Flashcards in [AC] Orthopaedics Lower Limb Deck (15):
Femoralacetabular Impingement is an intra-articular cause of hip pain. What does it involve?
Impingement occurring when the ball shaped femoral head rubs abnormally
Perthes Disease is a condition an intra-articular cause of hip pain. What is it?
A condition characterised by a temporary loss of blood supply to the hip. Without adequate blood supply there is avascular necrosis of the head of the femur
Hip Arthroscopy refers to the
viewing of the interior of the acetabulofemoral joint through an athroscope and the treatment of hip pathology through a minimally invasive approach
What are the contraindications of hip arthroscopy?
Arthritis without mechanical symptoms
What are the four components/implants of total hip replacement?
What is the usual incision site for total hip replacement surgery?
Usually over the greater trochanter and the size of the incision is determined by the size of the patient. i.e. 15-30 cm - hugely variable
Briefly describe total hip replacement surgery
Incision over greater trochanter, head of femur removed, cup and cup liner inserted. stem inserted and hip then closed/sowed up
Blood clots or DVT can occur in up to ____% of people undergoing joint replacement
What is the aetiology of fractured neck of femur ?
* External force - twisting while foot fixed, slip or being knocked over
* Internal force - collapse of bone due to osteoporosis, ischemia, or cancer
Patient group is typically elderly women
The shaft of femur is long and strong, therefore those cause of a fracture of the shaft of the femur would most likely involve
high loads, lots of force, i.e. high impact injury
Outline the surgery duration, length of stay and recovery time for Arthroscopy - Menisectomy
Surgery Duration = 30 minutes
Length of stay = half a day, sometimes over night depending on when surgery is done
Usually takes 2-3 weeks to recover - small incisions
Total Knee Arthroplasty has _____ in the last 10 years
94% of Total Knee Arthroplasty in NZ was done because of
What ROM do you need to climb stairs? What about sit in a chair?
83 degrees stairs
90 degrees sit in a chair