliosis</p> Signup and view all the answers

    What is the purpose of radiographic evaluation in limb length discrepancy?

    <p>To measure the length of long bones</p> Signup and view all the answers

    What is the effect of pelvic torsion on limb length discrepancy?

    <p>It affects the accuracy of direct clinical measurement</p> Signup and view all the answers

    What is the purpose of blocks of a known thickness in clinical examination of limb length discrepancy?

    <p>To level the pelvis and identify the short side</p> Signup and view all the answers

    What is the effect of torsion of bones on limb length discrepancy?

    <p>It affects the accuracy of direct clinical measurement</p> Signup and view all the answers

    What is the purpose of indirect clinical measurement in limb length discrepancy?

    <p>To identify the short side and measure the degree of limb length discrepancy</p> Signup and view all the answers

    What is the significance of ASIS to medial malleolus measurement in clinical examination of limb length discrepancy?

    <p>It is used to measure the degree of limb length discrepancy</p> Signup and view all the answers

    What is the effect of excessive STJ pronation on limb length discrepancy?

    <p>It can cause functional limb length discrepancy</p> Signup and view all the answers

    What was the average age of the boys and girls in the study?

    <p>Thirteen years</p> Signup and view all the answers

    What was the range of ages in the study?

    <p>Eight to seventeen years</p> Signup and view all the answers

    What was the correlation between the actual discrepancy or the percent discrepancy and the dependent kinematic or kinetic variables?

    <p>No correlation</p> Signup and view all the answers

    What was the significance of a discrepancy of 5.5% or more?

    <p>More mechanical work was performed by the long extremity</p> Signup and view all the answers

    What was the compensatory strategy manifested by a discrepancy of 5.5% or more?

    <p>Use of toe-walking as a compensatory strategy</p> Signup and view all the answers

    What was true about children who had less of a discrepancy?

    <p>They used a combination of compensatory strategies</p> Signup and view all the answers

    What is the range of values that constitutes a 'significant LLD'?

    <p>3mm - 22mm</p> Signup and view all the answers

    In the context of peripheral nerve injuries, which classification system involves a complete transection of the nerve?

    <p>Sunderland's classification</p> Signup and view all the answers

    Which type of nerve injury involves a temporary loss of function without structural damage to the nerve?

    <p>Neurapraxia</p> Signup and view all the answers

    Which classification system categorizes nerve injuries based on the level of functional recovery?

    <p>Seddon's classification</p> Signup and view all the answers

    Which nerve injury classification involves a disruption of the axon and its sheath but with preservation of the connective tissue framework within the nerve?

    <p>Axonotmesis</p> Signup and view all the answers

    Which nerve injury classification is considered the mildest form, involving a temporary conduction block without structural damage?

    <p>Neurapraxia</p> Signup and view all the answers

    Which classification system of nerve injuries focuses on the microscopic anatomy of peripheral nerves?

    <p>Seddon's classification</p> Signup and view all the answers

    What does Seddon's classification define as Neuropraxia?

    <p>Temporary conduction block due to myelin sheath disruption</p> Signup and view all the answers

    What distinguishes Sunderland's classification of nerve injury from Seddon's classification?

    <p>Sunderland's classification includes neurotmesis as a category</p> Signup and view all the answers

    In Axonotmesis as per Seddon's classification, what happens distally in the nerve?

    <p>Wallerian degeneration of the distal nerve segment occurs</p> Signup and view all the answers

    Which of the following is a typical cause of Axonotmesis in Seddon's classification?

    <p>Ischemia leading to axon destruction</p> Signup and view all the answers

    According to Seddon's classification, in what state do unaffected supportive structures allow for nerve regeneration?

    <p>Axonotmesis allowing new axonal growth</p> Signup and view all the answers

    What defines Neurotmesis in Seddon's classification?

    <p>Damage to both the axon and the myelin sheath</p> Signup and view all the answers

    What is the expected outcome for a patient with a 4th degree injury according to Seddon's classification?

    <p>Total nerve transection with burning and tingling symptoms</p> Signup and view all the answers

    In Sunderland's classification, what indicates the level of nerve regeneration in cases of axonotmesis?

    <p>Distally moving Tinel's sign</p> Signup and view all the answers

    What is the main distinguishing factor between a 2nd degree injury and a 3rd degree injury according to Seddon's classification?

    <p>Level of nerve regeneration</p> Signup and view all the answers

    What type of injury includes symptoms of muscle weakness, joint dysfunction, neuropathic pain, and restless legs?

    <p>6th degree injury (neuroma in continuity)</p> Signup and view all the answers

    According to Seddon's classification, which injury type never shows sensory or motor recovery?

    <p>Axonotmesis (4th degree injury)</p> Signup and view all the answers

    What level of injury results in a total nerve transection according to the descriptions provided?

    <p>5th degree injury</p> Signup and view all the answers

    Which rule emphasizes the importance of treating the more proximal pathology first?

    <p>Rule #2: Always look up higher</p> Signup and view all the answers

    What is the main relationship between the CNS and PNS in terms of mood disorders and neuropathy?

    <p>CNS affects mood disorders, PNS affects metabolic neuropathy</p> Signup and view all the answers

    What is the main reason for treating structural and metabolic problems first in peripheral nerve pain?

    <p>To address underlying etiology and pathology</p> Signup and view all the answers

    How do distal neuropathic symptoms usually respond after treating underlying etiology?

    <p>They typically diminish or resolve</p> Signup and view all the answers

    What is the primary implication of peripheral nerve release surgery based on the information provided?

    <p>It decompresses entrapped peripheral nerves</p> Signup and view all the answers

    What are the components of the peripheral nerve exam and evaluation used for?

    <p>Assessing peripheral nerve health</p> Signup and view all the answers

    What is the main difference between Sunderland's classification and Seddon's classification?

    <p>Inclusion of axonal regeneration in Sunderland's</p> Signup and view all the answers

    What is the significance of a fourth-degree injury according to Sunderland's classification?

    <p>Only the epineurium remains intact</p> Signup and view all the answers

    What is the equivalent of Seddon's neurotmesis in Sunderland's classification?

    <p>Second-degree injury</p> Signup and view all the answers

    What is the implication of a complete disruption of the nerve and associated connective tissue?

    <p>Neurotmesis</p> Signup and view all the answers

    What is the rate of nerve fiber regeneration?

    <p>1 mm/day</p> Signup and view all the answers

    What is the significance of budding neurites in nerve regeneration?

    <p>They malalign, resulting in poor reinnervation</p> Signup and view all the answers

    What is the term used to describe a region of localized injury and inflammation in a peripheral nerve caused by mechanical irritation from a neighboring anatomical structure?

    <p>Exostosis</p> Signup and view all the answers

    What is the classification system developed by H.J. Seddon in 1942 that describes three types of nerve injuries based on the study of 460 cases?

    <p>Seddon's classification</p> Signup and view all the answers

    What is the type of nerve injury characterized by a transient block, where the myelin sheath is disrupted, and the nerve can recover in days to months?

    <p>Neuropraxia</p> Signup and view all the answers

    What is the term used to describe the degeneration of the distal nerve segment in Axonotmesis?

    <p>Wallerian degeneration</p> Signup and view all the answers

    What is the factor that determines functional recovery in Axonotmesis?

    <p>Proximity of the lesion</p> Signup and view all the answers

    What is the term used to describe the regeneration of new axons in Axonotmesis?

    <p>Axonal regeneration</p> Signup and view all the answers

    What degree of nerve injury is characterized by a mixed pattern of symptoms including muscle weakness, joint dysfunction, and neuropathic pain?

    <p>3rd degree injury</p> Signup and view all the answers

    What is the main symptom associated with a 5th degree nerve injury (Neurotmesis)?

    <p>Burning pain</p> Signup and view all the answers

    In nerve injuries, what does a positive Babinski sign in adults typically indicate?

    <p>Upper motor neuron lesion</p> Signup and view all the answers

    What diagnostic test is specifically used to assess large nerve fibers in nerve injuries?

    <p>EMG</p> Signup and view all the answers

    What does a Hautant's test assess in nerve injuries?

    <p>Deep tendon reflexes</p> Signup and view all the answers

    What type of nerve injury results in a Tinel's sign progressing to indicate the level of nerve regeneration?

    <p>3rd degree injury</p> Signup and view all the answers

    What is the GOLD STANDARD for diagnosing Small Fiber Neuropathy?

    <p>Epidermal nerve fiber density biopsy</p> Signup and view all the answers

    Which metabolic change in the peripheral nerves of diabetic patients leads to increased water content within the nerve?

    <p>Sorbitol formation</p> Signup and view all the answers

    What is a common diagnostic criterion for nerve decompression in diabetic patients?

    <p>Positive Tinel's sign over an entrapped nerve</p> Signup and view all the answers

    What symptom may indicate a presentation of anterior tarsal tunnel syndrome?

    <p>Pain in the dorsum of the foot</p> Signup and view all the answers

    Which nerve is typically decompressed in cases involving persistent plantar pain and calf tightness?

    <p>Deep peroneal nerve</p> Signup and view all the answers

    What clinical manifestation may suggest a common digital nerve entrapment?

    <p>Positive Mulder's click</p> Signup and view all the answers

    What is NOT generally decompressed due to a lack of natural entrapment sites?

    <p>Sural nerve</p> Signup and view all the answers

    For what condition is nerve neurectomy typically NOT needed and should be avoided?

    <p>Superficial peroneal nerve entrapment</p> Signup and view all the answers

    Which technique is recommended to avoid for advanced nerve surgery, unless necessary?

    <p>Neurectomy</p> Signup and view all the answers

    What is the primary classification of muscle flaps based on in the context of nerve compression surgeries?

    <p>Blood supply dominance</p> Signup and view all the answers

    What is the primary implication of always treating the more proximal pathology first in nerve injury management?

    <p>Distal neurologic symptoms improve first</p> Signup and view all the answers

    Based on the text, why does the peripheral nervous system affect the central nervous system?

    <p>Entrapment</p> Signup and view all the answers

    In evaluating peripheral nerve pain, what is the primary focus of identifying indications for decompression surgery?

    <p>Identifying structural and metabolic issues</p> Signup and view all the answers

    What is the main implication of identifying the components of the peripheral nerve exam and evaluation in nerve injury management?

    <p>Evaluation of nerve structure and function</p> Signup and view all the answers

    Why is it essential to always look up higher to identify the proximal etiology in nerve injuries?

    <p>To treat the more proximal pathology first</p> Signup and view all the answers

    What distinguishes entrapped nerve pain beyond the peripheral system from non-entrapment-related neurologic symptoms?

    <p>Impingement on nerve trunk</p> Signup and view all the answers

    What is the typical cause of neuropraxia according to Seddon's classification of nerve injury?

    <p>Excessive mechanical stimulation</p> Signup and view all the answers

    Based on Seddon's classification, what happens distally in the nerve in cases of axonotmesis?

    <p>Wallerian degeneration</p> Signup and view all the answers

    What distinguishes neuropraxia from axonotmesis according to Seddon's classification?

    <p>Involvement of the myelin sheath</p> Signup and view all the answers

    Which type of nerve injury, as per Seddon's classification, affects both myelinated and unmyelinated nerve fibers?

    <p>Axonotmesis</p> Signup and view all the answers

    In nerve entrapment or injury, functional recovery is most dependent on the proximity of the lesion to which part of the nerve?

    <p>End organ</p> Signup and view all the answers

    Which treatment option is primarily aimed at allowing the nerve to glide and function without inhibition?

    <p>Neurolysis</p> Signup and view all the answers

    Which classification of nerve injury implies complete disruption of a nerve as well as associated connective tissue?

    <p>Neurotmesis</p> Signup and view all the answers

    What type of nerve injury is characterized by nerve conduction deficit without axonal interruption?

    <p>Neuropraxia</p> Signup and view all the answers

    In Sunderland's classification, which degree of nerve injury involves only the epineurium remaining intact?

    <p>Fourth degree (Class II)</p> Signup and view all the answers

    Which option is NOT a possible treatment for neurotmesis nerve injury according to the text?

    <p>Malalignment reinnervation surgery</p> Signup and view all the answers

    What type of nerve injury in Sunderland's classification involves lesion in the endoneurium with intact epineurium and perineurium?

    <p>Third degree (Class II)</p> Signup and view all the answers

    Which factor determines the rate of axonal regeneration after nerve injury?

    <p>Approximate distance regenerative growth of neurites</p> Signup and view all the answers

    What is the main symptom associated with a 6th degree nerve injury (Neuroma in Continuity)?

    <p>Sharp, shooting pain</p> Signup and view all the answers

    Which test involves dorsiflexion of the ankle followed by subsequent pulsing of the foot, indicating a positive result?

    <p>Clonus test</p> Signup and view all the answers

    Which nerve injury classification involves incomplete recovery potentially occurring as Tinel's sign progresses indicating the level of regeneration?

    <p>Axonotmesis (3rd degree injury)</p> Signup and view all the answers

    What is the diagnostic criterion for neuropathy involving provocation by Semmes Weinstein monofilament or two-point discrimination?

    <p>Sensory Tinel's sign</p> Signup and view all the answers

    Which process involves the localization and repair of an entrapped nerve through imaging and diagnostic blocks?

    <p>Sural nerve decompression</p> Signup and view all the answers

    What blood test is NOT part of the standard workup for nerve entrapment syndromes?

    <p>Thyroxine</p> Signup and view all the answers

    Which site is commonly used for a biopsy to diagnose small fiber neuropathy?

    <p>Lower leg/calf</p> Signup and view all the answers

    What percentage of small fiber neuropathy cases are misdiagnosed or undiagnosed?

    <p>50%</p> Signup and view all the answers

    What metabolic condition increases water content within peripheral nerves in diabetic patients?

    <p>Metabolizing glucose into sorbitol</p> Signup and view all the answers

    What is a criteria for nerve decompression in diabetic patients?

    <p>Presence of pain</p> Signup and view all the answers

    Which sign indicates the possible need for proximal tibial nerve decompression?

    <p>Positive Tinel's sign</p> Signup and view all the answers

    What is a characteristic presentation of superficial peroneal nerve entrapment?

    <p>Foot dorsum pain</p> Signup and view all the answers

    Which nerve may be entrapped due to trauma or surgery, and generally is not decompressed?

    <p>Sural nerve</p> Signup and view all the answers

    What characteristic is often present in anterior tarsal tunnel syndrome?

    <p>Positive Mulder's click</p> Signup and view all the answers

    What is the typical presentation of deep peroneal nerve entrapment?

    <p>Inability to dorsiflex</p> Signup and view all the answers

    What response suggests entrapment of the common digital nerve?

    <p>Mulder's click</p> Signup and view all the answers

    What is the primary purpose of a Z-plasty?

    <p>To reduce contracture from vertical to transverse</p> Signup and view all the answers

    What is the percentage increase in length with a 45-degree angle in a Z-plasty?

    <p>50%</p> Signup and view all the answers

    What is the main difference between a V-Y island flap and a Double V-Y island flap?

    <p>The number of pedicles</p> Signup and view all the answers

    What is the primary advantage of synthetic skin substitutes?

    <p>They can be used in place of autografts</p> Signup and view all the answers

    What is the role of the Apical Stitch in skin grafting techniques?

    <p>To secure the graft in place</p> Signup and view all the answers

    What is the main purpose of a V-Y advancement flap?

    <p>To cover moderate-sized defects</p> Signup and view all the answers

    In skin grafting, which type of graft relies entirely on the recipient site’s blood supply for survival?

    <p>Allograft</p> Signup and view all the answers

    What technique has largely replaced skin grafting?

    <p>Synthetic skin substitutes</p> Signup and view all the answers

    Which of the following is NOT a type of skin grafting mentioned in the text?

    <p>Primary rhomboid</p> Signup and view all the answers

    What type of flap involves a two-stage process where the donor site is closed initially except for the pedicle?

    <p>Interpolation flaps</p> Signup and view all the answers

    Which type of graft is transferred from a non-human donor to a human recipient?

    <p>Xenograft</p> Signup and view all the answers

    What is the primary purpose of using a double rhomboid flap in plastic surgery?

    <p>Achieve double transposition for better coverage</p> Signup and view all the answers

    What is the angle of the standard Z-plasty?

    <p>60 degrees</p> Signup and view all the answers

    Which technique involves the movement of the flap forward with sliding, stretching, and pushing of tissue to cover a defect?

    <p>Apical Stitch</p> Signup and view all the answers

    What is the alternative name for Dollar-plasty?

    <p>V-Y-S-plasty</p> Signup and view all the answers

    Which technique involves a primary movement that allows rotation at the pivot point to close a rectangular defect?

    <p>Transpositional Flaps</p> Signup and view all the answers

    What feature characterizes a Double V-Y island flap?

    <p>Double-lobed</p> Signup and view all the answers

    Which technique necessitates undermining carried down to the level of subcutaneous fat?

    <p>Advancement Flaps</p> Signup and view all the answers

    What is the key benefit of providing tension on the incision during surgery?

    <p>Maintains control of incision depth</p> Signup and view all the answers

    Why is it advised to make one smooth cut during incision planning?

    <p>To avoid a death by a thousand cuts situation</p> Signup and view all the answers

    What is the risk associated with inverted skin margins in skin closure techniques?

    <p>Risk of unlike tissue approximation</p> Signup and view all the answers

    Why is everted skin margin positioning preferred during skin closure?

    <p>To facilitate dermis-to-epidermis bonding</p> Signup and view all the answers

    What is the primary objective when placing sutures in plastic surgery?

    <p>To achieve leveled conjunction of wound edges</p> Signup and view all the answers

    What is an essential characteristic of a good technique for skin closure?

    <p>Everted skin margins</p> Signup and view all the answers

    What accelerates wound healing and increases vascularity, oxygen, and nutrient delivery?

    <p>Negative pressure wound therapy</p> Signup and view all the answers

    Which type of skin substitute uses fish skin as a biological material?

    <p>Fish skin</p> Signup and view all the answers

    What characteristic distinguishes Pie Crusting from Meshing skin grafts?

    <p>No crisscross appearance of healed skin</p> Signup and view all the answers

    What factor is most likely to lead to a skin graft failure due to poor recipient vascularity?

    <p>Poor recipient vascularity</p> Signup and view all the answers

    Which type of skin graft will retract approximately 44% due to the recoil properties of elastin fibers in the dermis?

    <p>Full-thickness skin graft</p> Signup and view all the answers

    What can be removed after 3-4 days to place a permanent autograft if it has not progressed adequately?

    <p>Porcine graft</p> Signup and view all the answers

    What skin substitute commonly has a disadvantage of being attached to a pump?

    <p>Negative pressure wound therapy</p> Signup and view all the answers

    Which dressing applies pressure to reduce fluid accumulation and decrease hematoma and seroma formation?

    <p>Stent or Bolster dressing</p> Signup and view all the answers

    What technique expands skin grafts to cover larger areas and allows fluid to drain while reducing the chance of hematoma or seroma?

    <p>Meshing</p> Signup and view all the answers

    What skin dressing accelerates wound healing by increasing oxygen and nutrient delivery but is disadvantageous due to being attached to a pump?

    <p>Negative pressure wound therapy</p> Signup and view all the answers

    What does the word 'plastic' in plastic surgery actually mean?

    <p>To mold or give form</p> Signup and view all the answers

    What is the main aim of plastic surgery?

    <p>To restore the function and appearance of tissue and skin to near normal</p> Signup and view all the answers

    What type of surgery is used to repair and reconstruct missing or damaged tissue and skin?

    <p>Plastic surgery</p> Signup and view all the answers

    What is the difference between reconstructive surgery and cosmetic surgery?

    <p>Reconstructive surgery is used to repair damaged tissue, while cosmetic surgery is used to improve appearance</p> Signup and view all the answers

    What is the primary goal of skin grafting?

    <p>To transfer tissue from one part of the body to another</p> Signup and view all the answers

    What type of skin graft should contain some dermis in order to have viability?

    <p>Full thickness graft</p> Signup and view all the answers

    Which part of the skin contains blood vessels, making it crucial for the viability of a skin graft?

    <p>Dermis</p> Signup and view all the answers

    What is the main reason for the limited use of Xenograft in skin grafting?

    <p>Antibodies leading to rejection</p> Signup and view all the answers

    How thick is the intermediate split thickness skin graft in terms of dermis?

    <p>0.012-0.016 inches</p> Signup and view all the answers

    What preparation is crucial at the recipient site before applying a skin graft?

    <p>Biologic graft insertion</p> Signup and view all the answers

    What is the optimal bacterial count required per gram of granulation tissue for a successful skin graft?

    <p>&lt; 105 organisms</p> Signup and view all the answers

    What is a key characteristic of Limberg rhomboid flap in terms of angles?

    <p>Can be opened to a 120-degree angle</p> Signup and view all the answers

    What is the primary reliance of a skin graft on for survival?

    <p>Recipient site's blood supply</p> Signup and view all the answers

    What differentiates an Autograft from a Xenograft?

    <p>Donor and recipient are the same individual</p> Signup and view all the answers

    What is the characteristic of a two-stage flap in relation to the recipient site?

    <p>Flap undergoes revascularization at the recipient site</p> Signup and view all the answers

    Which skin substitute has largely replaced skin grafting?

    <p>Xenograft</p> Signup and view all the answers

    What is a key characteristic of Interpolation Flaps in terms of blood supply?

    <p>No requirement for revascularization</p> Signup and view all the answers

    What procedure involves the severing of the anterior 2/3 of the tendon about 2.5cm proximal to the insertion into the calcaneus with a second incision 6 cm proximal?

    <p>Distal Z Lengthening of the Achilles' tendon</p> Signup and view all the answers

    Which procedure is commonly used for diabetic forefoot ulcers or TMA to reduce excessive forefoot pressure?

    <p>Percutaneous vs. Open Surgical Correction of Soft-Tissue Ankle Equinus Contracture</p> Signup and view all the answers

    What is the common characteristic of the Sagittal Z-plasty?

    <p>Medial piece and lateral piece</p> Signup and view all the answers

    Which procedure involves PTAL or TAL at 2 cm, 5 cm, and 8 cm, and is related to the plantaris tendon?

    <p>Percutaneous Tendo-Achilles Lengthening</p> Signup and view all the answers

    What is a distinguishing feature of the 'triple stab' incision technique?

    <p>Involves minimal incision</p> Signup and view all the answers

    Which procedure commonly involves a more medial approach in its correction of soft-tissue ankle Equinus Contracture?

    <p>Percutaneous Tendo-Achilles Lengthening</p> Signup and view all the answers

    What is the primary indication of a gastrocnemius contracture in the Silfverskiold test?

    <p>Soft and spongy feel when the knee is extended</p> Signup and view all the answers

    What is the purpose of stabilizing the talonavicular joint and forefoot during the Silfverskiold test?

    <p>To isolate the ankle joint motion</p> Signup and view all the answers

    What is the significance of measuring dorsiflexion with the knee extended in the Silfverskiold test?

    <p>To evaluate gastrocnemius tightness</p> Signup and view all the answers

    What is the implication of equally limited dorsiflexion with the knee flexed and extended in the Silfverskiold test?

    <p>Soleal equinus</p> Signup and view all the answers

    What is the clinical significance of the Silfverskiold test in the diagnosis of equinus?

    <p>To differentiate between gastrocnemius tightness and soleal equinus</p> Signup and view all the answers

    What is the primary advantage of the Silfverskiold test in the diagnosis of equinus?

    <p>Differentiation of gastrocnemius tightness from soleal equinus</p> Signup and view all the answers

    What is the main composition of the triceps surae muscle?

    <p>Two muscles: gastrocnemius and soleus</p> Signup and view all the answers

    What is the primary function of the gastrocnemius muscle in relation to the ankle joint?

    <p>Plantarflexion of the ankle joint</p> Signup and view all the answers

    What surgical procedures are performed to reduce equinus?

    <p>Gastrocnemius recession and Achilles tendon lengthening</p> Signup and view all the answers

    What is the common aponeurotic tendon that connects the gastrocnemius and soleus muscles?

    <p>Achilles tendon</p> Signup and view all the answers

    What is the term used to describe the limited ankle joint dorsiflexion, resulting in abnormal foot function?

    <p>Equinus</p> Signup and view all the answers

    What is the main composition of the triceps surae muscle?

    <p>Gastrocnemius, Plantaris, and Soleus</p> Signup and view all the answers

    What is the significance of reducing equinus through surgical procedures?

    <p>To alleviate pain and improve mobility and foot dorsiflexion</p> Signup and view all the answers

    What is the purpose of lengthening the components of the triceps surae muscle?

    <p>To improve mobility and foot dorsiflexion</p> Signup and view all the answers

    What is the significance of the common aponeurotic tendon in the triceps surae muscle?

    <p>It connects the gastrocnemius to the calcaneus</p> Signup and view all the answers

    What is the primary goal of surgical procedures to reduce equinus?

    <p>To alleviate pain and improve mobility</p> Signup and view all the answers

    What is the significance of the calcaneal tendon in the triceps surae muscle?

    <p>It connects the gastrocnemius to the calcaneus</p> Signup and view all the answers

    What is the primary structural component responsible for a contracture in Equinus?

    <p>Gastrocnemius muscle</p> Signup and view all the answers

    Which surgical procedure involving the calcaneal tendon is aimed at relieving Equinus symptoms?

    <p>Heel cord lengthening</p> Signup and view all the answers

    What is the common target tendon when considering Equinus surgery?

    <p>Achilles tendon</p> Signup and view all the answers

    Which surgical technique specifically involves releasing the Achilles tendon to address Equinus?

    <p>Tenotomy</p> Signup and view all the answers

    What is a common misconception about treating Equinus surgically?

    <p>It focuses on releasing the calf muscles</p> Signup and view all the answers

    Which muscle is most directly affected by Equinus when considering surgical interventions?

    <p>Soleus muscle</p> Signup and view all the answers

    In Equinus, what does the Charger view aim to visualize?

    <p>Squaring of talar neck</p> Signup and view all the answers

    What is the primary concern of casting in a plantarflexed position in Equinus?

    <p>Achilles' tendon contracture</p> Signup and view all the answers

    What clinical manifestation could indicate Pseudoequinus?

    <p>Anterior cavus deformity</p> Signup and view all the answers

    Which equinus type presents with hemophilic equinus and recurrent synovitis as examples?

    <p>Hemophilic Equinus</p> Signup and view all the answers

    What common concern arises with Equinus and the common aponeurotic tendon?

    <p>Decreased ankle plantarflexion</p> Signup and view all the answers

    What should be considered during surgical procedures to reduce Equinus in relation to the gastrocnemius muscle?

    <p>Increased plantarflexion after surgery</p> Signup and view all the answers

    More Like This

    Lower Extremity Crossword Puzzle
    18 questions
    Lower Extremity Bones Quiz
    94 questions

    Lower Extremity Bones Quiz

    AmusingBowenite9436 avatar
    AmusingBowenite9436
    Use Quizgecko on...
    Browser
    Browser