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Question #23

Painful TKA with apparently normal X-rays — what is your workup sequence?

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?

Arthroplasty

The Bone Stories asked 6 hours ago2 views · 0 comments · active 6 hours ago

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Question #22

Simultaneous bilateral TKA — who is an ideal candidate?

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?

Arthroplasty

The Bone Stories asked 6 hours ago3 views · 0 comments · active 6 hours ago

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Question #21

Severe knee OA at 50–55 years — how long do you delay TKA?

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?

Arthroplasty

The Bone Stories asked 6 hours ago1 views · 0 comments · active 6 hours ago

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