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QUESTION 1 OF 4

Concerning use of a closed suction surgical wound drain after knee arthroplasty surgery

QUESTION ID: 30

1. A difference found in blood transfusion requirements between patients receiving drains and those with an undrained wound
2. A significant difference in dehiscence and re-operation rate between patients allocated drains and undrained wounds
3. A significant difference in incidence of wound infection and haematoma between patients allocated drains and undrained wounds
4. Less pain and swelling, decreased risk of infection and quicker recovery with use of a drain
5. Need for reinforcement of wound dressings and bruising more common in group without drains

QUESTION 2 OF 4

A 70-year-old lady presents with worsening pain related to valgus knee arthritis. A plain radiograph of both knees on standing is as below(Figure 1). She is keen to consider a total knee replacement as the pain is not well controlled with analgesics and is interfering with her walking.
Which of the following is not reliable in setting external rotation of femoral component?

Knee 7.png

Figure 1.Anteroposterior(AP) radiographs both knees 

QUESTION ID: 1192

1. All of the below references used together
2. C. Posterior condylar axis
3. Proximal tibia cut
4. Transepicondylar axis (lateral to medial epicondyle)
5. Whiteside line (Trochlear AP axis)

QUESTION 3 OF 4

A 65 year old patient underwent a total knee replacement which resulted in excessive femoral notching.Anteroposterior(AP) and lateral radiographs are shown below(Figure 1)
Which of the following could be a potential cause of this complication?

Knee 8.png

Figure 1.Anteroposterior(AP)and lateral radiographs knee 

QUESTION ID: 1193

1. Excessive external rotation of femoral cutting block
2. Larger size femoral cutting block with anterior referencing
3. Larger size femoral cutting block with posterior referencing
4. Smaller size femoral cutting block with anterior referencing
5. Smaller size femoral cutting block with posterior referencing

QUESTION 4 OF 4

You are performing a total knee arthroplasty for a 70 year old lady for varus tricompartmental knee arthritis. During the balancing, you are faced with a situation of normal flexion gap but tight extension gap.
Which of the following solutions can be useful in this situation for sagittal balancing of the knee?

QUESTION ID: 1195

1. Cut more proximal tibia
2. Decrease the size of the femoral component
3. More distal femoral resection
4. Use a thicker polyethylene insert
5. Use a thinner polyethylene insert