Contras and Precautions

Question 1

What are the precautions for the minimum protection phase for a THA?

Answer 1

1. Use of heavy resistance exercise loads can cause “micromotion” of femoral prosthesis and potential loosening of the prosthesis
2. Avoid high impact activities, and movements that impose heavy rotational forces of the limb

Question 2

What are posterolateral THA precautions?

Answer 2

1. Avoid excessive hip flexion past 90 degrees, limitation to 60 degree preferred
2. Avoid hip ADDuction beyond neutral
3. Avoid hip IR beyond neutral

Question 3

What are anterolateral THA precautions?

Answer 3

1. Avoid hip extension beyond neutral (hyperextension)
2. Avoid hip ABduction beyond neutral
3. Avoid hip ER beyond neutral

Question 4

What are the precautions for hip hemireplacement?

Answer 4

Same as THA (posterolateral approach most common)

Question 5

What are the precautions for subcaptial femoral neck fractures?

Answer 5

Same as THA

Question 6

What are the precautions for an intertrochanteric femoral fracture?

Answer 6

NONE!

Question 7

What are the precautions/contras for ACL sprain or reconstruction?

Answer 7

1. Avoid resisted open chain terminal knee extension (ie SAQ)
2. Avoid closed chain knee flexion from 60-90 degrees

Question 8

What are the precautions/contras for PCL sprain or reconstruction?

Answer 8

1. Avoid resisted open chain knee flexion (ie Hamstring curls)

Question 9

What are the precautions during the moderate protection phase after a patellofemoral surgery?

Answer 9

1. Avoid exercise against heavy loads due to increased patellofemoral joint compressive forces
2. Avoid exercise in positions that would increase compressive forces of the patella (60-90 degrees of knee flexion)

Question 10

What are the precautions for non-operative management of meniscal tears?

Answer 10

1. Avoid deep squatting >90 degrees of knee flexion or stain in pain free range

Question 11

What are the precautions for surgical meniscus repair?

Answer 11

1. Limit flexion to 120 degrees

2. Avoid full squats

Question 12

What are the precautions for a meniscectomy (partial or total)?

Answer 12

1. avoid progressing too quickly

2. High impact activities should be added and progressed carefully