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What are some indications for surgery (3)
- Chronic joint swelling
- Limited A/PROM
- severe pain at rest
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What are the phases of rehabilitation during postoperative management
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Please list 5 things that are done during the maximum protection phase
- Patient education
- DVT prevention
- Minimize swelling
- Prevent stiffness
- Decrease pain
- Prevent infection
- Prevent stiffness and contractures
- Minimize atrophy
- Maintain ROM and function of joints proximal to site
- maintain functional mobility while protecting site
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List the 4 things that are done during moderate protective phase
- Patient education
- Restore soft tissue and joint mobility
- Establish a mobile scar
- Strengthen muscle and improve joint stability
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Pleas list the four things that are done durning minimum protection phase
- Patient education
- Prevent re-injury
- Restore full motion
- Maximize muscle performance, stability, Neuromuscular control
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Incision allows for full vision of operative field i.e joint replacement, this is known as what surgical approach
Open procedure
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What is the homans sign and what is it used with
Passive DF used to test for DVT
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This procedure opens a small incision with insertion of an endoscope. What is the surgical approach and give an example related to the knee
Arthroscopic, meniscal debridement
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This is a scope assisted prodcedure
Arthroscopically assisted procedure
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What are the types of grafts and which one is the lesser effective
- Autograft
- Allograft
- Synthetic graft (least effective)
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What is the difference between ligament repair and reconstruction
- Repair- approximation of tissues
- Reconstruction- fixation or tissue graft
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What is a capsulorrhaphy
Incise, overlap, and suture of the capsule
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What is a capsulolabral
Reattachment of the labrum to glenoid
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What does electrothermal do to the capsule
Shrinks it
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Give an example of tendon lengthening
- Z lengthening or Z-plasty
- splinting in lengthened position
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What is arthrodesis and when is it performed
Surgical fusion, Performed when there is severe joint pain or instability
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What is a synovectomy
Removal of synovial lining
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What type of joint procedure would you use for a menisectomy
Arthroscopic debridement and lavage
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What is a chondrocyte transplantation
Harvesting of healthy cartilage that is re-implanted
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This joint procedure uses cylindrical plugs of subchondral bone and cartilage
Osteochondral auto/allo graft
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Please list two important managements for ORIF
- Prevention of infection
- WB per orders
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What it is an osteotomy
Surgical cutting and realignment of bone
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What are some pre-surgery patient education concepts to cover with the patient
- Post-op precautions
- Bed mobility/transfers
- Initial exercises
- Gait training
- Wound care
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What are some signs of a pulmonary embolism after surgery
- Sudden onset of shortness of breath
- Rapid and shallow breathing
- Chest pain that intensifies with deep breathing or coughing
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What are some ways to reduce the risk of DVT or PE
- Blood thinners
- LE elevation
- No prolonged periods of sitting
- Initiate ambulation ASAP
- Ankle pumps
- Compression stockings
- Pneumatic compression
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What is a tendon transfer
Detach and reattach at alternate bony prominence
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Holes drilled into hyaline cartilage to promote scar formation is what kind of procedure
Abrasion arthroplasty, subchondral drilling and microfracture
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