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Adult Reconstruction
intermediate
X-Type

Revision Total Hip Arthroplasty

Hip Arthroplasty

A 72-year-old man with a 12-year-old cemented total hip arthroplasty presents with progressive groin pain over 6 months. The pain is activity-related and worse with weight-bearing. There is no history of recent infection or surgery. Radiographs show a progressive radiolucent line around the acetabular component greater than 2mm in all three DeLee and Charnley zones with superior migration compared to previous films. Inflammatory markers are normal. Regarding revision total hip arthroplasty:

Mark each as TRUE or FALSE

A

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

B

Paprosky classification for acetabular defects: Type I - supportive rim, intact columns; Type IIA - ...

C

Instability is the most common indication for revision THA; elevated inflammatory markers exclude in...

D

Periprosthetic joint infection (PJI) diagnosis uses MSIS criteria: major criteria (two positive cult...

E

Femoral revision options depend on bone stock and fixation: cemented revision (rarely used), proxima...

Answer the questions to see explanations

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