surgery for arthritis Flashcards
what is the difference between hemiarthroplasty and total arthroplasty ?
hemiarthroplasty - replacing only the femoral component of the hip
total hip arthroplasty - replacing both femoral and acetabular components of the hip
what are the indications for total hip replacement ?
young patient
old patient with active lifestyle
advanced hip arthritis ( femoral and acetabular )
what are the indications for hemiarthroplasty ?
old patients with limited daily activities
old patients with neuromuscular disorders
old patients with cognitive
what are the complications of arthroplasty ?
periprosthetic joint infection
dislocation
limb length discrepancy
osteolysis
wear and tear
what are the non arthroplasty surgeries ?
periarticular osteotomies
resection arthroplasty
arthrodesis
ablation
when do we perform a high tibial osteotomy ?
patients below 60
BMI less than 30
varus and valgus deformity
restore normal joint axis
hinder OA progression
when do we perform a periacetabular osteotomy ?
shallow acetabulum
improve head coverage
Hinder OA progression
what are the types of resection arthroplasty ?
girdlestone ( severe hip pain but cannot undergo total hip replacement )
trapeziectomy
when is a trapeziectomy done ?
in cases of arthritis of the base of the thumb
what is joint ablation ?
removal of the nerves causing the pain
what is the problem with performing ablation ?
there is a risk of developing charcot joint
