Total joint replacement Flashcards
1
Q
6 main indications for replacmeent
A
- joint derangment
- age
- pain
- funciton
- able to rehab
- reduced and painful ROM
2
Q
age indications
A
over 60
- no real age
3
Q
what are are most noticable increases
A
45-55 range
4
Q
4 pain indications
A
- not-releived by non-operative
- affect QOL
- affect sleep
- pain at rest and activity
5
Q
5 function indications
A
- walking distance
- cane/crutch need
- need for analgesics
- stair climbing issues
- diff. putting on shoes and socks
6
Q
what are joint derangement indications
A
- osteoarthritis #1
- RA
- psoriatic arth
- avasc. necrosis
- traumatic arth
- hip knee fractures
- bone tumors
- pagets
7
Q
** 4 radiographic indications
A
- lost joint space
- osteophytes
- subchondral cysts
- subchondral sclerosis
8
Q
8 contraindications
A
- infection
- too young and active
- poor skin coverage around hip
- paralyzed quad or abductors
- neuromusc. disease
- mental dysfuctional
- serious physical disease
- obesity
9
Q
5 parts of preop planning
A
- old incision
- limb length discrepancies
- vasc. status
- neuro status
- signs if infections
10
Q
what radiographs are needed?
A
hip: AP and lat hip, AP pelvis
knee; standing AP, lateral skyline
NO MRI
templating
11
Q
important parts of procedure
A
- sterility critical
- anathestheitc
- postitioning
- incorporate old scars
12
Q
6 possible complications
A
- DVT
- nerve injuries
- vascular injury
- dislocations
- infection
- wound problems
13
Q
what are typical nerve injuries
A
- palsy
- most imcomplete and with resolve to greater or lesser extent
14
Q
what are dislocation rates
A
- concern for both 1ry and revisions
- ## incidence inversely related to surg .experience
15
Q
infection rates
A
1% in new and 4% in revisions
- prophylaxis is critical
