Arthroplasty of the knee

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QUESTION 1 OF 7

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
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QUESTION 2 OF 7

27.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. Posterior condylar axis
3. Proximal tibia cut
4. Transepicondylar axis (lateral to medial epicondyle)
5. Whiteside line (Trochlear AP axis)
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QUESTION 3 OF 7

31.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
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QUESTION 4 OF 7

48. 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
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QUESTION 5 OF 7

A 75 year old lady with rheumatoid arthritis on methotrexate is being planned for a total knee arthroplasty.
What is the most appropriate advice for methotrexate use peri-operatively?

QUESTION ID: 1275

1. Continue on usual dose
2. Half dose preoperative and restart 1 week postoperatively
3. Stop Methotrexate 1 week prior to surgery
4. Stop Methotrexate 2 weeks prior to surgery
5. Stop Methotrexate 48 hours prior to surgery
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QUESTION 6 OF 7

X.This 50-year-old man presents with pain and instability of his right knee. This is particularly noticeable when he ascends and descends stairs. Around 30 years ago, he had surgery for a direct blow to the knee.Clinical photographs from clinic are shown(Figure 1)
Further surgical treatment that is most likely to be effective is?

fa 1.jpg

Figure 1 Clinical photograph right knee 

QUESTION ID: 2211

1. Arthroscopic ACL reconstruction
2. Arthroscopic debridement
3. Cruciate retaining TKA
4. Extensor apparatus reconstruction
5. Posterior stabilised TKA
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QUESTION 7 OF 7

72.In planning a mobile bearing unicondylar knee replacement for a 59-year-old man ( Figure 1) which of the following features on clinical examination and further investigation would you consider most important?

QUESTION ID: 3226

1. The ACL is functionally intact.
2. The flexion range is normal.
3. The patello-femoral joint is normal.
4. The varus deformity fully corrects in extension.
5. There is no fixed flexion deformity.
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