POST OP MANAGEMENT Flashcards
POST OP MANAGEMENT: what to look for in eval
- wound
- distal pulses
- compartment syndrome
post op complications that usually occur in early phases of healing
INFECTION
dvt/PE
delayed healing
nerve entrapment/compression
adhesion/scarring
PEACE and LOVE
PEACE: immediate care
LOVE: subsequent management
NSAIDs can hinder tissue repair (need inflammation for healing!)
PEACE stands for
Protection
elevation
avoid anti-inflam
compression
education (avoid passive treatments)
LOVE
load
optimism
vascularizaiton: pain free cardio
exercise
grade 1 mm strain
mild damage: 2-3 weeks to heal
grade 2 mm strain
no rupture but sign loss in strength and motion
weak and painful
2-3 months
grade 3 complete rupture of mm
potential palpable defect
may require surgery
potentially painless! WEAK
ottawa knee rules
need to hit 1 of these
age over 55
inability to bear weight 4 steps
tenderness of patella
tenderness at fibula head
can’t flex to 90
what are the 2 types of bone healing?
- primary: direct (surgically aligned) need ABSOLUTE STABILITY
- secondary: indirect (doesn’t need surgery/absolute stability)
femoral fractures
hip fxs:
femoral head/neck
intertrochanteric
subtrochanteric
femoral fx:
femoral shaft
supracondylar
only stress shielding device
PLATE
max protection phase post ORIF
first 6-8 weeks: ankle pumps, deep breathing intitially
try to reduce deconditioning, submax stuff and ab stuff (resistive for UE and non op LE
posterior hip precaution
no flex past 90
no IR
no ADD (sleep with abduction pillow)
acute phase 1 of post op THA
day 1-4 main goal: be safe at home
need transfers STS
Supine to sit
walk 100 feet
stairs
