TJA Flashcards
Degenerative disease of synovial joints that cause progressive loss of Articular cartilage
Osteoarthritis
Risk factors of OA
Articular trauma High impact Female>male ^age Genetics
When will OA pain be worse
Morning
OA pain is better with
Motion
What to examine in physical exam
Gait ROM Effusion Crepitus Ligament integrity Leg lengths
Tx of OA (nonoperative
NSAID
Weight loss
Corticosteroid injection
Operative Tx of OA
Arthroscopic Osteotomy Resurfacing Arthroplasty replacement
Indications for arthroplasty
Fx decrease pain Tumor Younger pts Severe pain,deformity,arthritis Failed Conservative Tx
Pros of jt replacement
Relief of pain
^ ROM
Restoration of stuff
Cons of Jt replacement
- minimal activity
- only lasts so long
- leg length descrepancy
- Cultural demands (cross legs)
What are phases of TJA rehab
Preop teaching
Inpatient acute care
Inpatient extended care
Outpatient home care
Hip Px depends on
Approach
Px for post lateral
F past 90
IR
Add
Px for ant lateral
Ext
ER
Add
Px for direct ant approach
Bridge
Ext
ER
Add
Venous stasis, Hypercoaguable state, Chemoprophylaxis
Virchows triad
Sx of knee OA
- Function limiting OA
- Pain at night or rest
- Activity induced swelling
- Stiffness
- Locking
Non-operative Tx:
NSAID
Weight loss
Injection
What happens in hospital acute care
Pain mngment
Gait/transfers
Get to functional independence
What is goal of outpatient
Return to:
Sport
Driving
Work
PT mostly close chained
Which veins likely to develop DVT
Greater femoral and lesser saphenous
