TKA Patient Selection
A 58-year-old active male teacher presents with 18 months of progressive right knee pain. He has tried physiotherapy for 6 months, received two corticosteroid injections with temporary relief, and uses NSAIDs regularly. His BMI is 32 kg/m². Weight-bearing radiographs show Kellgren-Lawrence grade IV osteoarthritis with bone-on-bone contact in the medial compartment. He has difficulty climbing stairs and walks with a limp. His knee flexion is 5-110 degrees. Regarding the indications and timing for total knee arthroplasty in this patient:
Mark each as TRUE or FALSE
The primary indication for TKA is pain and functional impairment that significantly affects quality ...
This patient meets criteria for TKA consideration: radiographic evidence of severe OA (KL grade IV),...
TKA should always be delayed until age 65 regardless of symptoms; BMI greater than 30 is an absolute...
Obesity (BMI greater than 30) is a relative, not absolute, contraindication to TKA; higher BMI is as...
This patient with severe radiographic OA, failed 18 months of conservative treatment including physi...
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Click T (True) or F (False) for each option