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Hip Arthroplasty History Quiz

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Questions and Answers

What is the most common risk factor for fracture neck of femur?

Lean body

Old age (>40) (correct)

Gender (female > male)

Low activity levels

What are the indications for Total Hip Arthroplasty (THA)?

Severe pain and loss of function (correct)

Old age and low activity levels

Partial displacement fractures

Complete displacement fractures

Which stage of femoral fracture is usually treated by dynamic hip screw?

Stage I (correct)

Stage III

Stage II

Stage IV

Which condition is NOT an indication for Total Hip Arthroplasty (THA) according to the text?

Osteoarthritis Signup and view all the answers

At which stage of femoral fracture are fragments still connected by posterior retinacular attachment?

Stage III Signup and view all the answers

What are the four stages of intracapsular fractures of the neck of femur according to the text?

Stage I: incomplete fracture of the neck (abducted or impacted), Stage II: complete fracture without displacement, Stage III: complete fracture with partial displacement, Stage IV: complete fracture with complete displacement Signup and view all the answers

What are the risk factors for fracture neck of femur mentioned in the text?

old age (>40), gender (female > male), low activity levels, Osteoporosis, Lean body Signup and view all the answers

What are the indications for Total Hip Arthroplasty (THA) according to the text?

Sever pain, Loss of function, Femoral fracture: Garden classification III and IV, Pathological joint erosion or fracture Signup and view all the answers

Name three conditions that can lead to pathological joint erosion or fracture, and are thus indications for Total Hip Arthroplasty (THA) according to the text.

juvenile idiopathic arthritis, lupus, rheumatoid arthritis, femoral head avascular necrosis, Gaucher disease Signup and view all the answers

What is the indication for using a dynamic hip screw in the treatment of femoral fractures according to the text?

Stage I and II fractures (Garden classification) Signup and view all the answers

Study Notes

Hip Arthroplasty History

A 65-year-old, lean-bodied female patient fell on an uneven surface, resulting in severe pain and inability to bear weight.
The patient is a retired archivist, lives alone, and is completely independent.

Clinical Picture

Severe pain
Inability to bear weight
Observation: right leg appeared shortened and in external rotation
X-ray: fractured right neck of femur (Garden classification stage III)

Risk Factors Associated with Fracture Neck of Femur

Age (65 years old)
Falling on an uneven surface
Lean body

Indications for Total Hip Arthroplasty (THA)

Fracture of the right neck of femur
Inability to bear weight

Role of Physical Therapy Pre-operatively

None mentioned in the text

Possible Post-operative Complications

None mentioned in the text

THA Precautions

None mentioned in the text

Role of Physical Therapy Post-operatively

None mentioned in the text

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Description

Test your knowledge of hip arthroplasty by identifying the clinical picture and risk factors associated with the condition described in the patient's history.