Hip Surgery
A 48-year-old manual laborer had a hip arthrodesis performed 25 years ago following septic arthritis. He now presents with disabling low back pain and ipsilateral knee pain. Examination reveals a fixed hip in 25 degrees flexion, 5 degrees abduction, and 15 degrees external rotation. His spine shows L4-5 degenerative changes on imaging, and he is unable to continue working. Regarding hip arthrodesis:
Mark each as TRUE or FALSE
The optimal hip arthrodesis position is 25-30 degrees flexion, 0-10 degrees abduction, and 15-20 deg...
Hip arthrodesis is a salvage procedure indicated for young patients with failed arthroplasty, eradic...
Back pain rarely develops after hip arthrodesis; ipsilateral knee arthritis is uncommon even at long...
Back pain develops in over 50% of patients at 10 years due to increased lumbar stress; ipsilateral k...
Conversion from hip arthrodesis to THA is technically demanding with 40-50% complication rates; chal...
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Click T (True) or F (False) for each option