Fundamentals Of Post Surgical Care (2) Flashcards
(29 cards)
What are the indications for surgical intervention?
Pain at rest or with activity
Limitation of motion
Instability of a joint or bony segment
Structural degeneration
Joint swelling
Failed nonsurgical or previous surgical management
Loss of function leading to disability
What are the pre-operative exams and evaluations?
Pain
ROM
Joint integrity
Muscle performance
Posture
Gait analysis
Movement screen
Performance based outcome measures
What are the components of preoperative patient education?
Overview of plan of care
Postoperative precautions
Bed mobility and transfers
Initial postoperative exercises
Gait training
Wound care
What are the three phases of postoperative rehab?
Max protection phase
Mod protection phase
Min protection/return to function phase
What is the maximum protection phase?
Acute phase (treating tissues like they are just beginning to heal)
What are the potential postoperative complications?
Pulmonary complications
Deep vein thrombosis
Subluxation or dislocation after joint surgery
Restricted motion from scar tissue
Failure of internal fixation
What is the Well’s critera?
It is risk factors and clinical findings that may lead to deep vein thrombosis
What is an open procedure?
Incision of adequate length or depth
What is an arthroscopic procedure?
It is a small incision and using a diagnostic tool to see picture
What is an arthroscopically assisted procedure?
Using a little of both open and arthroscopic procedures
What is an autograft?
Taken from the patient themselves
What is an allograft?
Catabaric tissue
What is a synthetic graft?
Made from various materials
What are the types of surgical repairs?
Muscle repair
Tendon repair
Ligament repair
Capsule stabilization
Tendon transfer
What would a tendon transfer be used for?
Chronic ankle instability
What type of procedures are used to release, lengthen, or decompress soft tissue?
Myotomy
Tenotomy
Fasciotomy
(To improve pain and function)
What is an osteotomy?
Open reduction and internal fixation of fractures
What does an osteotomy help?
Improve alignment by removing bone
What is Genu valgum also known as?
Knock knees
What does Coxa vara tend to come with?
Coxa valgum
What is at a higher risk with a intracapsular fracture?
Avascular necrosis
When are the pubofemoral, iliofemoral, and ishchiofemoral ligaments all tight?
During flexion and ER of hip
What is the difference between a Scour test and a FADIR test?
They are the same but the scour is more aggressive then the FADIR
Intraarticular
Within the joint
