MOD 5.1 Big Joint Care

Question 1

What are the goals of a TJA?

Answer 1

• pain relief
• restoration of motion
• improved ability to do ADLs

Question 2

What are the indications for TJA?

Answer 2

• arthritis
• osteonecrosis
• dysplasia
• trauma

Question 3

What is osteoarthritis?

Answer 3

• good kind
• pathology of cartilage wearing away due to age

Question 4

What is rheumatoid arthritis?

Answer 4

• inflammation of lining of joint that secondarily affects the cartilage

Question 5

What are the surgical management methods to address arthritis?

Answer 5

• arthroscopy
• osteotomy
• total joint arthroplasty

Question 6

What are the post op implications of a hip replacement?

Answer 6

• no jogging
• excessive activity
• significant pain relief
• improved motion
  activity after = activity before

Question 7

What are the post op implications of a knee replacement?

Answer 7

• jogging maybe
• no aggressive activities until 6 months
• dramatic reduction in pain
• notable improvement in activity

Question 8

How long are inpatient stays for TJA?

Answer 8

• 1 to 2 days

Question 9

What are joint precautions after TJA?

Answer 9

• WBAT
• PWB = 25-50%
• touch down weight bearing

Question 10

What are the precautions for a total hip replacement?

Answer 10

• posterior hip precautions
• no hip flexion > 90 deg
• no twisting/pivoting
• no leg crossing

Question 11

What are the complications associated with anterior THA approach?

Answer 11

• femur precautions due to loading of femur