Orthopaedic Physiotherapy

Question 1

preparation of patient

Answer 1

Clear understanding of pathology= Imagery/ pathology results

comprehensive medical history

functional and social history

manage vital signs

medication review

Question 2

objective assessment

Answer 2

observation

system assessment

functional assessment

Question 3

systems assessment

Answer 3

respiratory
=cough/ work of breathing/ palpation bilateral expansion

circulatory system
= DVT

neurological system
-reflex/ power/ sensation

musculoskeletal
- strength/ AROM/ stability

Question 4

functional assessment

Answer 4

bed mobility
transfer
mobility
stairs

Question 5

TWB

Answer 5

touch weight bear

Question 6

HWB

Answer 6

heel weight bear

Question 7

common procedures

Answer 7

THR
TKR
UKR
TAR

fusion

arthroscopy

Question 8

meniscus and ligament repairs

Answer 8

labral repair
ACL
medial repair of knee
patella re-allignment
ATFL CFL in ankle

Question 9

bone malalignment proceudres

Answer 9

high tibial osteotomy

hallux valgus

Question 10

Enhanced recovery after surgery ERAS

Answer 10

preoperative
- medication modification// patient education// haematology assessment//

postoperative
- early mobilisation= 2-3 hrs post op
early removal of attachments
multimodal control

Question 11

benefits of ERAS

Answer 11

reduce pain and opioid use
shorter hospital stays
faster functional recovery
lower complication rates
improved patient statisfaction

Question 12

complications in TKR

Answer 12

fracture
DVT
infection
Loose components
Knee pain

Question 13

GOALS POST OP TKR

Answer 13

knee flexion greater than 90 deg
knee extension 0 deg
SLR minimal lag

Question 14

Discharge TKR

Answer 14

swelling management- Elevate and compresion with ice

continue quad rehab

Grade knee flexion 90 degerees

gait education

Question 15

post op complication THR

Answer 15

DVT
Dislocation
infection
loose compartments

Question 16

goals post op THR

Answer 16

independent mobility with aid
independent HEP
independent mobility on stairs

Question 17

discharge THR day 1

Answer 17

progres mobility
out of bed on non effected side
rollator
SOOB

Question 18

discharge THR day 2

Answer 18

exercise

mobility

Question 19

hip precautions

Answer 19

Avoid combination of
dislocating positions
* Do not sit in low chairs
* Do not cross legs
* Do not lie on affected side
* Do not squat down to ground
* Do not bend from hips to pick
things up
* No twisting on the affected leg
in standing
* No driving first 6/52 until
cleared by Drs
16

Question 20

ACL reconstruction allografts ADV vs DIS

Answer 20

no donor
shorter op
eventually fully replaced by new tissue

dis
graft rejection
allograft ruptures

Question 22

autografts ACL reconstruction ADV VS DIS

Answer 22

good graft strength

elastic creep in graft due to poorly alligned collagen fibres

Question 23

autografts patellar tendon adv vs DIS

Answer 23

strong/ biological/ replaced by new tissue

anterior knee pain
site pathology

Question 24

direct fixation

Answer 24

sing interference screws (including bioabsorbable screws) where the
fixation device is in direct contact with the graft

Question 25

indirect fixation

Answer 25

Uses cortical suspensory devices such as an Endobutton

Question 26

combination of direct and indirect graft

Answer 26

Direct fixation tibial side and suspensory fixation on the femoral side

Question 27

tape locking screws graft fixation

Answer 27

polyethelene tape and screw interface to create a short graft with no direct contact with graft

Question 28

phsyio manage pain and swelling of ACL and meniscus

Answer 28

analglesia RICE QUADS CONTROL MOBILITY ROM EDUCATION