TKA & total hip Flashcards
unicondylar knee replacement is done when
only one compartment is replaced
when one compartment has degeneration and cruciate and collateral ligaments are intact
what does a unicondylar knee replacement allow for
preservation of normal knee kinematics
quicker recovery
total knee
replace femoral condyles, tibial articulating surface and dorsal surface of patella
reason for TKA
joint degeneration resulting from OA, RA or trauma
post op WB status for TKA
usually WBAT
post op concerns TKA
DVT, PE, infxn, pain, edema, patellar tendon rupture, patellofemoral instability, component failure or loosening, peroneal nerve injury
eval components TKA
P/AROM goni
skin inspection
immediate D/C planning
what do you typically begin with for post-op protocol for TKA
AROM and strengthening iso quads, hamstrings, gastroc heel slides gentle stretching knee ext/flex active hip motions to facilitate improved bed mobility
how much ROM are u aiming to get for knee ext-flex for TKA
0-90
reason for total hip
degenerated joint surface
trauma
total hip complications
dislocation --> longer leg aspetic loosening hematoma formation heterotopic ossification infxn nerve injury, vascular damage DVT --> PE MI, CVA leg length discrepancy (surgery-shorter)
signs and symptoms with hip dislocation
excessive pain with motion
abnormal IR & ER of hip with limited active and passive motion
inability to WB through LE
shortened limb
whats important to test for with a total hip
nerve integrity
outcome measure focus for total hip
balance*, gait, pain scales
outcome measure focus for TKA
gait, pain scales
