Exam 5: Arthroplasty

Question 1

arthroplasty

Answer 1

surgical repair of a joint

Question 2

laminectomy

Answer 2

removal of the lamina in the vertebrae to relieve pressure

Question 3

discectomy

Answer 3

removal of part of all of an intervertebral disc to relieve pressure

Question 4

vertebroplasty

Answer 4

fixation with cement or hardware to repair vertebrae

Question 5

osteonecrosis

Answer 5

death of bone tissue; can be a cause for arthroplasty

Question 6

radiograph (x-ray)

Answer 6

visualizes bone fractures/ abnormalities

Question 7

arthroscopy

Answer 7

use of arthroscope to visually examine internal structure of a joint

Question 8

arthroscopic procedures

Answer 8

common at knee and shoulder; can include excision of torn or damaged cartilage

Question 9

chondroplasty

Answer 9

surgical repair of damaged cartilage

Question 10

arthrodesis

Answer 10

surgical fusion of two bones

Question 11

arthrolysis

Answer 11

surgical loosening of ankylosed joint

Question 12

arthroscopic surgery

Answer 12

minimally invasive procedure for treating interior of joint

Question 13

arthroplasty can include…

Answer 13

joint revision/ repair; joint replacement

Question 14

hip replacement

Answer 14

partial or total; total hip arthroplasty (THA)

Question 15

knee replacement

Answer 15

(TKA) total knee arthroplasty

Question 16

arthroplasty +

Answer 16

shoulder replacement; spine surgeries with joint revision

Question 17

joint replacement vs. revision

Answer 17

joint fusion : ankles, intervertebral discs and joints

Question 18

LE extremity arthroplasty

Answer 18

hip and knee replacement

Question 19

hip fracture stats

Answer 19

850,000 annually in ages 65+ (300,000 hip fractures)
34% mortality rate within 1 year of fracture (elders who fall)
common concerns: return to work, driving, sexual activity

Question 20

prosthetics components

Answer 20

titanium, silicone/ polyethylene, surgical steel

Question 21

all about prosthetics

Answer 21

no blood flow/ immune system = concerns for post surgical infections
may be coated to promote healing and bone growth

Question 22

two surgical approaches

Answer 22

anterolateral approach (front)
posterolateral approach (back)

Question 23

precautions for anterolateral procedure

Answer 23

hip external rotation, hip abduction, hip extension

Question 24

precautions for posterolateral procedure

Answer 24

hip flexion beyond 90 degrees, hip internal rotation, hip adduction

Question 25

total knee arthroplasty

Answer 25

(TKA) or (TKR) severe osteoarthritis, pain/stiffness that limits ADLs, very painful recovery, one knee at a time but could be bilateral, PT is primary - client must be compliant with exercises

Question 26

TTWB

Answer 26

toe-touch weight bearing

Question 27

PWB

Answer 27

partial weight bearing

Question 28

WBAT

Answer 28

weight bearing as tolerated

Question 29

FWB

Answer 29

full weight bearing

Question 30

shoulder replacement

Answer 30

PT is primary; OT is functional deficits; healing is complex; primarily done due to pain

Question 31

arthroplasty of the hand

Answer 31

MCP/ IP joints; caused by RA

Question 32

splinting for hands

Answer 32

static vs. dynamic

Question 33

static splint

Answer 33

hand splint that allows NO movement

Question 34

dynamic splint

Answer 34

hand splint that allows some movement due to certain devices

Question 35

cervical collars/ halo braces

Answer 35

worn following cervical vertebroplasties or vertebral fractures when there is/risk of a damaged spinal cord

Question 36

TLSO brace

Answer 36

(back not neck) device used to limit movement/ stabilize in thoracic, lumbar, and sacral vertebrae following fracture or surgery