Tuesday, 16 January 2018

image Q. 108 - Coming of 'age'

Q.  Which if these is least valid procedure for joint or bone disorder?

a.  Forage
b. Circlage
c. Lavage
d. Remplissge
e. Barbotage






















































































































Answer -
e

Forage is core decompression procedure for relieving pressure from femoral head by bone drilling in cases of osteonecrosis.

 Circlage is procedure of fixing bones with the help of stainless steel wire or fibre wire etc. to secure them together. Commonly done in cases of periprosthetic fractures, patella fracture etc.

Lavage is washout with copius amount of fluid or daline. It is done for open injuries but intraarticular lavage can be done for joint pathologies with arthroscopic method. Also an option in osteoarthritis knee.

Remplissage is surgical procedure for management of shoulder instability with large and engaging humeral defect ( Hill Sach lesion) which is covered to avoid contact with glenoid and treated in this manner.

Barbotage involves multiple repeated injection of fluid or aspiration in various pathologies like spinal anasthesia, surgical biopsies, gastric lavage or calcific musculoskeletal lesions. This is not specific, thus the best option here

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