Open ankle fusion: Trans-fibular approach surgical technique
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An open ankle fusion is a relatively straight-forward operation which in appropriate patients is transformatory (both in terms of pain reduction and function).
The risk associated is in practical terms “front loaded” and relates mainly to non-union.
Late onset subtalar and midfoot arthritis is likely as a radiographic phenomenon, though not likely to require later surgery.
There are a number of different techniques described to perform the operation. Which one is chosen is less relevant than ensuring a correct and functional alignment is achieved intra-operatively with appropriate joint surface preparation and that the compensatory joints (subtalar and midfoot) are free of significant arthritic change and asymptomatic.
A sound ankle fusion is entirely compatible with heavy manual work
Author: Mr Mark Herron, FRCS.
Institution: The Wellington Hospital, London, UK.
- Each operation and the questions associated become a named course in the CPD section
- The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
- You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
- The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
- There are four possible answers of which one is correct (or on occasion more correct) than the others.
- There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
- The course is completed once all the lessons are read and quizzes submitted and passed.
- On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
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- The timer suspends after 5 minutes though if there is no activity.
- When you restart you will resume at the same point in the module.
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The pass mark is 75%.
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- Once you have passed the quiz you can return at a future stage & resit .
- Operation Quiz – 1 CPD point
- Surgical steps Quiz – 1/4 CPD point
- Implants Quiz – 1/4 CPD point
- Problem case Quiz – 1/2 CPD point
One CPD point equates to one hour of academic activity
Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.
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