Trauma and Orthopaedics

at a Glance

Henry Willmott

Multiple Choice Questions

Question 101. You are asked to see a patient on the ward, day 2 after a right total hip replacement (THR). He has Parkinson's disease and had been slow to get out of bed after the operation. Whilst climbing off a commode he suddenly complained of pain in the right groin and was unable to weightbear. The nurses hoisted him into bed and noticed that the right leg was externally rotated and shorter than the left. The most likely cause of his pain is:

A. Infected THR
B. Anterior dislocation of the prosthesis
C. Posterior dislocation of the prosthesis
D. Referred pain from the spine
E. Poor postoperative pain control
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