8.22 TKA

Question 1

What do nerve blocks affect?

Answer 1

both sensory and motor

often lose quad control

Question 2

two types of nerve block

Answer 2

• femoral

- adductor canal

Question 3

Which is the better nerve block type and why?

Answer 3

adductor canal

• spares the quad
• get same amount of pain control
• easier to deal with in therapy

Question 4

If a pt doesn’t have quad control from a nerve block, what will be necessary?

Answer 4

may need a knee immobilizer

Question 5

TKA therapy in the hospital

Answer 5

• get up, mobilize immediately
• typically WBAT
• may or may not be on a CPM
• REGAIN EXTENSION

Question 6

This is critical for normal gait following TKA

Answer 6

extension

Question 7

It is easier to break up scar tissue later on in this position

Answer 7

flexion