CA CBL Hip Case 1 Flashcards
Incision
8 to 12 in length
Posterior Approach - what is impacted
Fascia latae is cut and repaired
Piriformis mm and short ER tendons are taken off femur
Lateral Approach - what is impacted
Fascia latae is cut and repaired
Glut med and min are elevated (not cut) to provide access to the joint
Sometimes greater troch is cut and then reattached with wires or cables
Anterior Approach - what is impacted
Joint is assessed from the front, muscles are separated but not detached
Anterolateral Approach - what is impacted
Detachment of about 1/3 of the glut med which is then reattached
Superior Approach - what is impacted
Newer - can be extended into a post approach if the surgeon needs more access
Similar to post approach but no cutting the post capsule or short ER and no dislocating of the joint
Minimally invasive approaches - incision
2.5 inches
Minimally invasive posterior approach
Muscles are not cut but natural planes btw muscles are opened to revel joint capsule - capsule is open
Minimally invasive anterior approach
No detachment of muscles
THA Restrictions/Precautions to prevent dislocation - Posterior Approach
NO flexion past typically 90 but can be 80, 60, or 45
NO adduction across midline (crossing legs)
Avoid IR beyond neutral
THA
Restrictions/Precautions to prevent dislocation - Anterior Approach
NO hyperextension (extension restriction of 0 degrees) Avoid Abduction Avoid ER Hip Add (0 degrees)
WB approach
Follow orthopedists directions
If cemented is typically WBAT
If not is typically TWB to PWB
THA equipment during hospitalization
Trapeze Adduction wedge (post approach) Long handled shoe horn Sock aid Elastic shoe laces or shoes with velcro
THA equipment at home
Leg lifter Reacher Dressing Stick Raised Commode Tub Bench/Chair Grab bars in bathroom, on steps, on stairs
What do you need to do before you get them out of bed
Need to check ROM and strength on the non-surgical leg because you will use it to WB
