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&&&ABOS DAY #47 A 1-3 (6/5 & 6/6) Daily Mastery Plan
Abos Day #47 A 1-3 (6/5 & 6/6) Daily Mastery Plan
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6 Cards in this Set
56yo M s/p1 yr p THA w/ the implant Fig A. He is concerned about the potential complctns.
He is asymptmtc. Which is accurate re: prosthesis & future care? 1- bi-annual LFTs measrd, as metal ion
2-risk CA dramatically inc'd; 3-no corrltn bw/ activity & serum
4.prosthesis design safe in women of child- 5-prosthesis design-& inc'd risk for dislctn::MOM THR activity level does NOT affect
metal ion levels.Ans3
80 yo M has a Charnley all-poly acetabular shell Fig A. When def'g failure as revision for any reason, what is the failure rate at 35 years for this type of prosthesis? 1-&10%; 2-20%-30%; 3-40%-50%; 4-50%-75%; 5-&75%
::77.3% survivorship for the component @ 21 yrs, w/ revision/definite loosening as an endpoint. 84% surviving @ 20 years without revision. there is a significantly inc'd probability of revision based on the age of the pt.Ans2
All are features: metal-on-metal THA allows for improved fluid film lubrication b/w compnts EXCEPT: 1-L 2-Slight clearance of fit b/w acetblr cup & 3-Min
4-Complt congruence fit b/w acetblr
cup & 5-Min surface roughness acetblr cup::Slight clearance, not complete congruence, is optimal. ideal fluid film lubrication regime minimizes friction. largr hd size & full-film lubrication.Ans4
All are true for pt who underwent a metal-on-metal (THA) EXCEPT? 1-they will have ionically c 2-highr CA risk than with metal-on-poly THA; 3-elevtd levels Co & C 4-elevtd levels of Co & Cr in urine
5-highr frictional torque& ceramic on ceramic THA:: To date, there is NO correlation b/w metal serum levels & CA risk. metal-on-metal THA has & frictional torque than ceramic on ceramic THA.Ans2
66yo M TKA w/ fixed bearg post stabiizd compnt.
intraop trialg components: flex gap-loose & ext gap-appropriate. If this is not corrected, what post-operative complctn risk? 1-S 2-P
3-P 4-O- 5-Patellar instblty:: If knee is too loose-flex, possbl fem compnt &jump the post& grt pos dislctn. Tx-revision surgery only way to correct sx flex instability.Ans3
dur'g TKA knee is stable at full extension, but it will not flex past 90 deg. Which adjustments can achieve satisfactory ROM & stability flex/ext? 1-Downsiz' 2-Pl 3-R
4--Downsiz' 5-Performg medial tib reduction osteotomy::TKA &flexion, 5 options: 1downsizg fem compnt, 2recessg PCL, 3inc'g
pos tib slope, 4 resectg more tib 5Ans4
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