Joint Replacement

Question 1

Indications: ?/? leading to a loss of ?.
Absolute contraindications: Untreated joint ?.
Relative contraindications: ?age, co-morbid diseases including ?

Answer 1

pain/stiffness
fx
sepsis
young
obesity

Question 2

Complications of Total Hip Replacement;

Leg ? discrepancy (15%).
? (3% - highest in the first three months, can be due to infection).
? (0.5-1%).
? fracture.
? pain (1%).
Polyethene wear of the ? compartment.
? injury (0.1%).

Answer 2

length
dislocation
infection
periprosthetic
persistent
acetabular
neurovascular

Question 3

Infection;
Infection is a ? but ?complication, with joint salvage rates
around 30% if caught ?.
It often presents subclinically, with ? systemic upset

Answer 3

rare
devastating
early
little

Question 4

infection

If suspected, the joint will be ? in ? conditions, ideally on ? separate occasions

Management usually involves removal of the ? and ? courses of antibiotics to clear the infection before a new ? can be inserted.

Answer 4

aspriated
aseptic
3
prosthesis
lengthy
prosthesis