Mansoor Kassim

FRCS Trauma and Orthopaedics Exam: A guide to clinicals and vivas

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The exam to obtain the Fellowship of the Royal Colleges of Surgeons in Trauma and Orthopaedics (FRCS Tr and Orth) is a tough test of the knowledge of trainees close to the end of their trauma and orthopaedic training. It is considered a most difficult exam, where the candidates are tested on a wide range of orthopaedic problems. Routine reading from journal and textbooks, and accurate preparation in a clinical setting may not be enough to pass the examination.

There is very little guidance on the best way to proceed with vivas and clinicals, and confusion over what the best approach in answering vivas and clinical examination is. This book aims to help candidates to prepare for the exam as in a real exam scenario. The book contains common viva and clinical stations at be basis of the FRCS (Tr and Orth).
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375 printed pages
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  • b5731182232has quoted8 years ago
    is more than 20-30%.
    -failed reconstructions.
    -Performed at about one year of age.
    -Trimming of the condyles is not necessary in children.
  • b5731182232has quoted8 years ago
    -nonfunctional foot
    -severe cosmetic problems
    -a patient who may not tolerate multiple surgeries over an extended period.
    -Supramalleolar osteotomy to correct valgus or
    -Gruca procedure: a lateral malleolus is created byperforming an oblique sliding distal tibial osteotomy.
    -Resection of talar coalitions or fusion.
    -Lengthening (up to maximum of 7 cm lengthening during each lengthening process).
    B) Syme amputation
    -Relative indications:
    -if there is an unstable non/poorly-functional.
    -if the limb-length discrepancy
  • b5731182232has quoted8 years ago
    lateral translation; c) combined ankle and subtalar deformities; d) malorientation of subtalar joint.
    Type 4: Fixed equino-varus ankle (clubfoot type).
    The goal is to enable the child to gain maximal function by achieving adequate lower extremity alignment, length and stability. Amputation was the treatment of choice in the past but advances in limb reconstruction techniques have made reconstructions more common and allows to reconstruct more complex deformities.
    A) Limb reconstruction with lengthening.
    -If there is a good functional foot and ankle.
    -Relative contraindications:
    -maximum discrepancy 7.5-15
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