Hip Arthroplasty
A 68-year-old woman presents 12 years after primary total hip arthroplasty with progressive groin and thigh pain. She has no systemic symptoms. Radiographs show polyethylene wear, pelvic osteolysis around the acetabulum extending to the teardrop and medial wall, and femoral osteolysis around a stable-appearing tapered stem. Inflammatory markers (ESR, CRP) are normal. Joint aspiration shows no organisms on culture. Regarding revision hip arthroplasty:
Mark each as TRUE or FALSE
Common indications for revision include: aseptic loosening (most common), polyethylene wear and oste...
The Paprosky acetabular classification grades bone deficiency: Type I (minimal, supportive columns),...
Infection workup is unnecessary if inflammatory markers are normal; Paprosky Type I requires cage re...
Femoral revision options depend on bone stock: solid metaphyseal bone allows cementless tapered/flut...
Key surgical considerations include: extended trochanteric osteotomy for cement and stem removal (pr...
Answer the questions to see explanations
Click T (True) or F (False) for each option