Exam 2
2026
Questions And Answers
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2026
, podiatric surgery exam 2
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1. one of the cornerstone of surgery is allows the surgeon to:
hemostasis. what is the importance
of this process? furthermore, what better visualize & identify tissue planes
is a common technique utilized to minimize operation time
achieve hemostasis? reduce post-op complications
technique
vasoconstrictor (i.e. epinephrine ; 1:200,000)
2. what is the definition of anatomic dis- identification of tissue planes & the use of atraumat-
section? ic technique
furthermore, what are the principles principles
of anatomic dissection? control bleeding by avoiding major vascular net-
works located in fascia
creates full surgical exposure of critical anatomic
features of each deformity
clean separation of superficial fascia from deep fas-
cia contributes to improved post-operative healing
due to decreased edema, pain & scarring
3. what are the three major compo- controlled depth incision placement, tissue plane
nents of anatomic dissection? dissection & preservation of B/N supply
4. when performing a controlled depth parallel to & between critical structures
incision, how should the incision be
oriented?
5. what is considered the fundamen- dissection of subcutaneous tissues
tal basis/key step of anatomic dissec-
tion? this is considered the key step because the primary
network of superficial A/V/N's & lymphatics lie be-
2026
, podiatric surgery exam 2
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tween the two layers of subcutaneous tissue
why?
"manipulation of the subcutaneous layer is the key
step in anatomic dissection"
6. the two ways in which we perform sharp dissection
subcutaneous dissection is either [...] requires appropriate retraction of skin edges, which
or [...]. explain each. are lifted & separated, placing fibrillar elements of
the subcutaneous layer under tension as the knife
edge severs tense fibrils
this method is faster & is advantageous in areas of
thin tissue
blunt dissection
maneuver used to separated the superficial tissues
with the spreading motion of a hinged instrument
(i.e. metzenbaum scissors)
this method is advantages in areas of thick tissue
7. explain the respective techniques of medial subcutaneous reflection
medial & lateral subcutaneous reflec- start medially at the base of the proximal pha-
tion. lanx & be careful not to lacerate the medial plantar
neurovascular structures along with the perforating
capsular vein at the proximal & inferior aspect of the
MT neck
lateral subcutaneous reflection
create a deep pocket along the lateral aspect of the
proximal phalanx via finger dissection
when performing a lateral SQ reflection for inter-
2026
, podiatric surgery exam 2
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space release, we use what is known as a weitlaner
retractor
8. list the sequential steps of hallux val- anatomic dissection of tissue plane
gus surgery. plantar lateral release (1st MPJ)
arthrotomy/capsular & periosteal reflection
exostectomy (bunionectomy)
muscle-tendon balance (adductor tendon transfer)
post-operative rehabilitation
9. what is the universal incisional ap- dorsomedial incision that follows the primary defor-
proach for correcting a hallux valgus mity
deformity?
cut that begins proximally about the midshaft level
of the dorsomedial aspect of the MT head & ends
proximal to the hallux interphalangeal joint, medial
to the EHL tendon
10. when performing first interspace dis- failure to release the contracture adequately can
section, what are we to remember lead to recurrence of deformity after surgical inter-
about failure to release the contrac- vention
ture adequately?
in order to ensure you have done so adequately,
evaluate joint motion before & after release in a
controlled & sequential manner
11. what are the steps of sequential re- 1. release the adductor hallucis tendon
lease of a plantar lateral contracture? make sure not to cut the lateral collateral ligament
2026