post surgical rehab

Question 2

What is a primary safety consideration post-surgery?

Answer 2

Maintain integrity of the repaired/reconstructed tissue

Understanding the surgical procedure and graft type is essential for safety.

Question 3

How long should systemic recovery be allowed after surgery?

Answer 3

Up to 1 month

Question 4

What general rule should be followed regarding affected tissues during rehabilitation?

Answer 4

Consider all the tissues that were affected during the surgical procedure

Question 5

What does early-stage rehabilitation dictate?

Answer 5

How the patient progresses through the rest of the protocol

Question 6

What is the typical timeframe for full recovery after surgery?

Answer 6

9-12 months

Question 7

What are the general guidelines for lumbar spine rehabilitation?

Answer 7

Early ambulation, No Bending, lifting, twisting = BLT, Encourage active lifestyle

Question 8

List some clinical considerations for lumbar spine surgeries.

Answer 8

• Discectomy
• Laminectomy
• Foraminotomy
• Artificial discs
• Microdiscectomy
• Kyphoplasty
• Spinal cord stimulator
• Peripheral nerve stimulator
• Lumbar fusion

Question 9

What is a focus of care following lumbar fusion surgery?

Answer 9

Protecting bone and sites of screws

Question 10

What are the initial weight-bearing guidelines for hip rehabilitation?

Answer 10

Toe touch weight-bearing initially

Question 11

What should be restored as soon as possible in hip rehabilitation?

Answer 11

Normal gait mechanics ASAP

Question 12

What are the precautions for a posterior approach in total hip arthroplasty?

Answer 12

Flexion, internal rotation, adduction (most precautions)

Question 13

For an open reduction internal fixation (ORIF) of a femur fracture, what is the difference between stress-shielding and stress-sharing?

Answer 13

• Shielding: hardware shields bone from stress
• Sharing: allows more stress to the bone while protecting it

Question 14

What are the four goals for phase 1 of post-op knee rehabilitation?

Answer 14

• Full knee (hyper) extension
• Quad activation
• Decrease swelling
• Normalize gait

Question 15

What are some clinical considerations for knee surgeries?

Answer 15

• Articular cartilage procedures
• Microfracture
• OATS
• ACI
• MACI
• Meniscus procedures

Question 16

What is the PEACE protocol for early phases of ankle rehabilitation?

Answer 16

• Protection
• Elevation
• Avoid anti-inflammatory
• Compression
• Education

Question 17

What does the LOVE protocol stand for in mild to late phases of ankle rehab?

Answer 17

• Load
• Optimism
• Vascularization
• Exercise

Question 18

What should always be considered in Achilles tendon repair?

Answer 18

Risk vs benefit

Question 19

What are the types of surgeries mentioned for ankle rehabilitation?

Answer 19

• Ankle fusion
• Total ankle arthroplasty

Question 20

What is the focus of rehabilitation after lumbar interbody fusion?

Answer 20

Extended duration of immobilization in brace

Question 21

What are the specific precautions for a lateral approach in total hip arthroplasty?

Answer 21

Flexion, internal rotation, adduction

Question 22

Fill in the blank: Early-stage rehabilitation will dictate how the patient __________.

Answer 22

progresses through the rest of the protocol

Question 23

True or False: The surgeon has the final say on how long the restrictions remain after surgery.

Answer 23

True

Question 24

What is a common consideration for hip labral repair in early rehab?

Answer 24

Protect labrum and surrounding soft tissue

Question 25

What should be limited in hip rehabilitation for labral repair?

Answer 25

End-range hip extension and end-range hip flexion

Question 26

What are the general guidelines for lumbra spine post surgery

Answer 26

- early ambulation - no bending, lifting, twisting (BLT) - encourage active lifestyle

Question 27

With a lumbar fusion, it is a more aggressive surgical intervention and the focus post op should be?

Answer 27

protecting bone and sites of screws

Question 28

lumbar interbody fusion: ALIF: pros and cons?

Answer 28

pro: avoids spinal nerves con: must get through abdominal organs

Question 29

lumbar interbody fusion PLIF: pros and cons?

Answer 29

pro: aboids abdomen con: must go around spinal nerves

Question 30

What are the general guidelines for post op hip

Answer 30

- toe touch weight-bearing initially - restore normal gait mechanics ASAP - gluteal activation

Question 31

What are the hip precautions for a posterior approach?

Answer 31

flexioni, internal rotation, adduction ## Footnote this approach as the most precautions

Question 32

anterior hip approach precautions

Answer 32

extension, external rotation, abduction

Question 33

with open reduction internal fixation (ORIF) surgeries there is stress-shield and stress sharing What is the difference?

Answer 33

shielding: hardward is shielding bone from stress --> long term bone does work as hard and does not lay down as much bone sharing: surgery allows more stress to the bone while still protecting it. the bone gets healthier stress so it lays down more bone

Question 34

what are the 4 goals for phase 1 post op knee?

Answer 34

1. full knee extension (active ROM) 2. quad activation 3. decrease swelling 4. normalize gait

Question 35

What are teh 4 articular cartilage procedures

Answer 35

1. microfracture 2. OATS = osteochondral autograft transfer system 3. ACI = autologous chonrocyte implantation 4. MACI = matrix autologous chondrocyte imiplantation