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19 Cards in this Set

  • Front
  • Back

What is the function of the tibial polyethylene in a TKA prosthesis?



A-by being attached to the femoral condyles it confirms to the shape after the bone cuts have been made


B-to fill the spaces previously occupied between the meniscus and the bone that has been removed


C-it is used to measure the amount is resection required on the Tibia


D-by being attached to the proximal tibia, it conforms to the shape after the bone cuts have been made

B

Which is not one of the anatomical landmarks the surgeon uses as a guide for Whiteside's line?



A-perpendicular to the TEA


B-the deepest part of the trochlear groove


C-parallel to the TEA


D-in the center of the intercondylar notch

C

What is the basic difference between TKA and PKR?



A-TKA is surgical procedure. PKR is non - invasive procedure


B-TKA is a procedure in which only the most damaged portion of the knee is replaced. PKR is a procedure in which all anatomical structures of the knee are replaced


C-A patient who has had a TKA always requires extensive post op physical therapy. A patient who has had PKR is generally able to function normally within a week of the surgical procedure


D-TKA is a procedure in which all anatomical structures of the knee are replaced. PKR is a procedure in which only the most damaged portion of the knee is replaced

D

Interaction among the surfaces, stabilizers, and muscles of the knee joint provides:



A-the stability to withstand considerable forces


B-Mobility and stability


C-Proper knee articulation


D-Lubrication that allows the knee joint to move easily

B

What type of joint is the knee?

Synovial joint

What is the function of the ACL?

Prevents the Tibia from translating anteriorly on the femur. Runs from the anterior of the Tibia to the medial side of the femur's lateral condyle

What is the most common type of arthritis?

Osteoarthritis

Which of the following radiographic views might a surgeon order to determine if a patient had chondromalacia patella?

Skyline/sunrise view

What are the 3 arcs of motion?

1-screw home arc - between 10 and - 5 deg of full extension/knee locked in position and requires little assistance from muscles. Tibia rotates externally during terminal extension



2-Functional Arc - Affords the greatest ROM/Occurs between 10 and approx 120 deg of flexion. Femur rotates externally with reference to the Tibia



3-Deep Flexion Arc - Knee flexes beyond 120 deg (generally considered 145-160 deg). Femur rotates externally with reference to the Tibia, translates posteriorly to create spaces

What is the transepicondylar axis?

A line passing through the apexes is the medial and lateral femoral epicondyles

What is the Mechanical axis of the femur?

The angle of a line drawn from the centre of the femoral head to the center of the ankle

What is the anatomical axis of the femur?

A line that runs parallel to the shaft of the upper and lower leg bones. Approximately 6 deg of valgus from the mechanical axis

What are the components of TKA (4)?

Femoral component, Poly, Tibial BP, Patella implant

What is the benefit of a high degree of conformity between the femoral component and the tibial poly?

To minimize stress

The Patellafemoral joint is:

An intermediate joint between the patella and the femur

Which of the following functions as the anterior covering of the knee joint cavity?

Patella

Which of the following is NOT true of the patella?

Small bone located posterior to the knee joint

To which deformity do the following symptoms apply? Joint space narrowing on the medial side; contraction of the MCL; development of tibial osteophytes; sclerotic changes to the bone:

Varus knee

To which arc of motion does the following description apply? Affords the greatest range of motion; occurs when the knee flexes beyond 10' ; extends to approximately 120' of flexion

Functional arc