part 9 Flashcards
What are some Do’s after a posterior approach hip surgery?
- elevated toilet seat
- shower chair
- pillow between legs
- keep hip neutral
- notify surgeon if pain, deformity, loss of function
What are some Do Not’s after a posterior approach hip surgery?
- hip flex > 90
- adduct hip
- internal rotation of hip
- cross legs at knees/ankles
- put on own shoes/socks for 4-6 weeks
- sit on chair without arms
- sit on soft pillows
What should we teach a patient about post op anterior approach?
- hip muscles are left intact
- more stable after surgery
- avoid hyperextension
- limited to complete weight bearing
- no tub bathing or driving
What are some complications of a femoral neck fx?
- non-union
- avascular necrosis
- dislocation
- osteoarthritis
- shortened leg
- can or shoe needed for safe ambulation
What are some S/S of an anterior approach dislocation?
- severe pain
- lump to buttock
- limb shortening
- external rotation
- Tx: closed reduction required to reset
What does hip fx post op look like in an ambulatory care setting? (SNF or rehab)
- ongoing assessment of pain & infection
- VTE prevention
- ROm and/or PT
- PT eval home for safety
- avoid high impact sports
What are some factors that increase the risk of falls in the older adult population?
- balance issues
- poor strength
- poor vision and hearing
- orthostatic hypotension
Reconstruction or replacement of a joint to relieve pain, improve or maintain ROM, and correct deformity.
Arthroplasty
-caused by: OA, RA, avascular necrosis, congenital deformities, dislocations
What are some complications associated with total hip or knee arthroplasty (THA, TKA)?
- infection
- VTE which increases the risk of pulmonary embolism
Explain pre and post op arthroplasty?
Pre-op: -pain management -current level of function -support Post-op: neuromuscular assessment anticoagulation antibiotics exercise early ambulation PT
