30 Questions
What is the purpose of Total Knee Arthroplasty?
To relieve knee pain and restore function
What are the types of post-operative care for Total Knee Arthroplasty?
Early P.O, Mid-P.O, and Late P.O
What is the role of physiotherapy in the rehabilitation process after Total Knee Arthroplasty?
It helps improve range of motion, strength, and function of the knee joint
What challenges are commonly faced in physiotherapy after Total Knee Arthroplasty?
Limited range of motion and muscle weakness
What are the benefits of physiotherapy in Total Knee Arthroplasty?
It improves range of motion, strength, and function of the knee joint
What are the expected future advancements in knee arthroplasty?
Advancements in technology and surgical techniques
What does Total Hip Replacement aim to provide?
Improved mobility and quality of life
What are the non-surgical alternatives to Total Hip Replacement not able to provide?
Long-term improvement as total hip replacement
What can manage the risks of Total Hip Replacement procedure?
"Regular follow-up visits with the surgeon"
"What is the artificial joint used in Total Knee Arthroplasty made of?"
What is a joint dislocation?
It refers to the complete separation of two or more bones at an articulating joint, disrupting the normal alignment of the joint surfaces.
What are the common causes of joint dislocations?
Trauma, falls, sports injuries, and motor vehicle accidents
Which joints are frequently dislocated?
Shoulder, elbow, finger, hip, knee, and ankle
What is the purpose of immobilization after joint reduction?
To prevent re-dislocation and promote healing
What is closed reduction in the management of joint dislocations?
A non-surgical technique involving the manual manipulation of the dislocated joint back into its normal position.
What is open reduction in the management of joint dislocations?
Surgical intervention to reposition the dislocated joint when closed reduction fails or there are complicating factors.
Which imaging techniques may be necessary to confirm a joint dislocation diagnosis?
X-rays, CT scans, or MRIs
What information is important to gather during the history assessment of a joint dislocation?
Mechanism of injury, previous dislocations, and associated symptoms
What should be evaluated during the physical examination of a joint dislocation?
Deformity, swelling, bruising, loss of motion, and neurovascular status
When is open reduction recommended in the management of joint dislocations?
When closed reduction fails or there are complicating factors such as fractures or severe soft tissue injuries
Which joint dislocation is the most common?
Shoulder dislocation
What technique may be required for reducing anterior hip dislocations?
Axial load in a flexed, adducted hip
Who developed the modern design of total hip replacement in the 1940s and 1960s?
Sir John Charnley
What are the potential indications for hip replacement?
Osteoarthritis, rheumatoid arthritis, injury/fracture, hip osteonecrosis
What are the benefits of total hip replacement?
Pain relief, mobility improvement, improved quality of life, longevity of prosthetic hip
Which joint dislocation is the second most common large joint dislocation?
Elbow dislocation
What can be prescribed for pain management in joint dislocations?
Analgesics and anti-inflammatory medications
What is involved in the procedure of total hip replacement?
Incision, joint preparation, implantation, post-operative care
'Terrible triad' refers to potential injury to which parts in elbow dislocation?
'Radial head, coronoid, or all three'
What is the most common position for knee dislocation?
Anterior position due to hyperextension force to the anterior tibia
Study Notes
- Physical Therapy: Essential for restoring joint function, preventing stiffness, and strengthening muscles after joint dislocation.
- Pain Management: Analgesics and anti-inflammatory medications may be prescribed to manage pain and reduce inflammation.
- Shoulder Dislocation: Most common joint dislocation, with 90% being anterior and 4-10% being posterior. Anterior dislocations are often caused by static forces, while posterior dislocations are from dynamic forces.
- Hip Dislocation: Can be anterior or posterior with various reduction techniques. Anterior dislocations may require axial load in a flexed, adducted hip, while posterior dislocations require flexion, abduction, and external rotation.
- Knee Dislocation: Most common in the anterior position due to hyperextension force to the anterior tibia, with valgus, varus, or rotational forces also possible.
- Elbow Dislocation: Second most common large joint dislocation, can be simple or complex with potential injury to the radial head, coronoid, or all three forming the terrible triad.
- Total Hip Replacement: A surgical procedure where a damaged hip joint is replaced with an artificial joint. Developed in the 1940s and 1960s, now includes minimally invasive and robotic-assisted surgeries.
- History of Total Hip Replacement: Originated in ancient Egypt with bronze and gold fingers, modern design developed by Sir John Charnley in the 1940s and 1960s.
- Types of Hip Replacement: Total hip replacement involves removing the pelvis and head of the thighbone, partial hip replacement (hemiarthroplasty) only replaces the femoral head.
- Indications for Hip Replacement: Osteoarthritis, rheumatoid arthritis, injury/fracture, hip osteonecrosis.
- Procedure of Total Hip Replacement: Incision, joint preparation, implantation, post-operative care.
- Benefits of Total Hip Replacement: Pain relief, mobility, improved quality of life, longevity of prosthetic hip.
- Risks and Complications of Total Hip Replacement: Infection, implant loosening, wear damage, blood clots, dislocation, potential need for revision surgery.
Learn about the definition, causes, and clinical assessment of joint dislocations, including commonly dislocated joints such as the shoulder, elbow, finger, hip, knee, and ankle.
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