hip arthroplasty

Question 1

compare cemented and cementless

Answer 1

cemented
- early post op WB
- shorter rehab
- aseptic loosening
- less active and older

cementless
- porous allows bone growth
- 3-6 mo for in growth
- less chance of loosening
- for younger and active

Question 2

WB considerations

Answer 2

cemented - WBAT

cementless and hybrid - restricted WB for 6-8 wks

trochanteric osteotomy - restrictred WB 6-8 or 12-16 wks

Question 3

discuss posterolateral approach

Answer 3

most common

preserves gluteal muscles but high chance of aseptic loosening

Question 4

discuss lateral approach

Answer 4

incision through gmeds and vastus lateralis

weak muscles - limitied knee ext, hip abd and pelvic drop on contra

trendelenburg or waddling

Question 5

discuss anterolateral approach

Answer 5

least common - requires trochanteric osteotomy; most soft tissue damage

for stroke or CP pts since malikot sila so aseptic loosening will be prevented when they sit

Question 6

max prot phase

Answer 6

0-6 wks

pos and pt educ - precautions

ankle pumps and diaphragmatic breathing

bed mob and transfers

ambulation bed side

PROM, AAROM, AROM

msucle sets

PRE of UE

stretch unaffected

Question 7

mod prot phase

Answer 7

6-12 wks

AROM

PRE focusing on endurance

low impact aerobics

stretching

balance ex

walking program

FA - stair neg

Question 8

min prot phase

Answer 8

> 12 wks

jus progress mod prot