Hip surgery

Question 1

Risk factors for DVT/PE

Answer 1

• Venous stasis
• Hypercoagulation- altered blood consistency
• Vascular/endothelial injury

Question 2

DVT/PE S and S

Answer 2

• DVT: pain/swelling in calf (not reliable for diagnosis)
• PE: chest pain, dysnopea, tachynopea, fever, hypoxaemia
• *use clinical reasoning to determine whether mobilisation will aid or progress DVT

Question 3

Posterior THR

Answer 3

• Detach glute max
• Dislocate hip with Add/IR/Flex- Avoid for 6/52
• Sciatic N
• Retains ABd
• Higher dislocation rate

Question 4

Lateral THR

Answer 4

• Detach glute med/min, vastus lateralis
• Dislocate Add/ER/Ex- Avoid for 6/52
• Superior gluteal N
• T/berg
• Retains stability = &laquo_space;dislocations

Question 5

Anterior THR

Answer 5

• Minimally invasive
• No detachment
• Lateral cutaneous N

Question 6

NOF presentation

Answer 6

• Fall
• Px deep groin/butt
• Agg w WB
• Pain 3/10 at rest

Question 7

Surgery procedures for #NOF

Answer 7

• Subcapital Gd 1 and 2 = dynamic screws
• Subcapital Gd 3 and 4 = Hemiarth and Austin Moore
• Trochanteric = intramedullary screw