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21 Cards in this Set
- Front
- Back
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What is Avascular Necrosis?
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Poor blood supply to an area of bone leads to bone death. The head of the femur is often the site of AVN. Also called osteonecrosis.
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What is the most common ACUTE orthopedic condition in the elderly over the age of 75?
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Hip Fracture
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What are some recommendations to give to a client waiting for surgery?
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Exercise, Healthy Eating, Lose weight if necessary, Prepare house with proper post op equipment, Acquire and learn uses of assistive devices.
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Name some assistive devices that may be helpful after a hip/knee surgery or just for general ADL's.
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1. Long handled reacher, Long handled shoe horn, Sock Aide, Leg lifter, Cushions, Good shoes, Raised toilet seat, Long handled bath sponge, Walker, Crutches, Cane. Prescribed by Therapist.
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What are the most common complications with a THR (Total Hip Replacement)?
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Blood clots in the leg (DVT), UTI or difficulty urinating, Leg length difference, Stiffness, Dislocation of the hip, Infection of the hip, Infection and dislocation could require re operation.
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What is the femoral head of the hip joint?
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The ball.
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What is the acetabular?
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The socket part of the hip that the femoral head fits into.
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What are the two types of hip replacements?
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Cemented: Usually done on older adults to expedite mobilization.
Un Cemented: New bone takes 6-12 weeks to grow in. Younger clients tend to get this done more. Stronger in the long run. Mobility is more restricted earlier on. |
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What does NWB stand for?
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Non weight bearing
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What does TTWB stand for?
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Touch touch weight bearing. If it's enough pressure to break an egg it's too much pressure.
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What does PWB stand for?
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Partial weight bearing. 30%-50%
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What does FWB stand for?
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Full weight bearing. Client can use all there weight.
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What are the "Standard Hip Precautions" for 12 weeks post op?
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Don't do the following: hip flexion past 90 degrees, internally or externally rotate, adduct the hip/leg past midline, twist excessively at the waist, cross knees or ankles, combine hip flexion, internal rotation and adduction of the operated leg, 90 90 90 rule,don't lean forward when you sit down, Don't try and pick something off the floor while sitting, Do Sleep with a pillow between legs while sleeping, Don't adduct hip/leg past midline, Don't sleep on your operated side,Try and sleep on your back.
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What leg should go upstairs first? The affected leg or unaffected leg?
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The unaffected leg goes up. Good goes to heaven.
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After a hip replacement what leg should go down first, when you go down stairs?
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The affected leg goes down first when you go downstairs. "The bad goes to hell."
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Does a client have to wait and have permission from a surgeon to drive after a hip replacement?
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Yes. They can't drive for at least six weeks and need permission from a surgeon.
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How long should hip precautions be in place for?
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For approx 3 months, but the surgeon, doctor or physio will advise you if and when this can be done.
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Common treatment for a clavicle fracture?
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Sling or "Figure of 8" band, Immobilize for 6-8 week. May require surgery depending on location and severity. Plates and screws are used for alignment.
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What does ORIF stand for?
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Open reduction internal fixation.
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Name some different types of fractures.
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Clavical, humerous, radial head,Colles, distal radial, green stick, scaphoid, metacarpal, boxers, phalangeal
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What is a colles fracture?
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Fracture of the distal radius. Usually caused by falling on an outstretched hand. Usually casted for four weeks.
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