MSK conditions Flashcards
Unicondylar (unicompartmental) knee replacement
procedure and how it relates to recovery
M or L compartment replaced
SOO
quicker recovery and preservation
Total knee replacement
WB status and precautions
WBAT usually but always check
Precautions: no specific movement restrictions
TKA 3 eval components
- P/AROM goni **
- inspect skin at surg. site
- D/C right away
2 MUSTS for TKA D/C
- Independent with HEP
- Safely ambulate at home
post op protocol TKA
- aim for 0 to 90 * FL / EX
- FUNCTIONAL MOBILITY
- AROM and strengthening ASAP
Total Hip Arthroplasty WB precautions
WBAT
Signs and symptoms of hip dislocation
- Sharp pain different from post op pain
- abnormal IR / ER w/ limited mvmt
- LLD **
5 eval parts THA
- P/AROM goni
- Skin inspection at surgical site
- Measure leg length
- Assess for possible neurapraxia, esp femoral and sciatic nerves
- Immediate D/C planning
requirements for THA D/C
- Independent with HEP
- can get around home safely
- Independent with precautions
THA 3 exercises AROM/ strengthening
- submax glute sets
- ISOM quad strength and hamstring strength
- AVOID Single leg raises
THA functional mobility precautions
- Avoid pivoting on surgical LE
Can still WB on side, steps instead of 1 pivot - Use elevated bed to facilitate sit<->stand transfers
Discetomy - what is it and does it require brace
removes disc fragments or whatever is compressing the nerve
usually doesn’t require bracing
Decompression goal
taking away posterior elements of vertebral column (lamina, spinous processes)
TO pressure relief
Laminectomy- what is it and does it require a brace
lamina removed –> pressure relief
bracing usually not required
spinal fushion goal and does it require a brace
Stabilizes hypermobile or unstable joints
orthotic bracing required
Spinal Precautions - 4
- Log roll in / OOB
- no excessive trunk flexion while sitting
- lifting restriction 5 -10 #
NO LE WB precautions
THA precautions- Posterolateral approach
- No hip flexion past 90
- no ADD past midline
- no IR past neutral
THA precautions- Anterolateral and 2-incision approaches
no EXT and ER ( anterior glides)
Spinal surgery Evaluation components
- assessment may be limited by neck/ trunk precautions
- FXNAL MOBILITY
- know wearing schedule
- pain meds PRIOR to PT
- proper body mechanics
spinal surgery D/S
- Typically short hospital LOS
- Initial HEP will be walking (only)
- Prescribe AD as necessary for transition home
ORIF vs. Ex Fix
ORIF = fracture reduction, invasive
Exfix= immobilization, invasive
Fat Emboli
issue with LONG BONE FRACTURE –> fat released into blood stream
symptoms= SOB , skin rash
Compartment syndrome
Swelling in fascial compartments in leg, rupture
Multitrauma Fractures
common cause: MVA
Multiple fractures of UEs, spine/ribs, and/or LEs
WB restrictions
Orthotics
