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Review Question - QID 5969

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QID 5969 (Type "5969" in App Search)
A 75-year-old woman who fell on her right knee now reports pain and is unable to bear weight. History reveals that she underwent total knee arthroplasty on the right knee 6 years ago. Radiographs are shown in Figure 5. Management should now consist of
  • A

closed reduction and casting for 6 weeks.

2%

22/1104

open reduction and internal fixation, using a locked intramedullary rod.

1%

11/1104

open reduction and internal fixation, using two cancellous screws.

4%

46/1104

open reduction and internal fixation, using a locked plate and screws.

17%

189/1104

open reduction and internal fixation and revision of the femoral component.

74%

821/1104

  • A

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The radiographs show a loose femoral component with an associated medial condyle distal femoral fracture. The treatment of choice is open reduction and internal fixation with revision of the femoral component because of the femoral component loosening.

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