hip fractures and arthroplasty

Question 1

types of hip fracture

Answer 1

• femoral neck fracture
• intertrochanteric fracture
• subtrochanteric fracture

Question 2

OT eval of hip fracture

Answer 2

• review precautions and weightbearing status
• ADL
• ROM and strength of UEs

Question 3

OT intervention for hip fractures

Answer 3

• bed mobility
• UE strengthening
• functional ambulation and transfers
• assistive devices
• practice occupation based activities

Question 4

types of arthroplasties (replacements)

Answer 4

• total: replaces acetabulum and femoral head
• hemi: partial replacement. replaces femoral head

Question 5

OT eval on replacements

Answer 5

• occupational profile
• assess ADL
• assess ROM
• conduct other assessments as needed

Question 6

OT intervention for replacements

Answer 6

• education on hip precautions
• instruct on long handled equipment
• provide transfer training (tub, toilet, care, bed-to-chair)
• practice occupation based activities

Question 7

posterolateral hip precautions

Answer 7

• no flexing beyond 90°
• do not adduct or cross legs
• do not internally rotate
• do not pivot at hip
• sit only on raised chair and toilet seat
• transfer sit to stand by keeping operated hip in slight abduction and extended out in front

Question 8

anterolateral hip precautions

Answer 8

• do not externally rotate
• do not extend hip
• precautions vary for anterior total hip
• some surgeons follow a no restriction protocol