Arthritis Flashcards
How do you categorize inflammatory arthritis?
Seropositive
Seronegative
Infectious
Crystal induced
What is referred to by seropositive?
Any positive serum marker eg ANA, CCP, RF etc
What are spondylarthropathy? What are some?
A group of inflammatory condtions affecting the axial skeleton
Ankylosing spondylitis
Psoriatic arthritis
Reactive arthritis
IBD
Undifferentiated
What are some non-operative treatments for arthritis?
E - Education
L - Lifestyle modifications
M - Medications - panadol osteo, NSAIDs, glucosamine supplement
P - Physio
O - Orthoses - unloading brace, wetsuit
P - Prosthetics - stick, crutches
I - Injections - steroids, viscosupplementation
What are some joint preserving procedure?
Arthroscopy
Cartilage graft
Osteotomy - to correct a deformity
What are some joint sacrificing operations?
Arthroplasty - total, hemi, partial
Arthrodesis - Fusion of a joint
What is the structure of a total knee replacement mechanism?
Two components
- Femoral and tibial
How is a total knee replacement performed?
Remove the articular surface of tibia, patella, and femur and replace with components
What the post management of a TKR?
IV cephazolin 1g IV for 24 hours
DVT propylaxis - 40mg clexane
Early mobilisation
How do you decide whether to cement or not cement a hip replacement?
Quality of the bone - cement better for poor bone
What are the components of the hip replacement?
Acetabulum
Polylene liner
Head
Stem
What are some complications of joint replacements?
Early
Pain
Infections
Bleeding
Dislocation
Clots
Implant failure
Late
Wear and loosening
Osteolysis
