Intramedullary Nailing — Flashcards

Flashcard 1: Which category of instrument is used to temporarily secure a plate to the bone surface during internal fixation of a fracture?

Answer: Bone and plate holding forceps

Extra: Common examples include Lane's forceps and Verbrugge bone holding forceps. They ensure the plate does not shift while drilling and placing screws.

Flashcard 2: Cloverleaf shape of K-nail on the cross-section which provides good _____ stability.

Answer: rotational

Flashcard 3: _____ can be used with Ilizarov technique and also for internal fixation of small bones

Answer: K-wire (Kirschner wire)

Flashcard 4: _____ screws have a smaller thread, low pitch, compression produced by over drilling proximal cortex

Answer: Cortical

Flashcard 5: The following is a _____ fixator or LRS (limb reconstruction system)

Answer: Rail

Flashcard 6: The following instrument is a _____

Answer: osteotome

Flashcard 7: Name the following technique of reducing a dislocated shoulder: _____

Answer: Stimson's hanging arm method

Flashcard 8: The following instrument is a _____

Answer: bone nibbler

Flashcard 9: _____ screws have a larger thread, high pitch, compression produced by partial threading with a blunt tip

Answer: Cancellous

Flashcard 10: In patellar clunk syndrome, a fibrous nodule at the _____ pole of the patella impinges on the femoral component during extension.

Answer: superior

Extra: Patellar clunk syndrome is a complication of Total Knee Arthroplasty (TKA), especially posterior-stabilized (PS) designs. A fibrous nodule forms at the superior pole of the patella/quadriceps tendon junction. This nodule gets caught in the intercondylar box of the femoral component during knee flexion and forcibly displaces ("clunks") during active extension.