Surgery: Musculoskeletal: Osteoarthritis, Hip Arthroplasty

Question 1

Osteoarthritis, Hip Arthroplasty

What is the definition of Osteoarthritis?

Answer 1

Question 2

Osteoarthritis, Hip Arthroplasty

What is the aetiology/risk factors of Osteoarthritis?

Answer 2

Question 3

Osteoarthritis, Hip Arthroplasty

What is the classification of Osteoarthritis?

Answer 3

Question 4

Osteoarthritis, Hip Arthroplasty

What are the main symptoms of Osteoarthritis?

Answer 4

1. Joints affected: knee, hip, DIP, PIP
2. Pain
3. Stiffness
4. Deformity
5. Reduced range of Movement

Question 5

Osteoarthritis, Hip Arthroplasty

What are the typically affected joints in Osteoarthritis?

Answer 5

Question 6

Osteoarthritis, Hip Arthroplasty

What are the pain symptoms of Osteoarthritis?

Answer 6

Question 7

Osteoarthritis, Hip Arthroplasty

What are the stiffness symptoms of Osteoarthritis?

Answer 7

Question 8

Osteoarthritis, Hip Arthroplasty

What are the deformity symptoms of Osteoarthritis?

How does Osteoarthritis affect Range of Movement?

Answer 8

Question 9

Osteoarthritis, Hip Arthroplasty

What is the pathophysiology of Osteoarthritis?

Answer 9

• Break down of articular cartialge causes dammage to the underlying bone
• Subchondral bone becomes sclerotic
  
  • subcondral cysts
• Proliferation in unstressed areas >> osteophytes
• capsular fiborsis > stiff joints

Question 10

Osteoarthritis, Hip Arthroplasty

What are the main investigation types in Osteoarthritis?

Answer 10

• Exclude Rheumatological Disease
• Check Renal Function
• X-Ray Changes

Question 11

Osteoarthritis, Hip Arthroplasty

What are the investigations to Exclude Rheumatological Disease in Osteoarthritis?

Answer 11

Question 12

Osteoarthritis, Hip Arthroplasty

What are the investigations to Check Renal Function in Osteoarthritis?

Answer 12

Question 13

Osteoarthritis, Hip Arthroplasty

What are the X-Ray Changes investigations in Osteoarthritis?

Answer 13

Question 14

Osteoarthritis, Hip Arthroplasty

Who is in an Osteoarthritis MDT?

Answer 14

Question 15

Osteoarthritis, Hip Arthroplasty

What is the conservative management of Osteoarthritis?

Answer 15

Question 16

Osteoarthritis, Hip Arthroplasty

What is the medical management of Osteoarthritis?

Answer 16

Question 17

Osteoarthritis, Hip Arthroplasty

What is the surgical management of Osteoarthritis?

Answer 17

• Arthroscopy Washout
• Realignment Osteotomy
• Arthroplasty
• Arthrodesis
• Novel Techniques

Question 18

Osteoarthritis, Hip Arthroplasty

What is the arthroscopic washout management of Osteoarthritis?

Answer 18

Question 19

Osteoarthritis, Hip Arthroplasty

What is the Realignment Osteotomy management of Osteoarthritis?

Answer 19

Question 20

Osteoarthritis, Hip Arthroplasty

What are the Arthroplasty, Arthrodesis and Novel Techniques management of Osteoarthritis?

Answer 20

Arthrodesis: surgical immobilization of a joint by fusion of the bones

Question 21

Osteoarthritis, Hip Arthroplasty

What is the pathology of Osteoarthritis (comparing it to RA)?

Answer 21

• RA
  
  • Inflammatory
  • Positive Serology

Question 22

Osteoarthritis, Hip Arthroplasty

What is the pathology of Rheumatoid Arthritis (comparing it to osteoarthritis)?

Answer 22

• Osteoarthritis:
  
  • Inflammatory
  • Positive Serology

Question 23

Osteoarthritis, Hip Arthroplasty

What are the clinical features of Osteoarthritis (compared to RA)?

Answer 23

Question 24

Osteoarthritis, Hip Arthroplasty

What are the clinical features of Rheumatoid Arthritis (compared to Osteoarthtitis)?

Answer 24

Question 25

**_Osteoarthritis, Hip Arthroplasty_** What are the radiological features of Osteoarthritis (comapred to RA)?

Answer 25

Question 26

**_Osteoarthritis, Hip Arthroplasty_** What are the radiological features of Rheumatoid Arthritis (compared to Osteoarthritis)?

Answer 26

Question 27

**_Osteoarthritis, Hip Arthroplasty_** What is the History of Hip Arthroplasty?

Answer 27

Question 28

**_Osteoarthritis, Hip Arthroplasty_** What are the types of Hip Arthroplasty?

Answer 28

* Total Hip Replacement * Hemi-arthroplasty * Resurfacing

Question 29

**_Osteoarthritis, Hip Arthroplasty_** What are the features of Total Hip Replacement?

Answer 29

Question 30

**_Osteoarthritis, Hip Arthroplasty_** What are the features of Hemi-arthroplasty?

Answer 30

Question 31

**_Osteoarthritis, Hip Arthroplasty_** What are the features of Resurfacing?

Answer 31

Question 32

**_Osteoarthritis, Hip Arthroplasty_** What are the types of Prostheses?

Answer 32

Question 33

**_Osteoarthritis, Hip Arthroplasty_** What are the types of technique for Hip Arthroplasty Surgery?

Answer 33

* Posterior Approach * Anteriolateral Approach

Question 34

**_Osteoarthritis, Hip Arthroplasty_** What are the features of Posterior Approach for Hip Arthroplasty?

Answer 34

Question 35

**_Osteoarthritis, Hip Arthroplasty_** What are the features of Anteriolateral Approach for Hip Arthroplasty?

Answer 35

Question 36

**_Osteoarthritis, Hip Arthroplasty_** What are the Immediate complications of Hip Arthroplasty?

Answer 36

Question 37

**_Osteoarthritis, Hip Arthroplasty_** What are the Early complications of Hip Arthroplasty?

Answer 37

Question 38

**_Osteoarthritis, Hip Arthroplasty_** What are the Late complications of Hip Arthroplasty?

Answer 38

Question 39

**_Osteoarthritis, Hip Arthroplasty_** What is done to prevent DVT with Hip Arthroplasty?

Answer 39

Question 40

**_Osteoarthritis, Hip Arthroplasty_** What are the pre-op steps for Hip Arthroplasty?

Answer 40

Question 41

**_Osteoarthritis, Hip Arthroplasty_** What are the Intra-op steps for Hip Arthroplasty?

Answer 41

Question 42

**_Osteoarthritis, Hip Arthroplasty_** What are the post-op steps for Hip Arthroplasty?

Answer 42

Question 43

**_Osteoarthritis, Hip Arthroplasty_** What are the Advantages of Hip Resurfacing?

Answer 43

Question 44

**_Osteoarthritis, Hip Arthroplasty_** What are the Disadvantages of Hip Resurfacing?

Answer 44

Question 45

**_Osteoarthritis, Hip Arthroplasty_** What are the indications for Hip Resurfacing?

Answer 45

Question 46

**_Osteoarthritis, Hip Arthroplasty_** What is the outline of Hip Fracture treatment?

Answer 46