Shared Flashcard Set

Details

Bunionectomy
Surgical Procedure
15
Medical
Professional
05/17/2014

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Cards

Term
What is the medical term for "bunion"?
Definition
Hallux Valgus
Term
What is the most common surgical procedure used to remove a bunion?
Definition
McBride Procedure
Term
If bilateral bunionectomies required, which foot will most likely be operated on first?
Definition
The one with the worst deformity
Term
What does the surgical technologist need to change frequently for the surgeon in a bunionectomy?
Definition
Change out the #15 blade
Term
What is used to retract the skin flaps in the first step of a bunionectomy?
Definition
Senn retractors
Term
What does the surgical technologist need to avoid when retracting the capsule? Why?
Definition
Applying too much pressure because the metatarsal neck must be preserved.
Term
What instruments are used to remove the exostosis (bunion)?
Definition
Straight ostiotome, microsagittal saw, and small rongure
Term
Insertion of what two muscles are severed in the second stage of a bunionectomy?
Definition
Adductus hallucis tendon and flexor hallucis brevis
Term
What is placed under the transverse intermetatarsal ligament to protect the neurovascular bundle that lies beneath it?
Definition
Freer elevator
Term
What is needed if deformity is not corrected after stage two of the bunionectomy?
Definition
Fibular sesamoidectomy
Term
In stage three of a bunionectomy, what is the surgical technologist's major role?
Definition
Plantar flex the joint to reduce tension
Term
What is used to grasp the fibular sesamoid in a sesamoidectomy during a bunionectomy?
Definition
Kocher clamp
Term
What is closed first in a bunionectomy?
Definition
Medial capsule
Term
What size and type of suture is used to close the remaining capsule?
Definition
2-0 absorbable
Term
What are possible causes of bunions?
Definition
Pointed toe shoes, shoes that don't fit properly, arthritis, poilo, and pointe dancing.
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