Surgical Considerations Flashcards

1
Q

timing of acute/inflammatory phase

A

0-2 weeks
immediately after injury/onset

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2
Q

associated losses of acute/inflammatory phase

A

loss of function
- ROM, muscle tolerance, weightbearing, PLOF

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3
Q

timing of subacute phase

A

2-6 weeks

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4
Q

what happens in the subacute/proliferation phase

A

decline of inflammation
influx of fibroblasts and capillaries

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5
Q

explain the tissue that is laid down during subacute phase

A

thin and disorganized
can be damaged easily
needs to be appropriately loaded to direct growth and alignment

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6
Q

what is the indicator of remodeling phase

A

no inflammation
tissue strengthen and returning towards prior level of strength

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7
Q

instead of being limited by pain, those in the remodeling phase typically are held back by

A

weakness
poor endurance / NM control

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8
Q

what indicates centralization / nociplastic pain

A

generalization of the pain
pain not being linked to direct tissue harm

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9
Q

maximal protection phase goals

A

protect surgical repair
achieve ROM goals
education on post-op restrictions
minimize pain/inflammation
ensure adequate regional function

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10
Q

functional phase goals

A

achieve ROM goals
- normalize PROM and AROM
minimize pain
begin increases to strength and endurance
increase functional activities

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11
Q

normalization phase goals

A

normalize
- strength, endurance, NM control and power
build up of stress on involved tissue (indirect and direct)
gradual return to ADLs, work and recreational activities

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12
Q

what are return to sport/work requirements

A

clearance from physician

no report of pain at rest/activity

no or minimal sense of fear/instability with activity

sufficient ROM/flexibility to perform desired tasks

adequate strength and endurance

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13
Q

fracture precautions

A

WB restriction

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14
Q

cemented joint replacements precautions

A

precautions but mobilize

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15
Q

non-cemented joints precautions

A

WB restrictions
precautions
mobilize

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16
Q

meniscectomy precautions

A

minimal limitations
restore PLOF

17
Q

cartilage repairs

A

+/- WB restrictions
bracing (ROM limits)
minimize HS activation

18
Q

tendon or ligament repair precautions

A

WB/ROM – use precautions
bracing

19
Q

posterior hip replacement

A

90° flexion
hip IR
hip adduction

20
Q

anterior hip replacement precautions

A

excessive hip extension

21
Q

spine surgery precautions

A

bending
lifting
twisting

22
Q

reverse total shoulder precautions

A

limit shoulder extension
WB while arm is across the body

23
Q

s/s of a DVT

A

redness
swelling of whole limb
significant pain increase
tenderness to palpation

24
Q

pulmonary embolism s/s

A

chest pain
SOB
increased HR

25
for those at risk of a clot, what is the best management
interventions should start immediately include leg exercise and ambulation in conjunction of medical management
26
benefits of mobilization after DVT
minimize deconditioning shorten hospital stay reduce occurrence of pressure ulcers
27
5 w's of post operative fever
wind water wound walking wonder drugs