FINAL REVIEW

Question 2

case 25:

PT precautions for PFFD

Answer 2

1. osteopenia
2. increased fx risk
3. pin site infection
4. hypertrophic scarring
5. loss of ROM
6. mm atrophy
7. increased fall risk
8. decreased conditioning

Question 3

PFFD complications during PT

Answer 3

1. fx at lengthening site
2. pin site infection
3. emotional lability related to multiple Sx
4. fear of mvmt and falls

Question 4

AITKEN classification of PFFD

Answer 4

A. short femur
B. unossified femoral head
C. no fem head, poor acetabulum
D. no/short femur no acetabulum

Question 5

3 main surgical options for PFFD:

Answer 5

1. femoral osteotomy w/ staged limb lengthenings
2. femoral osteotomy, knee fusion, Syme amputation
3. femoral osteotomy with tibia rotationplasty

Question 6

improved gait pattern noted in the subjects with *** should be a contributing factor when making surgical decisions for children with PFFD.

Answer 6

rotationplasty