4.4 of 11 Ratings
Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC.
A 62-year-old woman with a valgus knee as seen in Figures A and B who underwent a primary total knee arthroplasty with a tourniquet presents 5 hours postoperatively with severe pain in the extremity and inability to dorsiflex or plantarflex the ankle. Narcotic pain medication does not improve her symptoms. The knee is flexed and the bandage is loosened and she is re-examined one hour later. On examination, the patient is unable to dorsiflex or plantarflex the foot and the pulses are asymmetric. What is the next most appropriate step in management?
Serial neurologic examinations and EMG in 3 months
Pain service consultation for adductor canal block
Return to the OR for peroneal nerve exploration
Vascular surgery consultation
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A 65-year old healthy male has just undergone primary total knee arthroplasty. Which of the following is associated with use of a closed suction drain in this procedure?
Increased incidence of wound dehiscence
Increased incidence of transfusion
Decreased incidence of infection
Decreased incidence of hematoma formation requiring return to OR
Decreased pain scores on post-op days 1 and 2