Orthopaedic conditions

Question 1

hip fractures: types and what are the most common?

Answer 1

• Femoral neck fracture, intertrochanteric fracture, and subtrochanteric fracture
• Femoral and intertrochanteric are the most common

Question 2

hip fractures: how can OT help

Answer 2

• Evaluation of previously enjoyed activities before the hip fracture. Important to incorporate these into the acute stage of treatment
• Restrictions regarding weight bearing and hip movement depends on the severity and location of the hip fracture, integrity of the bone, clients weight, and cognitive status

Question 3

hip fractures: weight bearing %

Answer 3

• Non-weight bearing = 0%
• Touch down = 10-15%
• Partial = 30%
• 50% weight bearing
• Full weight bearing = 75-100%

Question 4

hip fractures: ADLs

Answer 4

Those who are non-weight bearing or touch are required to sit during ADLs
WBAT client’s can stand while grooming

Question 5

hip fractures: ROM limitaitons

Answer 5

• No hip flexion beyond 90
• No hip rotation
• No crossing the operate leg over the unoperated leg
• No adduction of the operated leg