Iraqi Board Orthopedic Surgery study materials
Iraqi Board Orthopedic Surgery study resources

Iraqi Board Orthopedic Surgery study plan

Iraqi Board Orthopedic Surgery · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Trauma and fracture management (including polytrauma and damage control orthopedics) & Basic sciences applied to orthopedics (anatomy, biomechanics, pathology, microbiology, pharmacology)

  • Classify 40 fracture patterns by AO/OTA type and state the mechanical principle (tension band, load-bearing, bridging) behind each chosen implant

  • Outline the damage control orthopedics sequence for a polytrauma patient, listing the four physiologic triggers that mandate staged fixation and the timing of secondary definitive surgery

  • Explain the biology of fracture healing (primary vs secondary, callus phases) and name three systemic and three local factors that delay union

  • Recite the anatomy and safe corridors for antegrade femoral and tibial nailing, including the structures at risk at the entry point and distal locking zone

Your checkpoint

A one-page decision algorithm for femoral shaft fracture management in the polytrauma patient, with citations to two textbook chapters

Week 2

Trauma and fracture management (including polytrauma and damage control orthopedics)

  • Compare treatment options for open tibial fractures by Gustilo-Anderson grade, stating debridement timing, antibiotic choice and soft-tissue coverage deadline

  • Describe the workup and reduction strategy for pelvic ring injuries, differentiating stable, mechanically unstable and hemodynamically unstable presentations

  • List the indications, contraindications and complications of tension-band wiring, plating and intramedullary nailing for distal radius and proximal humerus fractures

  • Analyze compartment syndrome pathophysiology and state the clinical findings that justify urgent fasciotomy before compartment pressure measurement

Your checkpoint

A 15-question self-test on open fractures and pelvic trauma, scored, with every wrong answer rewritten as a correct fact

Week 3

Arthroplasty and reconstructive surgery of the hip and knee & Basic sciences applied to orthopedics (anatomy, biomechanics, pathology, microbiology, pharmacology)

  • Differentiate bearing surfaces and fixation strategies (cemented vs cementless, uncemented press-fit) by patient age, bone quality and activity level

  • List the indications for primary total hip arthroplasty versus hemiarthroplasty versus internal fixation in the displaced femoral neck fracture, and justify each choice

  • Explain the biomechanics of the knee (rollback, screw-home, tibiofemoral and patellofemoral forces) and link each concept to a specific total knee design feature

  • Describe the workup of the painful total knee arthroplasty, ordering infection, loosening, instability and malalignment as competing diagnoses

  • State the common periprosthetic fracture classifications around hip and knee implants and the treatment principle for each

Your checkpoint

A comparison table of three total knee implant designs mapped to the biomechanical concept each addresses

Week 4

Spine surgery and spinal trauma

  • Explain the three-column concept and the TLICS score, then apply both to classify six thoracolumbar injury scenarios

  • Differentiate the indications for anterior, posterior and combined approaches to the cervical spine, naming the structures at risk in each approach

  • Describe the assessment of the patient with suspected cauda equina syndrome, including the timing of MRI and the threshold for emergency decompression

  • Outline the degenerative lumbar spine treatment ladder from conservative care to fusion, stating the evidence-based indication at each step

Your checkpoint

A scored set of eight spinal trauma case vignettes with a written justification for operative versus non-operative management in each

Week 5

Pediatric orthopedics and congenital/developmental disorders & Basic sciences applied to orthopedics (anatomy, biomechanics, pathology, microbiology, pharmacology)

  • Map the developmental milestones of the hip and lower limb, and apply the Ortolani, Barlow and Galeazzi tests to the diagnosis of developmental dysplasia of the hip at each age

  • Differentiate the pediatric fracture patterns (physeal, torus, greenstick, plastic deformation) and state the Salter-Harris classification with its prognosis for each type

  • Describe the Ponseti method sequence and the indications for bracing versus surgery in clubfoot

  • Explain the blood supply of the femoral head and its relevance to Perthes disease and slipped capital femoral epiphysis, including the urgency of treatment

Your checkpoint

A developmental dysplasia of the hip and clubfoot management flowchart covering screening age, imaging modality and treatment escalation

Week 6

Sports medicine, arthroscopy and soft-tissue injuries & Hand and upper extremity surgery

  • Interpret the physical examination and MRI findings of the four most common shoulder pathologies (rotator cuff tear, instability, labral tear, impingement) and match each to its arthroscopic procedure

  • Describe the anterior cruciate ligament reconstruction graft options and the rehabilitation milestones that gate return to sport

  • Explain the anatomy of the carpal tunnel and the indications for open versus endoscopic release, plus the causes of failed release

  • Outline the management of scaphoid fracture and the vascular supply of the proximal pole that drives the non-union risk

  • Describe the management of flexor tendon injuries by zone, including the rehabilitation protocol and the rationale for early controlled motion

Your checkpoint

A hand and sports injury quick-reference card covering ten diagnoses with examination finding, confirmatory test and first-line treatment

Week 7

Foot and ankle surgery & Orthopedic oncology and metabolic bone disease & Musculoskeletal infection and complications

  • Classify ankle fractures by the Lauge-Hansen and Danis-Weber systems and state the syndesmotic injury criteria that mandate fixation

  • Describe the workup of the diabetic foot, including the Charcot classification and the indications for offloading versus reconstruction versus amputation

  • Differentiate benign from malignant bone lesions using the age, location and margin framework, and list the staging workup before biopsy

  • Apply the principles of biopsy in suspected sarcoma, including the approach, tract placement and referral timing

  • Outline the diagnosis and treatment of acute and chronic osteomyelitis and periprosthetic joint infection, naming the sampling and culture standards

Your checkpoint

A one-page sarcoma referral checklist and a separate osteomyelitis versus periprosthetic joint infection diagnostic algorithm

Week 8

Rehabilitation, prosthetics and orthotics & Professionalism, ethics, patient safety and research methodology

  • Prescribe prosthetic and orthotic options for transtibial amputation, and state the rehabilitation milestones that gate prosthetic fitting

  • Explain the components of a lower-limb rehabilitation program after total knee arthroplasty and the evidence for early mobilization

  • Apply the four principles of biomedical ethics to two orthopedic scenarios (informed consent for arthroplasty, disclosure of a surgical complication)

  • Describe how to appraise a randomized controlled trial in orthopedics, naming the bias domains and the reporting standard used

  • Critique the design of a registry study versus a randomized trial when answering a surgical effectiveness question

Your checkpoint

A full-length timed mock examination, scored by domain, with a written remediation plan for the three weakest domains

Milestones

Week 2: Score at least 70% on the open fracture and pelvic trauma self-test, and correctly classify all 40 AO/OTA fracture patterns from week 1

Week 4: Complete all eight spinal trauma vignettes with a defensible operative or non-operative plan and correctly apply TLICS in at least six

Week 6: Deliver the hand and sports injury card and pass a 20-question mixed-domain quiz on domains 5, 6 and 7 at 70% or higher

Week 8: Score at least 65% overall on the mock examination with no domain below 50%, and submit the remediation plan for the three weakest domains