Hip Arthritis and Total Hip Arthroplasty Flashcards
1
Q
Indications for THA & THR disease?
A
- Primary OA
- Arthritis due to RA
- Seronegative inflammatory arthropathy
- AVN
- Dysplasia
- Perthes
- SUFE
2
Q
THA meaning?
A
Total hip arthroplasty
3
Q
THR meaning?
A
Total hip replacement
4
Q
Which is gold standard hip replacement?
A
Cemented metal/polyethylene THR remains Gold standard
5
Q
Types of Hip replacement?
A
- Cemented: use bone cement
- Uncemented: bone growing into a roughened porous surface
- Metal on polyethylene
- Metal on metal
- Ceramic on ceramic
6
Q
Is ceramic or metal more widely used?
A
ceramics
7
Q
Indications for THA?
A
- Pain
- Disability
- Conservative measures failing to control symptoms
8
Q
What are conservative measures?
A
- Analgesics
- Physio
- Stick: reduce joint force by 15%
- Weight reduction
- Modification of activities
9
Q
Early THR complications?
A
Infection Dislocation Nerve injury- sciatic Leg length discrepancy General complications: MI, chest infection, UTI, blood loss, DVT, PE
10
Q
Late local complications of THR?
A
- Early loosening
- Late infection
- late dislocation
