MSK Ortho Surgical Repairs

Question 1

UE: RTC Tear

Gold standard Dx

Answer 1

Dx gold standard is arthrography

Question 2

UE: Tendon injuries and repairs of hand

Flexor tendon repairs —
How long immobilized?
When are flexion/extension OK?

Answer 2

First 3-4 weeks distal extremity immobilized with protective splint, wrist and digits flexed — IP joints maintained at 30-50 flexion
- Resisted extension and passive flexion in splint, AROM to tolerance @4 weeks

Question 3

UE: Tendon injuries and repairs of the hand
Extensor Tendon repairs

How long immobilized?
When initiate AROM?

Answer 3

• Prox repairs immobilized with wrist/digital joints in extension 4 weeks
• Distal IP joints in neutral 6-8 weeks
• AROM @6 weeks w/ prox IP joints in neutral

Question 4

LE: THR

Cemented vs. Non-cemented

• WBS?
• Population?

Answer 4

Cemented: can tolerate full weight bearing immediately
Non-cemented: more stressful on bones during surgical procedure

— Non-cemented used with younger more active individuals
— Cemented used with individuals with fragile bones or those who will benefit from immediate WB ability

Question 5

LE: ORIF following femoral fx

NWB how long?

Answer 5

1-2 weeks, crutches or walker, then PWB as tolerated

Question 6

LE: TKR

Typically as result of ?
What NOT to do as part of rehab?

Answer 6

Typically result of DJD of knee
Early rehab 1-3 weeks
DO NOT use CPM for post-op uncomplicated TKR