ABFAS Forefoot UPDATED ACTUAL
Questions and 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
Multifilament (e.g. Vicryl Rapide (polygalactin 910), silk)
Made of multiple strands woven together in a braid
Questions and 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
Multifilament (e.g. Vicryl Rapide (polygalactin 910), silk)
Made of multiple strands woven together in a braid
