hip fracture

Question 1

discuss hip fracture

Answer 1

common in elderly - light fall

severe pain in WB and NWB - groin
shortened leg
ER - pos of comfort

> 70 and female
sedentary
impaired balance and proprio

Question 2

compare intra capsular and extra capsular fractures

Answer 2

extra
- below intertrochanteric line
- does no disturb BF to femoral head
- stable or unsrable

intra
- above intertrochanteric line
- can disturb BF
- displaced, non displaced or compacted

Question 3

discuss hip ORIF

Answer 3

open lateral approach

can incise
- TFL
- vastus lateralis
- gmeds

weakkness in hip abd and knee ext

capsulotomy - femoral neck fx; longer NWB

Question 4

signs of ORIF failure

Answer 4

severe persistent groin, thigh or knee pain that inc c movement and WB

progressive LLD

trendelenburg does not resolve

Question 5

discuss WB considerations

Answer 5

NWB

toe touching

touch down <10 lbs

Question 6

disucss exercise considerations

Answer 6

soft tissue healing - 6 wks

bone healing - 10 to 16 wks

Question 7

max prot phase

Answer 7

phys mod to dec swelling and pain

ankle pumps and proper breathing

CKC PRE on UE

strenthening og uninvolved

PROM - AAROM - AROM

submax isoms or msucle sets

leg lifts in standing

pelvic tilts and knee to chest of uninvolved

Question 8

mod to min prot phase

Answer 8

PRE of involved and focus onnedurance

OKC and CKC ex

stretching of tight - iliopsoas, rectus fem, hams, abd and add

balance ex

aerobic na low impact