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15 Cards in this Set
- Front
- Back
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Indications for THR
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-Osteoarthritis
-RA -Failed internal fixation of fracture -Developmental dysplasia -Osteomyelitis - Infection in the bone -Avascular Necrosis - Death of bone tissue due to lack of blood flow |
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Contraindications for THR
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-Poor periarticular support
-Active infection -Sepsis |
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Cemented THR
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-Immediate WBAT
-May require more bone tissue to be removed -May experience some loosening of the prosthesis |
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Noncemented THR
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-TTWB for 6 weeks
-Last longer -Allows for less bone tissue to be removed and allows for more to grow |
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THR Complications
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-DVT
-Infection -Heterotopoc Ossification -Sciatic nerve injury -Periprosthetic fracture -Dislocation/Subluxation of femoral head -Pulmonary Embolus |
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THR Precautions
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-Avoid hip add, hip MR, and hip flexion >90*
-Use ABD pillow -Maintain WB -Do not sit in low surfaces -Do not bend over toward the ground -Do not lean over when getting up from a chair -Do not bend over to tie shoes -Do not pivot toward surgical side -Do not cross legs when sitting or lying down -Use pillow between legs when sidelying |
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THR TX
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-Maintain WB
-Mobility training within THR precautions -Early ambulation training -Initate strengthening with isometrics and progress as tolerated -Gentle stretching within THR precautions |
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Indications for TKR
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-Disabling pain
-Failed conservative tx -Impaired mobility due to advanced arthritis |
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Contraindications of TKR
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-Active infection
-Advanced osteoporosis -Severe PVD -Sepisis -Morbid obesity |
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Cemented TKR
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-Immediare WBAT
-Used with older and sedentary elders |
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Hybrid TKR
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-TTWB for 6 weeks
-Cemented tibial component and noncemented femoral and patella components |
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Noncemented TKR
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-TTWB for 6 weeks
-Last longer than cemented |
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TKR Complications
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-DVT
-Infection -Chronic joint effusion -Periprosthetic fracture -Restricted ROM -Pulmonary embolus -Peroneal nerve injury |
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TKR Precautions
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-Maintain WB status
-Knee immobilzer needed for stability |
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TKR TX
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-Maintain WB status
-Mobility training -Early ambulation with knee immobilzer -Use CPM directly after surgery -Initate strengthening with isometrics -Initate PROM to attain 90* of flexion and 0* of ext -Use compression stocking to decrease edema -Wean from using immobilzer once pt gains control of quads |
