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OrthoVellum

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Adult Reconstruction
intermediate
X-Type

Revision Hip Replacement Principles

Revision Arthroplasty

A 72-year-old woman presents with progressive right hip pain 12 years after primary total hip replacement. Radiographs show loosening of the acetabular component with superior migration and significant bone loss. She has a well-fixed femoral stem. Inflammatory markers are normal and aspiration shows no organisms. Regarding revision hip replacement:

Mark each as TRUE or FALSE

A

Common indications for revision THA include aseptic loosening (most common), periprosthetic infectio...

B

The Paprosky classification for acetabular bone loss: Type I (minimal loss, supportive rim), Type II...

C

Infection is the most common reason for revision; bone loss assessment is not required preoperativel...

D

Acetabular reconstruction options include: highly porous hemispherical cups with multiple screws (Ty...

E

Femoral reconstruction uses Paprosky classification: Type I (minimal loss), Type II (diaphyseal scra...

Answer the questions to see explanations

Click T (True) or F (False) for each option