O: Orthopaedic Surgery

Question 1

which 5 surgeries will be covered here?

Answer 1

total knee replacement, osteotomy, keyhole washout surgery, total hip replacement, revere polarity replacement

Question 2

what is an ideal pt for total knee replacement?

Answer 2

older, fit, end stage OA, symptomatic

Question 3

predictors of poor outcome in TKR?

Answer 3

obese, young, chronic pain syndrome, depression/anxiety, very active lifestyle

Question 4

complications of TKR?

Answer 4

deep tissue infection, pain and stiffness due to arthrofibrosis, instability, early failure, medical complications

Question 5

what is osteotmomy?

Answer 5

realignment of joint to redistribute forces

Question 6

who would you offer and osteotomy to?

Answer 6

a pt who wouldn’t benefit from prosthesis

Question 7

3 things to consider with total hip replacement surgery?

Answer 7

centre of rotation, leg length, canal width

Question 8

what are the types of prosthesis offered for THR?

Answer 8

cemented/ uncemented/ poly

Question 9

T/F: cemented prosthesis is used for young pt

Answer 9

F: cemented for elderly, cemented stem & uncemented cup for young

Question 10

what is reverse polarity shoulder replacement?

Answer 10

reverse ball and socket- prevents upward migration of humeral head