1
Q
TKA post-op concerns
A
- DVT
- PE
- infection
- pain
- edema
- patellar tendon rupture/patellofemoral instability
- component failure or loosening
- peroneal (fibular) nerve injury
2
Q
THA possible complications
A
- dislocation
- aseptic loosening
- hematoma formation, heterotopic ossification
- infection
- nerve injury, vascular damage
- DVT - PE
- MI, CVA
- leg-length discrepancy
3
Q
What are signs and symptoms of hip dislocation?
A
- excessive pain w/ motion
- abnormal IR or ER w/ limited A/PROM
- inability to WB through LE
- leg-length discrepancy
4
Q
TKA post op protocol
A
AROM and strengthening
- ISOM QS, HS, GS progressing to A/AROM
- P/A/AROM heel slides
- gentle stretching knee ext/flex
- active hip motions to facilitate improved bed mobility
5
Q
THA post-op protocol
A
- ABD wedge
- possible knee immobilizer (prevent hip FLEX)
- adaptive equipment/AD
- AROM/strengthening - submax glut, ISOM QS/HS
- Avoid SLR
- functional mobility
6
Q
What dictates precautions and rehab for TSA?
A
integrity of rotator cuff and deltoid muscles
7
Q
TSA common precautions
A
- avoid shoulder AROM
- no lifting, pushing w/ involved UE
- No excessive stretching, especially ER
- no supporting body weight by hand on involved side
- no driving for 3 weeks
- No lying on involved shoulder
- use towel under elbow when supine
8
Q
TSA post op exercises
A
- supine PROM FLEX w/ elbow flexed
- supine PROM ER w/ arm at side and elbow flexed no more than 30 degrees
- pendulum exercises, clockwise and counterclockwise
9
Q
Which approach for reverse TSA allows for AROM on post op day 1?
A
deltopectoral
10
Q
Deltoid splitting approach precautions for reverse TSA
A
PROM flex and ER
AAROM held for 2-3 weeks
11
Q
what is post op ileus?
A
prolonged absence of bowel function after surgical procedure
12
Q
What are complications from any type of cardiac surgery?
A
CVA
