ABFAS Forefoot Questions with Correct Answers|100% verified

ABFAS Forefoot Questions with Correct Answers Kalish Vs Austin - Correct Answer-Kalish 55o Austion 60 allows screws fixation Youngswick - Correct Answer-shorten and plantarflexes**for met elevatus Distal metaphyseal JUVENILE osteotomies - Correct Answer-Austin, offset v, reverdin, mitchell, wilson and peabody. Mitchell and wilson SE including shortening, transfer lesions, elevatus, metatarsalgia Reverdin ---do if theres a ton of lateral deviation of head cartilage=INCREASE PASA. fix with buried k wires, absorbable pins, monofil wire. You can also do the reverdin in combo with logriscino (prox osteotomy)=DOUBLE OSTEOTOMY Bunion procedures if IM is 15+ in juvenile - Correct Answer-Base procedure aka proximal metaphyseal osteotomy. -closed or open base wedge, cresentic procedure, lapidus =goal to make first and 2nd mt parallel without damaging the open physeal plate. Where do you fix PASA vs DASA - Correct Answer-Fix pasa with mt head osteotomy like REVERDIN=lat cortex intact proximal cut parallel to 1st mt and distal cut parallel to articular surface Fix DASA W/ proximal akin FIxes PASA - Correct Answer-"DROP like Atl" DRATO Reverdin Offset V with rotation Peabody Austin biocorrectional Postion of 1st MPTJ Fusion - Correct Answer-neutral rotation of the hallux, 10-15 degrees of valgus 20-30 degrees of dorsiflexion in reference to the axis of the first metatarsal the hallux nail should face upward with no frontal plane rotation, in alignment with the second digit transversely, and just off of the weightbearing surface of a loading plate in the sagittal plane. There are certain consequences that can occur if appropriate positioning is not performed. Too much plantar flexion can cause an increase in stress to the hallux interphalangeal joint, and too much dorsiflexion can make shoe fitting a challenge as well as cause less hallux purchase during gait until late propulsion. Incorrect positioning in the transverse plane could lead to second digit irritation laterally or shoe irritation medially, and frontal plane deviation can cause pain due to overloading of the interphalangeal joint condy Suture material Absorbable (e.g. Vicryl (polygalactin 910), chromic gut) Degraded in tissue in less than 60 days Traditionally used for closure of subcutaneous tissues Non-absorbable (e.g. Ethilon (nylon), silk, Prolene (polypropylene) Lasts longer than 60 days Traditionally used for skin closure Monofilament (e.g. Prolene (polypropylene), plain gut) Made of one strand of material - Correct Answer-Abs vs nonabs sutures