Final answer:
The most appropriate management is to assess the patient's cardiovascular status thoroughly due to the EKG findings, before proceeding with elective hip arthroplasty. A consultation with a cardiologist and further tests like an echocardiogram should be conducted to minimize surgery risks.
Step-by-step explanation:
The most appropriate management for a 68-year-old male who is evaluated before elective left total hip arthroplasty and reports left groin pain with new onset fatigue and dyspnea is to address the potential cardiac issues indicated by the EKG findings of Q waves in leads II and III. These EKG findings may suggest a previous inferior myocardial infarction. Before proceeding with the hip surgery, it's crucial to assess the patient's cardiovascular status more thoroughly, which could include further diagnostic testing like an echocardiogram or a consultation with a cardiologist. Considering the severity of the symptoms that limit his ambulation, it is critical to ensure that the risk of cardiac complications during surgery is minimized.
Hip fractures and the resulting complications, including morbidity and mortality, can be significant concerns for the elderly population. Hip arthroplasty is often a treatment option for osteoarthritis of the hip joint, which is the most common cause of hip disability. However, when there are signs of possible severe cardiac conditions, as in the case presented, medical stabilization and thorough cardiovascular evaluation take precedence over elective procedures.