Week 4 Flashcards

1
Q

TKA post-op concerns

A
  • DVT
  • PE
  • infection
  • pain
  • edema
  • patellar tendon rupture/patellofemoral instability
  • component failure or loosening
  • peroneal (fibular) nerve injury
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2
Q

THA possible complications

A
  • dislocation
  • aseptic loosening
  • hematoma formation, heterotopic ossification
  • infection
  • nerve injury, vascular damage
  • DVT - PE
  • MI, CVA
  • leg-length discrepancy
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3
Q

What are signs and symptoms of hip dislocation?

A
  • excessive pain w/ motion
  • abnormal IR or ER w/ limited A/PROM
  • inability to WB through LE
  • leg-length discrepancy
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4
Q

TKA post op protocol

A

AROM and strengthening

  • ISOM QS, HS, GS progressing to A/AROM
  • P/A/AROM heel slides
  • gentle stretching knee ext/flex
  • active hip motions to facilitate improved bed mobility
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5
Q

THA post-op protocol

A
  • ABD wedge
  • possible knee immobilizer (prevent hip FLEX)
  • adaptive equipment/AD
  • AROM/strengthening - submax glut, ISOM QS/HS
  • Avoid SLR
  • functional mobility
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6
Q

What dictates precautions and rehab for TSA?

A

integrity of rotator cuff and deltoid muscles

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7
Q

TSA common precautions

A
  • avoid shoulder AROM
  • no lifting, pushing w/ involved UE
  • No excessive stretching, especially ER
  • no supporting body weight by hand on involved side
  • no driving for 3 weeks
  • No lying on involved shoulder
  • use towel under elbow when supine
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8
Q

TSA post op exercises

A
  • supine PROM FLEX w/ elbow flexed
  • supine PROM ER w/ arm at side and elbow flexed no more than 30 degrees
  • pendulum exercises, clockwise and counterclockwise
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9
Q

Which approach for reverse TSA allows for AROM on post op day 1?

A

deltopectoral

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10
Q

Deltoid splitting approach precautions for reverse TSA

A

PROM flex and ER

AAROM held for 2-3 weeks

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11
Q

what is post op ileus?

A

prolonged absence of bowel function after surgical procedure

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12
Q

What are complications from any type of cardiac surgery?

A

CVA

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