Paediatric Orthopaedics, Congenital Deformities, Skeletal Dysplasias, and Neuromuscular Disorders — WACS Viva & Clinical Scenarios (Orthopaedics & Trauma)

Exam-style paediatric orthopaedics, congenital deformities, skeletal dysplasias, and neuromuscular disorders viva scenarios with examiner probes and model…

Scenarios covered

• SCENARIO 1: A 6-year-old boy (ASA 2) with known Duchenne Muscular Dystrophy (DMD) presents for bilateral Achilles tendon lengthening and hamstring release. Outline your complete anaesthetic strategy, detailing your choice of induction agents, maintenance drugs, muscle relaxants, and postoperative pain management, with explicit rationale on what drugs must be avoided.
• SCENARIO 2: A 3-year-old female (ASA 3) with Osteogenesis Imperfecta presents for bilateral femoral osteotomies and telescoping intramedullary rod insertion. Outline the multisystem hazards of this genetic disorder and your step-by-step anaesthetic plan (airway, positioning, monitoring, bleeding risk, and temperature regulation).
• SCENARIO 3: An 18-month-old child (ASA 2) is scheduled for open reduction and Pemberton pelvic osteotomy for neglected Developmental Dysplasia of the Right Hip (DDH). The procedure is expected to last 3 hours with significant blood loss. Detail your vascular access strategy, blood conservation and replacement calculation, fluid maintenance, and regional analgesia technique.
• SCENARIO 4: A 5-year-old boy (ASA 3) with Achondroplasia presents for bilateral tibial osteotomies to correct severe genu varum. Describe the specific airway, neuraxial, and pharmacological challenges associated with this condition, and formulate your complete perioperative management plan.