28 Questions
What is the preferred method to stabilize hindfoot fusions for long-term success?
External fixation
In which case would insertion of antibiotics be indicated?
Osteomyelitis
What is essential for stability and function 3 years post-operation?
Fusing the ankle and subtalar joint
What is a notable complication that may require stabilization through amputation?
Chronic ulcers with osteomyelitis
What procedure did Boyd discuss in the article from October 1939?
Calcaneotibial Arthrodesis
What is a major factor to consider for determining the level of amputation?
Vascular status
Which technology is used for intraoperative evaluation during amputations?
Spy technology with dye and imaging
When should surgery be performed after a bypass operation?
4 to 10 days after the bypass
What concept was derived from plastic surgery to evaluate the healing potential of flaps?
Angiosomes
What is the purpose of segmental blood pressure measurement in vascular diagnosis?
To assess blood flow
According to Attinger et al, when should surgery be performed after an angioplasty?
30 days after the angioplasty
What is an indication for performing an open transmetatarsal amputation?
Extension of an infectious process to the web space or plantar aspect of the foot
Why is preservation of tendon insertion important in amputations?
To prevent equinus deformity
Which procedure can be performed as an adjunct to transmetatarsal amputation?
TAL or gastric recession
What is the general consensus regarding the use of a tourniquet in patients with previous lower extremity revascularization?
It should not be used due to safety concerns
What should surgeons check for in patients before performing surgery?
Hemoglobin and Hematocrit levels
Why is it important to have at least 2 units of blood available at the time of surgery?
In case of unexpected blood loss
What is a common consideration when deciding on anticoagulation postoperatively?
Need for non-weight bearing (NWB) postoperatively
Which factor is typically NOT considered in the decision-making process for anticoagulation?
Patient's favorite sport
Based on the text, what might be a reason to reach out to the PCP or Hematology?
Seeking guidance on anticoagulation treatment duration
Which option is NOT a common choice for anticoagulation postoperatively according to the text?
Tylenol 500mg PO QID
What factor might influence the duration of anticoagulation treatment?
Need for non-weight bearing postoperatively
According to the information provided, what might be a common risk factor to ask about during assessment?
Previous history of DVT
What is the main function of electrical stimulation in bone healing?
Upregulating TGF-β and BMP's for osteoinduction
What is a contraindication for the use of electrical stimulation in bone treatment?
Synovial pseudoarthrosis
What is the role of Extracorporeal Shock Wave Therapy (ESWT) in bone healing?
Promoting neovascularization and cell differentiation
Which type of bone graft is considered the 'gold standard' due to its properties promoting vascular ingrowth and healing?
Autologous Bone Graft
In Operative Strategy for nonunion treatment, what should be defined initially?
The location of the nonunion (diaphysis vs metaphysis)
Test your knowledge on the major factors to consider for amputation level based on vascular status, including predicting success of healing and criteria for performing amputation. Explore the speculations and ongoing work in predicting healing outcomes based on vascular status.
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