See Full Case |
A
65-year-old female presents with increased thigh pain with the start of
ambulation on her operative leg 5 days after a cementless total hip arthroplasty
(THA) for a femoral neck fracture.
How would you treat this
intraoperative peri-prosthetic fracture?
|
Nonoperative - NWB x 6
weeks |
|
Nonoperative - TTWB x 6 weeks |
|
Nonoperative - WBAT x 6 weeks |
|
Operative
Treatment | If you choose operative treatment,
what procedure would you do?
|
Cerclage wires only |
|
Plate fixation |
|
Revision to long stem
prosthesis | Would you get a CT scan prior to
deciding treatment?
|
Yes - need to know more about
fracture |
|
No - radiographs are
enough |
|
| For the original THA for the
femoral neck fracture, would you use a cemented or cementless femoral
prosthesis?
|
Cemented femoral
prosthesis |
|
Cementless femoral
prosthesis |
|
| |