Orthopedics

Question 1

Degenerative/wear and tear arthritis affecting articular cartilage (smooth lining)

Is?

Answer 1

Osteoarthritis

Question 2

What is ORIF?

Answer 2

Open reduction internal fixation: pins, sliding screws and plates used to reduce fracture

Question 3

a mechanical compression of the supraspinatus tendon, the subacromial bursa, and long head of the biceps tendon located under the coracoacromial arch

Is?

Answer 3

Shoulder Impingement

Question 4

Spinal fusion is?

Answer 4

Involves taking a small piece of bone from the hip, and grafting it to the spine. Also use plates and screws for extra stability

Question 5

The laminae(roof) of vertebrae are removed, creating more space in spinal canal for nerves
is?

Answer 5

Decompressive Laminectomy

Question 6

Kyphoplasty is?

Answer 6

Used to treat painful, progressive vertebral compression fractures. Balloons inserted to realign properly, then cement filled into space forming internal cast.

Question 7

Lordosis in cervial and lumbar regions and kyphosis in the thoracic and sacral regions

Is?

Answer 7

Neutral Spine

Question 8

Name three post knee surgery precautions

Answer 8

1. Limit twisting at the knee
2. Do not get incision area wet until cleared by DR.
3. Weight bearing precautions

Question 9

Anterior hip precautions:

Answer 9

Sometimes No precautions

1. No straight leg raises
2. No external rotation of hip
3. No adduction past midline
4. No hip extension (Maintain 20 degrees of flexion while in bed)
5. WBAT

Question 10

Posterior Hip precautions

Answer 10

1. No straight leg raises
2. No internal rotation of hip
3. No adduction past midline
4. No flexion of hip beyond 90 degrees
5. WBAT

Question 11

List 5 complications that may arise post-hip replacement surgery.

Answer 11

1. Blood clots
2. Infection
3. Fractures in the healthy bone surrounding
4. Dislocation or loosening of ball from joint
5. Change in leg length

Question 12

NWB? How to describe to pt.?

Answer 12

Non-weight bearing.

Do not touch floor with affected leg

Question 13

TTWB? How to describe to Pt.?

Answer 13

Toe touch weight bearing.

Only touch floor for balance

Question 14

PWB? How to describe it to pt.?

Answer 14

Partial weight bearing. You may place X amount of weight on affected limb

Question 15

WBAT? How to describe to pt.?

Answer 15

weight bearing as tolerated. What feels comfortable.

Question 16

FWB?

Answer 16

Full weight bearing

All your weight is fine.

Question 17

How to get out of bed with hip surgery

Answer 17

Log roll on healthy side with adduction pillow or wedge between legs
In side lying, push up with hands,
Straighten affected leg as you push up with your hands.