Questions, operative experience and evidence-led discussion.
Different surgeons have different persepctives about when to start weight bearing after surgery. It depends on factors like the bone, fracture patter, fixation etc. What are your preferred weight bearing and rehab protocol for the following? 1) Ankle surgeries 2) ACL recon 3) Meniscal repair 4) Distal femur fractures 5) TKA and THA
Patient presents months after TKA with persistent pain. Plain radiographs look satisfactory and there is no obvious instability on initial examination. What is your step-by-step investigation sequence before labeling it unexplained pain? When do you obtain CT, aspiration or nuclear imaging?
For patients with severe bilateral knee OA requesting both knees to be replaced together, what are your selection criteria? Which comorbidities or age cutoffs make you strongly prefer staged procedures?
A 52-year-old has severe tricompartmental OA, significant daily pain and failed conservative treatment. Do you still try to delay TKA primarily because of age, or do symptoms and quality of life outweigh revision risk? What is your counselling in this age group?
