Post- surgery precautions

Question 1

Total shoulder arthoplasty

Answer 1

Head of humerus & glenoidHem

Question 2

Hemiarthroplasty

Answer 2

Head of the humerus

Question 3

Reverse total shoulder

Answer 3

Ball is placed in the glenoid and the glenoid in the head of the humerus

Question 4

Rotator cuff repair can result from

Answer 4

Degeneration or trauma

Question 5

Rotator cuff repairs

Answer 5

Arthroscopic repair, open repair, mini- open repair

Question 6

Proximal humerus fracture

Answer 6

Typically treated without surgical repair and patient typically immobilized in sling or splint

Question 7

Precautions for Proximal humerus fracture

Answer 7

Protection of surgical site & healing of the structured, ADL while maintaining ROM precautions, patient education regarding pain control, exercise within surgical guidelines

Question 8

Total hip arthroplasty posterior precautions

Answer 8

NO: hip flexion above 90 degrees, adduction past neutral, internal rotation

Question 9

Total hip arthroplasty anterior precautions

Answer 9

NO: hip extension and external rotation

Question 10

Global hip precautions

Answer 10

NO: flexion above 90 degrees, adduction past neutral, internal & external rotation; nothing in prone or bridging

Question 11

Hip fracture

Answer 11

Common fracture among older adults, typically involves ORIF, physician will determine WB status, follow hip precautions

Question 12

Pelvis fracture

Answer 12

Rare, typically result from high impact and typically treated non- surgically, increased prevalence with osteoporosis

Question 13

NWB

Answer 13

0% with walker/ crutches

Question 14

TDWB

Answer 14

10-15% with walker/ crutches

Question 15

PWB

Answer 15

30% with walker/ crutches

Question 16

50% WB

Answer 16

50% with walker/ crutches

Question 17

FWB

Answer 17

75-100% with cane

Question 18

WBAT

Answer 18

As tolerated with cane or no-device

Question 19

Total knee arthroplasty precautions

Answer 19

Patient will be told how far he/ she can bend the operated knee, usually no precautions, avoid movements that twist the knee or cause pain such as kneeling, jumping or strenuous exercises, put only the amount of weight on operated leg as instructed by physician, walk as often as directed by surgeon

Question 20

Degenerative disc disease

Answer 20

Can result from injury, most common a result of degneration from the aging process

Question 21

Disc herniation

Answer 21

disc material extend beyond the intervertebral disc space; causes inflammation and secondary nerve root impingement

Question 22

Spinal stenosis

Answer 22

Narrowing of the spinal canal; typically caused by OA

Question 23

Spondyloisthesis

Answer 23

Anterior sliding of one vertebra over another; seen in older adults often due to degenerative changes in the facet joints

Question 24

Discectomy

Answer 24

Removal of herniated disc to alleviate pressure on spinal nerve root

Question 25

Kyphoplasty

Answer 25

Minimally invasive; insert balloon to move return vertebra to normal position; balloon is removed & cement is injected to hold vertebra in place

Question 26

Laminectomy

Answer 26

Removal of the lamina

Question 27

Spinal fusion

Answer 27

Surgery eliminates unwanted motion caused by vertebral instability

Question 28

Spinal surgery precautions

Answer 28

Avoid bending & twisting of neck and back, avoid carrying any item over 10 lbs, avoid reaching above 90 degrees of shoulder flexion, avoid sitting or standing in the same position for more than 30 minutes, don't drive until cleared by physician, be aware of orthotic wear schedule

Question 29

OT interventions

Answer 29

Pt education concerning unloading and protecting involved joints and strengthening the muscles around joints is the key intervention, protection of surgical site during BADL and IADL, joint restriction protection during BADL and IADL, WBing restriction during BADL, IADL, environmental modification- DME/ AD