Fundamentals Of Post Surgical Care (2)

Question 1

What are the indications for surgical intervention?

Answer 1

Pain at rest or with activity

Limitation of motion

Instability of a joint or bony segment

Structural degeneration

Joint swelling

Failed nonsurgical or previous surgical management

Loss of function leading to disability

Question 2

What are the pre-operative exams and evaluations?

Answer 2

Pain

ROM

Joint integrity

Muscle performance

Posture

Gait analysis

Movement screen

Performance based outcome measures

Question 3

What are the components of preoperative patient education?

Answer 3

Overview of plan of care

Postoperative precautions

Bed mobility and transfers

Initial postoperative exercises

Gait training

Wound care

Question 4

What are the three phases of postoperative rehab?

Answer 4

Max protection phase

Mod protection phase

Min protection/return to function phase

Question 5

What is the maximum protection phase?

Answer 5

Acute phase (treating tissues like they are just beginning to heal)

Question 6

What are the potential postoperative complications?

Answer 6

Pulmonary complications

Deep vein thrombosis

Subluxation or dislocation after joint surgery

Restricted motion from scar tissue

Failure of internal fixation

Question 7

What is the Well’s critera?

Answer 7

It is risk factors and clinical findings that may lead to deep vein thrombosis

Question 8

What is an open procedure?

Answer 8

Incision of adequate length or depth

Question 9

What is an arthroscopic procedure?

Answer 9

It is a small incision and using a diagnostic tool to see picture

Question 10

What is an arthroscopically assisted procedure?

Answer 10

Using a little of both open and arthroscopic procedures

Question 11

What is an autograft?

Answer 11

Taken from the patient themselves

Question 12

What is an allograft?

Answer 12

Catabaric tissue

Question 13

What is a synthetic graft?

Answer 13

Made from various materials

Question 14

What are the types of surgical repairs?

Answer 14

Muscle repair

Tendon repair

Ligament repair

Capsule stabilization

Tendon transfer

Question 15

What would a tendon transfer be used for?

Answer 15

Chronic ankle instability

Question 16

What type of procedures are used to release, lengthen, or decompress soft tissue?

Answer 16

Myotomy

Tenotomy

Fasciotomy

(To improve pain and function)

Question 17

What is an osteotomy?

Answer 17

Open reduction and internal fixation of fractures

Question 18

What does an osteotomy help?

Answer 18

Improve alignment by removing bone

Question 19

What is Genu valgum also known as?

Answer 19

Knock knees

Question 20

What does Coxa vara tend to come with?

Answer 20

Coxa valgum

Question 21

What is at a higher risk with a intracapsular fracture?

Answer 21

Avascular necrosis

Question 22

When are the pubofemoral, iliofemoral, and ishchiofemoral ligaments all tight?

Answer 22

During flexion and ER of hip

Question 23

What is the difference between a Scour test and a FADIR test?

Answer 23

They are the same but the scour is more aggressive then the FADIR

Question 24

Intraarticular

Answer 24

Within the joint

Question 25

Extraarticular

Answer 25

Muscles

Question 26

What are intraarticular tests?

Answer 26

Scour

FADIR

FABER

ROM

Question 27

What are extraarticular tests?

Answer 27

MMT

Palpations

Question 28

What test helps you look for femoral anteversion or retroversion?

Answer 28

Craig’s test

Question 29

What are some indications of hip osteoarthritis?

Answer 29

Hip flexion <120°

Hip IR < 15°

Morning stiffness less than an hour

Age over 50