Joint Surgery (Exam 3) Flashcards
Why do people have joint surgery?
-Relieve pain (patient preferrence)
-Improve joint motion
-Correct deformity and mal-alignment
-Remove intra-articular causes of erosion
What term we use for join surgery?
Arthroplasty
Who gets arthroplasties?
Osteoarthritis
Rheumatoid Arthritis (RA)
Congenital Deformities
Arthroplasty can either be
Reconstruction or replacement of joint
What joints can have arthroplasty
HIP and KNEE most common
-Elbow
-Shoulder
-Wrist
-Ankle
-Foot
Total Join Arthroplasty: Related Nursing Problems
-Acute Pain
-Impaired Physical Mobility
-Risk for peripheral NV dysfunction
-Risk for injury
-Risk for impaired skin integrity
-Possible VTE
What is the number one post complication with an arthroplasty?
VTE
What is the priority post TKA?
Restoring strength - muscle tone - ROM
CPM
Continuous passive motion machine for patient who are not compliant
Two different ways of hip replacements
Posterior hip replacement (Incision on lateral side of hip)
Anterior hip replacement (Incision on front of hip
Arthroplasty: Post-Op Care
Neurovascular assessment of affected extremity
Original surgical dressing is only removed by surgeon
Maintain specific ROM limitations
Posterior Approach Hip Replacement: Limitations
To avoid dislocation, avoid the following for at least 6 weeks:
-Extreme internal rotation
-Adduction
>90 degree flexion
Elevated toilet seat needed
Anterior Approach Hip Replacement: Limitations
-Hip muscles left intact; results in more stable hip post-op
-Hyperextension is only restriction
Hip Fracture-Open Reduction Internal Fixation: Limitations
Limited weight bearing for 6-12 weeks
Non-Weight Bearing
Affected extremity should not touch floor
Toe-touch weight bearing
Affected foot may rest on floor for balance, but no bearing of weight needed
Partial weight bearing
Can bear 30-50% of weight on affected extremity
Weight bearing as tolerated
As much as can tolerate without undue strain or pain
Quadricep Setting
Isometric exercises where you can contract and release
Gluteal Muscle Setting
Isometric exercises where you can contract and release
Post-op ORIF Hip Fracture: Exercises
Quadricep setting
Gluteal Setting
Leg raises in supine and prone position
Leg abduction exercises
PT PRN
