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OPTIM OCS: LQ > Knee: Treatment 4 > Flashcards

Knee: Treatment 4 Flashcards

1
Q

OA: nonsurgical

rehab focus

A
  • maintain strength and ROM

- reduce loading of the joint

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2
Q

OA: nonsurgical

rehab to maintain strength and ROM = good (short/long) term benefits

A

short

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3
Q

OA: nonsurgical

ways to reduce loading of the joint

A
  • weight loss
  • aquatics
  • rolling chair at work
  • insoles
  • bike/elliptical
  • unloading braces (fit is important)
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4
Q

OA: nonsurgical

strongest predictor of development and progression of OA

A

quad weakness

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5
Q

OA: nonsurgical

possible benefit with these types of injections

A

hyaluronic acid injections

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6
Q

OA: nonsurgical

Hyaluronic acid injections may help with

A
  • lubrication

- dec swelling and inflammation

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7
Q

OA: nonsurgical

oral glucosamine and chondroitin (research)

A

research does not support

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8
Q

OA: surgical options

A
  • high tibial osteotomy
  • femoral osteotomy
  • unicompartmental knee replacement
  • TKR
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9
Q

OA: surgical options

high tibial osteotomy for

A

unicompartmental medial damage

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10
Q

OA: surgical options

femoral osteotomy for

A

unicompartmental lateral damage

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11
Q

OA: surgical rehab

UKA/TKA is faster

A

UKA

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12
Q

OA: surgical rehab

WBAT unless

A

uncemented - progressed more slowly

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13
Q

OA: surgical rehab

ROM - focus on these ASAP

A
  • neutral extension

- 90˚ flexion

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14
Q

OA: surgical rehab
quad activation

early introduction of this is best

A

high intensity NMES

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15
Q

OA: surgical rehab

these significantly influence outcomes

A
  • pre-op ROM

- quad strength

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16
Q

Articular cartilage injury:

surgical options

A
  • microfracture
  • debridement
  • chondroplasty
  • OATS
17
Q

Articular cartilage injury: purpose of surgery

A

penetrate vascular region of subchondral bone to facilitate growth of fibrocartilage

18
Q

OATS =

A

osteochondral autograft transplantation

19
Q

Articular cartilage injury: surgery

rehab - WB

A

limited WB

20
Q

Articular cartilage injury:

WB limitations for debridement and chondroplasty

A

2-5 days

21
Q

Articular cartilage injury:

WB limitations for microfracture

A

2-8 weeks

22
Q

PFPS: typical demographic

A

young

physically active

23
Q

PFPS: aggs

A
  • squatting
  • stairs
  • prolonged sitting
  • running
24
Q

PFPS: risk factors

male or female

A

female

25
Q

PFPS: risk factors

strength/flexibility

A
  • dec quad flexibility
  • dec strength
  • dec explosive strength
26
Q

PFPS: risk factors

patellar mobility

A

hypermobile

27
Q

anterior knee pain ddx

A
  • intraarticular
  • patellar tendinopathy
  • peripatellar bursitis
  • plica syndrome
  • Sinding Larsen Johansen
  • Osgood Schlatter
  • Hoffa’s fat pad

OPTIM OCS: LQ (43 decks)

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