Orthopedic Surgery Techniques Quiz

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What is the main advantage of performing resection at the proximal metaphysis during surgery?

Increased risk of infection

Better visualization of the metatarsal head

Enhanced healing of cartilage

Closure over well-vascularized cancellous bone (correct)

When is a ray resection typically performed?

For cosmetic reasons

To improve sensory perception

In case of an ingrown toenail

When there is extensive necrosis in the involved digit (correct)

What is a common reason for performing a transmetatarsal amputation?

Presence of nerve damage in the foot

To prevent further spread of infection (correct)

To enhance athletic performance

Severe fungal infection in the toe

In which scenario would a patient most likely require a hallux amputation?

Abscess or osteomyelitis of the toe Signup and view all the answers

What is a potential complication associated with verruca carcinoma?

Wide excision requiring partial ray resections Signup and view all the answers

Which surgical procedure may be indicated for a patient with psoriasis and subsequent verruca carcinoma?

Syme's Amputation Signup and view all the answers

What is the most common indication for transmetatarsal amputation?

Gangrene of one or more toes involving the metatarsals Signup and view all the answers

In cases where an infectious process extends to the plantar aspect of the foot, what type of amputation may be required?

Syme's Amputation Signup and view all the answers

What may result from the loss of function in the tibialis anterior tendon post-transmetatarsal amputation?

Charcot Arthropathy Signup and view all the answers

Which aspect of the foot should be spared in transmetatarsal amputation to prevent equinus deformity?

Plantar aspect Signup and view all the answers

In a neuropathic foot with an open infected lesion, what type of amputation may be indicated?

Transmetatarsal amputation Signup and view all the answers

What class of patients are very seriously ill, perhaps at risk for septic shock or major cardiovascular complications?

Class 4 Signup and view all the answers

Which amputation level involves a cut through the talus and calcaneus bones?

Syme's amputation Signup and view all the answers

For what medical problem is Class 2 patient category reserved in the perioperative period?

Diabetes Signup and view all the answers

What does a BKA stand for in medical terms?

Below Knee Amputation Signup and view all the answers

Which foot amputation level involves disarticulation at the ankle joint?

Syme's amputation Signup and view all the answers

What is a Calcanectomy?

Amputation of the foot involving the heel bone Signup and view all the answers

What emerging technology is used for intraoperative evaluation with dye and imaging?

Spy technology Signup and view all the answers

What is still speculative and work continues regarding the prediction of healing based on vascular status?

Ankle Brachial Index Signup and view all the answers

What is the concept derived from plastic surgery to evaluate the healing potential of flaps?

Angiosomes Signup and view all the answers

In terms of timing, after what vascular intervention is it recommended to perform a surgery 10 to 30 days later?

Angioplasty Signup and view all the answers

What can help predict the success of healing when determining the level of adequate blood flow?

Vascular Status Signup and view all the answers

Which of the following is not always considered a contraindication to performing amputation at a certain level?

Low ankle brachial index Signup and view all the answers

Which class of patients in the perioperative period is characterized as having a stable, chronic medical problem that is well controlled?

Class 2 Signup and view all the answers

What level of amputation involves disarticulation at the ankle joint?

Hindfoot Signup and view all the answers

After a vascular intervention, what concept can be used to predict healing potential based on the vascular status of the patient?

Angiosomes concept Signup and view all the answers

Which level of toe amputation is frequently performed through the base of the proximal phalanx?

Toes Signup and view all the answers

What is the vascular supply to the lateral forefoot, plantar midfoot, and entire plantar forefoot?

Peroneal artery Signup and view all the answers

Which artery supplies the medial ankle and lateral plantar heel?

Posterior tibial artery Signup and view all the answers

How many angiosomes does the posterior tibial artery feed in the foot?

Three Signup and view all the answers

Which artery continues on to the dorsum of the foot as the dorsalis pedis?

Anterior tibial artery Signup and view all the answers

What is the correct order of angiosomes fed by the posterior tibial artery starting from lateral to medial?

Lateral forefoot, plantar heel, instep Signup and view all the answers

Which artery supplies the lateral ankle and plantar heel via a calcaneal branch?

Posterior tibial artery Signup and view all the answers

What is the main factor to consider for predicting the healing potential based on vascular status?

Vascular supply to the lateral forefoot Signup and view all the answers

Which artery supplies the medial plantar instep according to the text?

Posterior tibial artery Signup and view all the answers

What does ASA classification help in determining in relation to podiatric surgery?

Evaluation of physical status Signup and view all the answers

How many angiosomes does the peroneal artery feed in the foot according to the text?

Four angiosomes Signup and view all the answers

In terms of amputation level, what factor should be considered if a patient is not ambulatory?

Maintaining limb despite ambulation status Signup and view all the answers

Which artery continues on to the dorsum of the foot as the dorsalis pedis?

Anterior tibial artery Signup and view all the answers

What is the main purpose of the ASA classification system in the perioperative period?

To assess the patient's stability and predict perioperative medical care needs Signup and view all the answers

In terms of predicting healing potential, how do angiosomes concept and vascular status relate?

Vascular status influences the number of angiosomes feeding a specific area Signup and view all the answers

Why are Class 5 patients not expected to survive surgery or the perioperative period?

Due to an unstable medical condition with major cardiovascular complications Signup and view all the answers

How does a Class 3 patient differ from a Class 2 patient in the perioperative period?

Class 3 patients have unstable medical problems while Class 2 patients have well-controlled conditions Signup and view all the answers

Which element plays a crucial role in determining if a diabetic patient will fit into the Class 1 category?

The absence of any medical problems other than those related to the surgery Signup and view all the answers

What is a distinguishing characteristic of Class 4 patients in terms of perioperative care needs?

They are at risk for septic shock and need intensive care Signup and view all the answers

Which surgical procedure involves disarticulation at the ankle joint and is advocated as an alternative to below-knee amputation for providing a full-length extremity that can be used in emergency ambulation?

Syme's Amputation Signup and view all the answers

What is a partial or complete removal of the calcaneus known as, which is advantageous for large heel ulcers with calcaneal osteomyelitis and a stable midfoot and forefoot?

Calcanectomy Signup and view all the answers

What concept, derived from plastic surgery, is used to evaluate the healing potential of flaps?

Angiosomes theory Signup and view all the answers

In terms of the ASA classification, which class of patients are characterized as being very seriously ill, perhaps at risk for septic shock or major cardiovascular complications?

ASA Class 4 Signup and view all the answers

Which artery supplies the lateral ankle and plantar heel via a calcaneal branch?

Posterior tibial artery Signup and view all the answers

What level of toe amputation is frequently performed through the base of the proximal phalanx?

Transphalangeal amputation Signup and view all the answers

Orthopedic Surgery Techniques Quiz

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Questions and Answers

What is the main advantage of performing resection at the proximal metaphysis during surgery?

When is a ray resection typically performed?

What is a common reason for performing a transmetatarsal amputation?

In which scenario would a patient most likely require a hallux amputation?

What is a potential complication associated with verruca carcinoma?

Which surgical procedure may be indicated for a patient with psoriasis and subsequent verruca carcinoma?

What is the most common indication for transmetatarsal amputation?

In cases where an infectious process extends to the plantar aspect of the foot, what type of amputation may be required?

What may result from the loss of function in the tibialis anterior tendon post-transmetatarsal amputation?

Which aspect of the foot should be spared in transmetatarsal amputation to prevent equinus deformity?

In a neuropathic foot with an open infected lesion, what type of amputation may be indicated?

What class of patients are very seriously ill, perhaps at risk for septic shock or major cardiovascular complications?

Which amputation level involves a cut through the talus and calcaneus bones?

For what medical problem is Class 2 patient category reserved in the perioperative period?

What does a BKA stand for in medical terms?

Which foot amputation level involves disarticulation at the ankle joint?

What is a Calcanectomy?

What emerging technology is used for intraoperative evaluation with dye and imaging?

What is still speculative and work continues regarding the prediction of healing based on vascular status?

What is the concept derived from plastic surgery to evaluate the healing potential of flaps?

In terms of timing, after what vascular intervention is it recommended to perform a surgery 10 to 30 days later?

What can help predict the success of healing when determining the level of adequate blood flow?

Which of the following is not always considered a contraindication to performing amputation at a certain level?

Which class of patients in the perioperative period is characterized as having a stable, chronic medical problem that is well controlled?

What level of amputation involves disarticulation at the ankle joint?

After a vascular intervention, what concept can be used to predict healing potential based on the vascular status of the patient?

Which level of toe amputation is frequently performed through the base of the proximal phalanx?

What is the vascular supply to the lateral forefoot, plantar midfoot, and entire plantar forefoot?

Which artery supplies the medial ankle and lateral plantar heel?

How many angiosomes does the posterior tibial artery feed in the foot?

Which artery continues on to the dorsum of the foot as the dorsalis pedis?

What is the correct order of angiosomes fed by the posterior tibial artery starting from lateral to medial?

Which artery supplies the lateral ankle and plantar heel via a calcaneal branch?

What is the main factor to consider for predicting the healing potential based on vascular status?

Which artery supplies the medial plantar instep according to the text?

What does ASA classification help in determining in relation to podiatric surgery?

How many angiosomes does the peroneal artery feed in the foot according to the text?

In terms of amputation level, what factor should be considered if a patient is not ambulatory?

Which artery continues on to the dorsum of the foot as the dorsalis pedis?

What is the main purpose of the ASA classification system in the perioperative period?

In terms of predicting healing potential, how do angiosomes concept and vascular status relate?

Why are Class 5 patients not expected to survive surgery or the perioperative period?

How does a Class 3 patient differ from a Class 2 patient in the perioperative period?

Which element plays a crucial role in determining if a diabetic patient will fit into the Class 1 category?

What is a distinguishing characteristic of Class 4 patients in terms of perioperative care needs?

Which surgical procedure involves disarticulation at the ankle joint and is advocated as an alternative to below-knee amputation for providing a full-length extremity that can be used in emergency ambulation?

What is a partial or complete removal of the calcaneus known as, which is advantageous for large heel ulcers with calcaneal osteomyelitis and a stable midfoot and forefoot?

What concept, derived from plastic surgery, is used to evaluate the healing potential of flaps?

In terms of the ASA classification, which class of patients are characterized as being very seriously ill, perhaps at risk for septic shock or major cardiovascular complications?

Which artery supplies the lateral ankle and plantar heel via a calcaneal branch?

What level of toe amputation is frequently performed through the base of the proximal phalanx?

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