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Orthopedic Test review Surgical Technology Exam Q’s and A’s (This is for the Orthopedic test for the Surgical Technology class at Carolinas College of Health Science)$12.49
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Orthopedic Test review Surgical Technology Exam Q’s and A’s (This is for the Orthopedic test for the Surgical Technology class at Carolinas College of Health Science)
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Course
Orthopedic
Institution
Orthopedic
Orthopedic Test review Surgical Technology Exam Q’s and A’s (This is for the Orthopedic test for the Surgical Technology class at Carolinas College of Health Science)
Orthopedic Test review Surgical
Technology Exam Q’s and A’s (This is for
the Orthopedic test for the Surgical
Technology class at Carolinas College of
Health Science)
Fracture classifications - -Open and closed
-Causes of fractures - -trauma and pathological
-types of fractures - -know what each are
Greenstick/stress: barely fractured
Potts: @ fibula near ankle
Colles: Fall on outsretched hand (FOOSH)
Compound: penetrates skin
Comminuted: more than 2 pieces of bone fragments
Transverse: horizontal fracture
Oblique: angled across cortices
Spiral: curves around bone
Impacted: end of bones forced into each other
-External Fixation - -outside of skin; bone anchoring devices, cast, skeletal
tractions, splints
-Internal Fixation - -inside of skin; rods on bone, screws, plates, nails
-basic steps of instruments used in an ORIF procedure. - -Drill, Measure
(depth guage), insert screw
-casting - -handle with palms
luke warm water
not too tight
cast is removed before entering OR
-bones are repaired by a closed intramedullary nail - -femur, humerus, and
tibia
, -steps in a closed intramedullary nail surgery - -Incision, AWL to create hole
in bone, reaming, then insert nail
-anatomical landmarks and where - -Trochanter: head of femur
Medial malleolus: tibia distal end
Lateral malleolus: fibula.
Olecranon: elbow (ulna)
Condyles: femur
Epicondyles: above condyles
-bone graft site - -iliac crest (pg. 451-452 alexander's)
-instruments used to retrieve bone - -lambotte osteotomes, mallet,
ronguers, currettes, russian pickups
-5 stages of bone healing - -Inflammation- bleeding, fibrin meshwork
Cellular Proliferation- osteoblast invade fibrin meshwork
Callus Formation- granulation, cartilage developes semigrid
Ossification- 2-3wks after injury, last 3mths, osteoblast calcify
Remodeling- new CT cells; osteoblast of periosteum
PG 453 Alexanders
-complications to fracture healing - -Delayed Union: doesn't heal w/in avg
time
Malunion: doesn't heal correctly (deformed)
Nonunion: doesn't heal together
-Intertrochanteric fracture of the hip - -Internal fixation; unite w/out
difficulty; occurs in older pts (pg. 473-475 Alexander)
-Femoral neck fracture of hip - -cannulated screw; reduction is necessary
before internal fixation of femoral neck b/c of high incidence of complications
-Femoral Head fracture - -prosthesis; unipolar vs bipolar
-knee ligaments - -To stabilize the knee
Cruciate: anterior/posterior
Collateral: medial/lateral
-How are meniscus tears fixed? - -meniscectomy
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