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KIN 385 > LEC20: Total Joint Replacement and Physical Activity > Flashcards

LEC20: Total Joint Replacement and Physical Activity Flashcards

1
Q

How does hip and knee replacement surgery compare to before surgery?

A

Patient-reported higher health outcome scores 1 year after hip and knee replacement surgery compared with before surgery

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2
Q

What are the most responsible diagnosis for primary hip replacements, Canada

A

Osteoarthritis: 69.4%
Acute hip fracture: 26.4%

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3
Q

Most responsible diagnosis for primary knee replacements, Canada

A

Osteoarthritis: 99.3%

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4
Q

What is the main reason for total joint replacement surgery?

A
  1. To relieve pain (#1 reason)
  2. To return lower extremity function
  3. To improve health-related quality of life
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5
Q

What is alternative terminology for total joint replacement surgery?

A
  1. Total joint arthroplasty (TJA)
  2. Total hip arthroplasty
    (THA)
  3. Total knee arthroplasty (tka)
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6
Q

What are the main benefits of total joint replacement?

A
  1. Relieve pain
  2. Improve function
  3. Correct physical deformity
  4. Increase social mobility
  5. Preserve an independent lifestyle
  6. Contribute to psychological well-being
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7
Q

What are the benefits of physical activity after joint replacement?

A
  1. Maintain general health
  2. Enhance the quality of the interface between the bone and prosthesis (i.e. the healthier the bone - the better the fixation of the prosthesis)
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8
Q

What activities are most individuals actually participating in after joint replacement surgery?

A
  1. Exercise walking
  2. Swimming
  3. Golf
  4. Bowling
  5. Exercise classes
  6. Cycling
  7. Fishing
  8. Tennis
  9. Bushwalking
  10. Aqua aerobics
  11. Gardening
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9
Q

Risk factors after joint replacement - most common reasons for revision surgery

A
  1. Periprosthetic osteolysis:
    a. A biological response to particles released into the joint space from the prosthetic materials
    b. Results in a loss of bone tissue. Has a direct relationship with joint-bearing surface wear (i.e. a combination of joint-load and frequency of joint use)
    ex. Increased wear = increased osteolysis, Osteolysis can lead to implant loosening and the need for additional surgeries.
  2. Traumatic injury
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10
Q

Allowed activities by members of the Hip Society and AAHKS

A
  1. Golf
  2. Swimming
  3. Doubles tennis
  4. Stairclimber
  5. Walking
  6. Speedwalking
  7. Hiking
  8. Stationary skiing
  9. Bowling
  10. Treadmill
  11. Road cycling
  12. Stationary bicycling
  13. Elliptical
  14. Low-impact aerobics
  15. Rowing
  16. Dancing (eg, ballroom, jazz, square)
  17. Weight machines
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11
Q

Allowed with experience activities by members of the Hip Society and AAHKS

A
  1. Downhill skiing
  2. Cross-country skiing
  3. Weightlifting
  4. Ice skating/rollerblading
  5. Pilates
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12
Q

Not allowed activities by members of the Hip Society and AAHKS

A
  1. Racquetball/squash
  2. Jogging
  3. Contact sports (eg, football, basketball, soccer)
  4. High-impact aerobics
  5. Baseball/softball
  6. Snowboarding
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13
Q

Undecided activities by members of the Hip Society and AAHKS

A
  1. Martial arts
  2. Singles tennis
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14
Q

More studies agree that (blank) are safe for all patients after total joint arthroplasty

A

Low impact activities, such as walking, cycling, swimming, golf, and elliptical machines

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15
Q

Sports with (blank) may present the greatest difficulty for the counseling physician

A

Intermediate- impact levels, such as tennis, hiking, and skiing,

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16
Q

(blank) are generally discouraged given the increased risk for serious short-term consequences, such as periprosthetic fracture

A

High-impact sports, such as football and basketball

17
Q

Contraindicated movement - post hip surgery

A
  1. Knees above 90 degree angle
  2. Hip adduction past midline
  3. Bending forward
  4. Inversion of foot
  5. Isometric/isokinetic hip abduction

In some cases: hip extension, back extension, eversion of foot

18
Q

Contraindicated actions - post knee surgery

A
  1. Sitting on floor
  2. Sitting with legs crossed
  3. Deep squat position
  4. Kneeling

KIN 385 (12 decks)

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