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15 Cards in this Set
- Front
- Back
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Classification of hip arthroplasty femoral shaft fractures?
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Vancouver classification:
Type A: in the trochanteric region AG: greater trochanter AL: lesser trochanter Type B: around the distal stem. B1: stable prosthesis B2: unstable prosthesis B3: unstable prosthesis + inadequate bone stock Type C: well below the stem. |
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Treatment of Type A femoral fractures?
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Usually stable and minimally displaced. ORIF if needed to maintain abductor function.
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Treatment of Type B femoral fractures?
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B1: ORIF ± bone graft
B2: ORIF ± bone graft B3: reconstruction or replacement of femur |
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Treatment of Type C femoral fractures?
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Treat independently of the arthroplasty. Therefore plate and screws are a viable treatment.
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Total knee arthroplasty: supracondylar femur fracture classification?
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Lewis and Rorabeck classification:
Type I: nondisplaced, interface intact Type II: displaced, interface intact Type III: ± displaced, interface failing |
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Total knee arthroplasty: treatment of supracondylar femur fractures?
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Type I: long leg casting for 4-8 weeks
Type II: ORIF Type III: replace? |
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Accepted alignment of supracondylar femur fracture?
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Angulation: <10°
Translation: <5 mm Rotation: <10° Shortening: <1 cm |
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Total knee arthroplasty: tibial fracture classification?
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The Felix classification:
Type I: in tibial plateau Type II: adjacent to prosthetic stem Type III: distal to prosthesis Type IV: tibial tubercle |
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Total knee arthroplasty: tibial fracture treatment?
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Type I: typically require tibial component revision
All else: closed reduction and cast immobilization. If nonunion in clinical followup, consider ORIF. |
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Periprosthetic fractures: patella fracture classification?
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Goldberg classification:
Type I: not involving cement, quadriceps tendon Type II: involving cement, quadriceps tendon Type IIIA: inferior pole with patellar ligament disruption Type IIIB: inferior pole without patellar ligament disruption Type IV: fracture-dislocation |
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Periprosthetic fractures: treatment of patella fractures?
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Non-op: Type I, IIIB
Op: ORIF of Type II, IIIA, IV |
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Periprosthetic fractures: shoulder fracture classification?
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UT-San Antonio classification:
Type I: proximal tip of humerus Type II: proximal tip to distal tip of humerus Type III: distal tip of prosthesis Type IV: in scapula adjacent to glenoid prosthesis |
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Periprosthetic fractures: shoulder fracture treatment?
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Conservative sling to prosthesis replacement, depending on extent of damage/instability.
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Periprosthetic fractures: elbow fracture classification?
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Unnamed classification:
Type I: fracture of humerus proximal to humeral component Type II: fracture of humerus or ulna in any location along length of prosthesis Type III: fracture of ulna distal to the ulnar component Type IV: fracture of the implant |
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Periprosthetic fractures: elbow fracture treatment?
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If nondisplaced and stable, split at 90°.
Displaced: Type I: ORIF, plate, etc. Type II: ORIF, plate, etc. Type III: cerclage wiring Type IV: component revision |
