ORTHO

Question 1

Another name for hip pinning

Answer 1

ORIF - Open Reduction Internal Fixation

Question 2

General Precautions for Hip Pinning

Answer 2

1) Weight Bearing Status
2) Edema Management
3) Look for signs of cast impingement
4) Check pain status
5) No smoking to allow faster healing
6) Check for precautions in specified movements - Physician’s orders

Question 3

Weight Bearing Precautions

Answer 3

NWB: non-weight bearing, 0% through the fracture site - 6 to 8 weeks duration

TDWB: touch down weight bearing, 25% of the individual’s weight may be placed through the fractured part of the body - 2-4 weeks duration

PWB: partial weight bearing - 50% of the individual’s weight may be placed through the fractured part of the body - 2-4 weeks duration

WBAT: weight bearing as tolerated - 75% of the individual’s weight may be placed through the fractured part of the body

Question 4

What are the reasons for the precautions for Hip Pinning?

Answer 4

1) Facilitate Healing
2) Decrease Pain

Question 5

OT Intervention Focus with Hip Pinning

Answer 5

1) Improve Balance
2) Improve Transfers
3) Improve UE ROM
4) Address Endurance - EC/WS or remediate endurance

Question 6

List any equipment used for Hip Pinning

Answer 6

• Walking device prescribed by PT
• May use dressing equipment if needed at the beginning but not really needed for the hip surgery

Question 7

Priority Problem List for Hip Pinning

Answer 7

1) Standing Balance
2) Mobility
3) UE Muscle Strength
4) ADL
5) Endurance

Question 8

What is another name for Hip Replacement?

Answer 8

THA - Total Hip Arthroplasty

Question 9

What are the general precautions for Hip Replacement?

Answer 9

Movement restriction

Question 10

Movement Restriction for Posterolateral approach

Answer 10

• No hip flexion over 90 degrees - no bending
• No Adduction - no crossing legs, knees or ankles
• No internal rotation - no wiggling foot inward - pigeon toe

Question 11

Movement Restriction for Anterolateral approach (anterior lateral approach

Answer 11

No hyper extension of legs - bringing leg back
- No Adduction - no crossing legs, knees, ankles
- No external rotation - no wiggling foot outward - duck foot

Question 12

What is the reason for the precaution for the hip replacements?

Answer 12

Precautions: movement restriction to prevent dislocation

Question 13

OT Intervention Focus for Hip Replacements

Answer 13

1) Precautions Management
2) Improve Functional Mobility - bed mobility and transfers
3) Improve UE muscle strength / improve endurance

Question 14

List equipments for Hip Replacement

Answer 14

1) Sock Aid
2) Reacher
3) Dressing Stick
4) LH shoe horn
5) LH sponge bath
6) raised toilet seat
7) Shower bench
8) Leg lifter
9) Adapted Shoes

Question 15

Priority Problem List for Hip Replacements

Answer 15

1) Precautions
2) ADL
3) Mobility
4) UE Muscle Strength
5) Standing Balance
6) Endurance