MSK conditions

Question 1

Unicondylar (unicompartmental) knee replacement
procedure and how it relates to recovery

Answer 1

M or L compartment replaced
SOO
quicker recovery and preservation

Question 2

Total knee replacement
WB status and precautions

Answer 2

WBAT usually but always check
Precautions: no specific movement restrictions

Question 3

TKA 3 eval components

Answer 3

1. P/AROM goni **
2. inspect skin at surg. site
3. D/C right away

Question 4

2 MUSTS for TKA D/C

Answer 4

1. Independent with HEP
2. Safely ambulate at home

Question 5

post op protocol TKA

Answer 5

1. aim for 0 to 90 * FL / EX
2. FUNCTIONAL MOBILITY
3. AROM and strengthening ASAP

Question 6

Total Hip Arthroplasty WB precautions

Answer 6

WBAT

Question 7

Signs and symptoms of hip dislocation

Answer 7

1. Sharp pain different from post op pain
2. abnormal IR / ER w/ limited mvmt
3. LLD **

Question 8

5 eval parts THA

Answer 8

1. P/AROM goni
2. Skin inspection at surgical site
3. Measure leg length
4. Assess for possible neurapraxia, esp femoral and sciatic nerves
5. Immediate D/C planning

Question 9

requirements for THA D/C

Answer 9

1. Independent with HEP
2. can get around home safely
3. Independent with precautions

Question 10

THA 3 exercises AROM/ strengthening

Answer 10

1. submax glute sets
2. ISOM quad strength and hamstring strength
3. AVOID Single leg raises

Question 11

THA functional mobility precautions

Answer 11

1. Avoid pivoting on surgical LE
   Can still WB on side, steps instead of 1 pivot
2. Use elevated bed to facilitate sit<->stand transfers

Question 12

Discetomy - what is it and does it require brace

Answer 12

removes disc fragments or whatever is compressing the nerve
usually doesn’t require bracing

Question 13

Decompression goal

Answer 13

taking away posterior elements of vertebral column (lamina, spinous processes)
TO pressure relief

Question 14

Laminectomy- what is it and does it require a brace

Answer 14

lamina removed –> pressure relief
bracing usually not required

Question 15

spinal fushion goal and does it require a brace

Answer 15

Stabilizes hypermobile or unstable joints
orthotic bracing required

Question 16

Spinal Precautions - 4

Answer 16

1. Log roll in / OOB
2. no excessive trunk flexion while sitting
3. lifting restriction 5 -10 #
   NO LE WB precautions

Question 17

THA precautions- Posterolateral approach

Answer 17

1. No hip flexion past 90
2. no ADD past midline
3. no IR past neutral

Question 18

THA precautions- Anterolateral and 2-incision approaches

Answer 18

no EXT and ER ( anterior glides)

Question 19

Spinal surgery Evaluation components

Answer 19

1. assessment may be limited by neck/ trunk precautions
2. FXNAL MOBILITY
3. know wearing schedule
4. pain meds PRIOR to PT
5. proper body mechanics

Question 20

spinal surgery D/S

Answer 20

1. Typically short hospital LOS
2. Initial HEP will be walking (only)
3. Prescribe AD as necessary for transition home

Question 21

ORIF vs. Ex Fix

Answer 21

ORIF = fracture reduction, invasive
Exfix= immobilization, invasive

Question 22

Fat Emboli

Answer 22

issue with LONG BONE FRACTURE –> fat released into blood stream
symptoms= SOB , skin rash

Question 23

Compartment syndrome

Answer 23

Swelling in fascial compartments in leg, rupture

Question 24

Multitrauma Fractures

Answer 24

common cause: MVA
Multiple fractures of UEs, spine/ribs, and/or LEs
WB restrictions
Orthotics