Hip Intervention Flashcards Preview

PT 515 Musculo > Hip Intervention > Flashcards

Flashcards in Hip Intervention Deck (23):
1

Pre-surgical Phase THA

Meet Patient
Assess Functional Status
Discuss Goals of the Patient
Instruct PRE's for Post-op
Demonstration of Ambulation with device

2

Historical Inquiry Post THA

WB status?
Cemented, non-cemented, hybrid?
Type of approach?
Trochanteric Osteotamy?
Intraoperative complications?

3

THA Mobilization

Day 1 post-op
OOB to chair mostly
Reduces wisk of DVT and Pneumonia

4

THA PRE's

Submaximal Isometric for 3-5 seconds

5

THA Ambulation and ROM

Day 2, PROM

6

Posterior approach precautions

Flexion >90°
Adduction across midline
IR of hip

7

Anterior Approach precautions

Extension
ER
Abduction for 6-8 weeks

8

Anterior Approach

Interval b/w TFL and G Med with partial reflection of mm or takedown of GT
Repair of G Med follows or GT reattached

9

Posterolateral Approach

G. Max splitting and takedown deep ER
Posterior capsule and tendons repaired

10

Posterolateral Approach contraindications

Dementia, stroke, seizure disorder

11

Post-op instructions

Assistive Device
Positional Avoidance
Deep breathing/diaphragmatic and coughing exercises
Ankle Pumps to decrease risk of DVT

12

THR complications

DVT
Dislocation of hip
Leg length inequality
Infection
Loosening

13

THR complications

DVT
Dislocation of hip
Leg length inequality
Infection
Loosening

14

Outcomes of THA 1 year post-op

Significant decrease in postural stability

15

Congenital Coxa vara/valga

Vara is shorter limb, Valga is longer
Address acute symptoms
Equalize leg lengths where appropriate
Address mm. imbalances
Avoid high impact sports

16

Femoral Anteversion/Retroversion

Address Acute symptoms
Foot orthotics
Muscle performance

17

Legg-Calve-Perthe

Reduce the deforming forces of WB and muscle tension
Pt. often immobilized in abduction and slight IR
Crutch ambulation
Compression load intolerance training

18

Slipped Capital Femoral Epiphysis

Requires surgical stabilization
Post-op: ROM, strengthening, maximize function
Educate: weight control, minimal sport participation

19

Congenital Hip dislocation

Surgical correction or splinting
Gait training
ROM exercises
Developmental Transitioning

20

Fractures

WB restrictions
Gait training
Gentle progressive ROM
PRE's
Balance Training

21

Bursitis

Address acute symptoms
Address etiology
Muscle balance training
Structural alignment

22

Avascular necrosis

Usually requires surgury

23

OA

Maintain function
Relieve symptoms
Prevent deformity
Education for hip joint protection principles
BW reduction