TJA Flashcards

1
Q

Degenerative disease of synovial joints that cause progressive loss of Articular cartilage

A

Osteoarthritis

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2
Q

Risk factors of OA

A
Articular trauma
High impact
Female>male
^age
Genetics
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3
Q

When will OA pain be worse

A

Morning

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4
Q

OA pain is better with

A

Motion

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5
Q

What to examine in physical exam

A
Gait
ROM
Effusion
Crepitus
Ligament integrity
Leg lengths
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6
Q

Tx of OA (nonoperative

A

NSAID
Weight loss
Corticosteroid injection

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7
Q

Operative Tx of OA

A
Arthroscopic
Osteotomy
Resurfacing
Arthroplasty
replacement
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8
Q

Indications for arthroplasty

A
Fx
decrease pain 
Tumor
Younger pts
Severe pain,deformity,arthritis
Failed Conservative Tx
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9
Q

Pros of jt replacement

A

Relief of pain
^ ROM
Restoration of stuff

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10
Q

Cons of Jt replacement

A
  • minimal activity
  • only lasts so long
  • leg length descrepancy
  • Cultural demands (cross legs)
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11
Q

What are phases of TJA rehab

A

Preop teaching
Inpatient acute care
Inpatient extended care
Outpatient home care

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12
Q

Hip Px depends on

A

Approach

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13
Q

Px for post lateral

A

F past 90
IR
Add

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14
Q

Px for ant lateral

A

Ext
ER
Add

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15
Q

Px for direct ant approach

A

Bridge
Ext
ER
Add

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16
Q

Venous stasis, Hypercoaguable state, Chemoprophylaxis

A

Virchows triad

17
Q

Sx of knee OA

A
  • Function limiting OA
  • Pain at night or rest
  • Activity induced swelling
  • Stiffness
  • Locking
18
Q

Non-operative Tx:

A

NSAID
Weight loss
Injection

19
Q

What happens in hospital acute care

A

Pain mngment
Gait/transfers
Get to functional independence

20
Q

What is goal of outpatient

A

Return to:
Sport
Driving
Work

PT mostly close chained

21
Q

Which veins likely to develop DVT

A

Greater femoral and lesser saphenous