4) Hip & Knee Replacement Flashcards
1
Q
Level 1 AAOS Non-Athroplasty Guidelines
A
- If pt is overweight, they need to lose 5% of their BW
- Pt should do low-impact aerobic fitness
- Don’t use glucosamine or chondroitin-its useless
- Don’t do needle lavage or arthroscopy w/debridement
2
Q
Level 2 AAOS Non-Athroplasty Guidelines
A
- Modify activity
- Pt ed
- Strengthen quads
- Don’t use lateral heel wedges for medial comp diseas
- Use acetaminophen or NSAID’s
- If pt has GI issues, use COX-2 or topicals
3
Q
Types of Surgical Procedures for Arthritis
A
- Arthroscopic Debridement
- Osteotomy
- Hip Resurfacing
- THA or TKR
4
Q
Indications for THR & TKR
A
- Pain relief
- Severe Arthritis
- Severe progressive deformity
- Severe pain from pseudogout
- Trauma/Hip Fx
- Tumor
- Younger pt’s/Multi-jt involvement
- Failed conservative tx
5
Q
Pros of TJR
A
- Pain Relief
- Improved ROM
- Restoration of stability
6
Q
Cons of TJR
A
- Vigorous activity is discouraged
- Implants don’t last forever
- Pt could have leg length discrepancy
7
Q
Phases of Post-TJR Rehab
A
1) Pre-Op Ed
2) Hospital Acute Care
3) Outpatient Care
8
Q
Posterior THR Pxn’s
A
Flexion past 90°, IR, & Adduction
9
Q
Anterolateral THR Pxn’s
A
Extension, ER, & Adduction
10
Q
Direct Anterior THR Pxn’s
A
Extension, ER, Adduction, & Bridging
11
Q
What does in-pt rehab consist of?
A
- Pharmacologic Pain Management
- Transfers
- Amb w/AD
- OOB to chair
- Sitting Upright
- Independence
12
Q
Home D/C Criteria
A
- Independent amb w/AD
- Independent transfers
- Stairs w/supervision
- PO pain control
- Appropriate home assistance
13
Q
What does outpatient rehab consist of?
A
- Return to activity
- Return to driving
- Return to work
- CKC for knee
- 2-3x/wk for at least 2wks
14
Q
What can be done for venous thromboembolic disease?
A
Can use below-the-knee devices
15
Q
TJR risks
A
- Infection
- DVT
- PE
- Cardiogenic pathologies
