690 Section III / Subspecialty Surgery
Which epithelial cancers are	Skin/lip cancer, especially basal cell and
important after transplant?	squamous cell
What is post-transplant	Multiple doses of OKT3
lymphoma associated with?	EBV
	Young elderly
What is the treatment for	1.	Drastically reduce immunosuppression
post-transplant lympho-	2.	Radiation
proliferative disease (PTLD)?	3.	Chemotherapy

C h a p t e r 74

Orthopaedic

Surgery

ORTHOPAEDIC TERMS

What do the following
abbreviations stand for:
ORIF?	Open Reduction Internal Fixation
ROM?	Range Of Motion
FROM?	Full Range Of Motion
ACL?	Anterior Cruciate Ligament
PCL?	Posterior Cruciate Ligament
MCL?	Medial Collateral Ligament
PWB?	Partial Weight Bearing
FWB?	Full Weight Bearing
WBAT?	Weight Bearing As Tolerated

	Chapter 74 / Orthopaedic Surgery 691
THA?	Total Hip Arthroplasty
TKA?	Total Knee Arthroplasty
THR?	Total Hip Replacement
TKR?	Total Knee Replacement
PROM?	Passive Range Of Motion
AROM?	Active Range Of Motion
AFO?	Ankle Foot Orthotic
AVN?	AVascular Necrosis
Define the following terms:
Supination	Palm up
Pronation	Palm down
Plantarflexion	Foot down at ankle joint (plant foot in
	ground)
Foot dorsiflexion	Foot up at ankle joint
Adduction	Movement toward the body
	(ADDuction ADD to the body)
Abduction	Movement away from the body
Inversion	Foot sole faces midline
Eversion	Foot sole faces laterally
Volarflexion	Hand flexes at wrist joint toward flexor
	tendons
Wrist dorsiflexion	Hand flexes at wrist joint toward extensor
	tendons
Allograft bone	Bone from human donor other than
	patient

692 Section III / Subspecialty Surgery
Reduction	Maneuver to restore proper alignment to
	fracture or joint
Closed reduction	Reduction done without surgery
	(e.g., casts, splints)
Open reduction	Surgical reduction
Fixation	Stabilization of a fracture after reduction
	by means of surgical placement of
	hardware that can be external or internal
	(e.g., pins, plates, screws)
Tibial pin	Pin placed in the tibia for treating femur
	or pelvic fractures by applying skeletal
	traction
	Fractured
	femur
	Trans-tibial
	traction pin
	Traction bow
	Tibia
	Traction cable
	Traction

Unstable fracture or	Fracture or dislocation in which further
dislocation	deformation will occur if reduction is not
	performed

	Chapter 74 / Orthopaedic Surgery 693
Varus	Extremity abnormality with apex of
	defect pointed away from midline
	(e.g., genu varum bowlegged; with
	valgus, this term can also be used to
	describe fracture displacement)
	(Think: knees are very varied apart)

Valgus	Extremity abnormality with apex of
	defect pointed toward the midline
	(e.g., genu valgus knock-kneed)

Dislocation	Total loss of congruity and contact
	between articular surfaces of a joint
Subluxation	Loss of congruity between articular
	surfaces of a joint; articular contact still
	remains