Common Orthopaedics Flashcards
What is an elective procedure?
One that is planned in advance and doesn’t need to performed immediately. e.g. joint replacements, lig reconstructions.
What is a trauma surgery?
Treat/manage traumatic injuries. e.g. external fixation, open reduction internal fixation (ORIF)
What is a joint replacement?
Arthritic/dysfunctional joint surface is replaced with a prosthesis. Most common are hips and knees.
What is a hemiarthroplasty?
Replacing half of hip joint (only femoral head).
What is hip resurfacing?
Replaces surfaces of hip joint - preserves more bone than a THR. Femoral head isn’t removed but reshaped to allow metal cap to be cemented onto it.
What is post-op physio like after TKR and THR?
Usually FWB after surgery - start mobilising on day 0 if possible. ROM/strength exercises, hip precautions sometimes followed for 6/52. Swelling management and pain management.
What complications can come with THR and TKR?
Post-op infection, DVT, Malfunction of prosthesis, nerve injury.
What is post-op physio like for TSR?
Early: sling for 2/52, ROM exercises allowed, ADLs, pain management.
Weeks 2-6: wean out of sling, progress ROM, start isometric RC exercises.
Weeks 6-12: as above but start to progress strength and functional exercises.
Up to 6 months: patient specific rehab depending on goals
What is post-op physio like for ACL reconstruction?
9-12 months of rehab to return to sport
Initial: gait education, AROM, strengthening,
Early: Progression of ROM/strength, early proprioception, cycling
Middle: Continue strength and ROM if required, proprioceptive exercises, load acceptance, running
Late: Sport specific drills, normally 6/12 onwards
What is post-op rehab like for RC?
3-6 months
Early: immobilised for up to 6/52 in sling
Middle: AROM, scapula stability
Late: Shoulder strengthening, proprioception, sport specific rehab
Post-op physio for achilles repair
Normally put in boot, in PF for 8-12/52, initially likely to be toe touch weight bearing
