Surgery

Question 1

cemented vs. non cemented THA

Answer 1

cemented: tolerate full WB immediately but cement may crack overtime. Better for individuals with fragile bones or need to WB (dementia)
non cemented: more stressful to the bone and won’t allow full WB usually. better for younger and more active patients

Question 2

posterior THA precautions

Answer 2

flexion >90, adduction and IR

Question 3

Femur ORIF WB

Answer 3

NWB up to 2 weeks, then PWB

Question 4

CPM for TKA

Answer 4

Not indicated for uncomplicated TKA

Question 5

cemented vs. non cemented TKA

Answer 5

cemented: WB as tolerated

non cemented: WB progressed similar to fracture healing

Question 6

TKA
ROM guidelines
AROM guidelines
Resisted exercise guidelines

Answer 6

0-90 within 2 weeks
0-120 within 3-4 weeks
can begin immediately post-op
Begin week 2-3

Question 7

THA timeline for isometric vs. AROM

Answer 7

isometric can be started immediately, AROM depends on surgeon

Question 8

ACL repair WB

Answer 8

NWM for 1 week, then increased.

Question 9

ACL Hamstring tendon pro/con

Answer 9

Pro: fewer symptoms postoperatively, greater RTA, earlier rehabilitation
Cons: more expensive, more difficult procedure, rehab can take longer

Question 10

ACL Patellar Tendon pro/con

Answer 10

Pro: Stronger, less expensive, faster healing
Con: potential for anterior knee pain and patellofemoral OA later, possible knee extension deficit, quad atrophy

Question 11

Purpose of lateral reticular release

Answer 11

Restore normal tracking of the patella with quad contraction

Question 12

After spinal surgeries, function of which muscle needs to be restored?

Answer 12

multifidi