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Total Hip Replacement Exam Questions and Answers Solved Correctly

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Total Hip Replacement Exam Questions and Answers Solved Correctly disease or trauma - Answers why is a total hip replacement done? arthritis - Answers a total hip replacement is usually done in the case of severe pain from this disease ROM and function - Answers a THR can also restore and align the limb, which increases... acetabular cup - Answers made out of titanium with a plastic liner (polyethylene) femoral head - Answers made out of ceramic femoral stem - Answers made out of titanium postolateral THR - Answers most common but risk for dislocation gluteus medius and minimus - Answers a postolateral approach does not disturb these muscles which rotate the thigh and prevent abduction from being compromised abduction pillow - Answers these device is used after a postolateral approach to prevent dislocation knee immobilizer - Answers surgeon may place this on the ipsilateral knee to prevent adduction of the legs after postolateral approach 90 degrees - Answers precaution: patient must not flex past ________ adduction - Answers precaution: patient must not do this motion internal rotation - Answers precaution for postolateral approach: patient must not do this specific motion external rotation - Answers precaution for anterolateral approach: patient must not do this specific motion anterolateral approach - Answers this approach decreases risk of dislocation and does not require abduction pillow superior gluteal nerve - Answers what nerve is affected when the medius and minimus muscles are divided during the anterolateral approach limp - Answers huge risk for anterolateral approach, due to affected gluteal nerve 4 to 6 weeks WBTT then walker then cane - Answers cement implant weight bearing 6 to 12 weeks TTWB, then PWB, then cane - Answers cementless implant weight bearing porous bone stability - Answers if this is poor, a cementless implant is not an option hybrid implant - Answers femoral head cement, acetabulum is not 4 to 6 weeks PWB then cane - Answers hybrid implant weight bearing OT basics - Answers teach precautions demonstrate long handled equipment DME decreased anxiety - Answers preoperative care is linked to... 2 months - Answers the first ______________ are critical for protection and function of the joint trochanter and soft tissue - Answers post surgical program allows for this to heal capsule - Answers post surgical program allows for this to form around the hip joint dislocation - Answers if precautions are not obeyed, this could happen closed reduction or surgery - Answers if precautions are not obeyed and the patient dislocates the hip, these are the treatments hip spica cast - Answers applied to trunk, entire bad leg, one-half of good leg 2 days - Answers when does rehab start after a THR? sitting or lying - Answers when should the abduction pillow be used for postolateral patients? 55 degrees flexion - Answers once the patient achieves ____________ in PT, they can sit in a recliner (with wedge behind back and between legs) overhead trapeze bar - Answers can help THR patients get out of bed while maintaining abduction and not putting weight on bad leg 3 days - Answers patients with cemented or hybrid implants can usually stand in _______ but surgeons make them wait three weeks just in case standing - Answers for cemented or hybrid implants, patient should do the ADL program... seated - Answers for cementless implant, patient should do the ADL program... standing with cane - Answers once a patient with cementless implant can do 50% WB, they can do ADL program... Trendelenburg gait - Answers associated with cementless implants

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Total Hip Replacement Exam Questions and Answers Solved Correctly

disease or trauma - Answers why is a total hip replacement done?

arthritis - Answers a total hip replacement is usually done in the case of severe pain from this disease

ROM and function - Answers a THR can also restore and align the limb, which increases...

acetabular cup - Answers made out of titanium with a plastic liner (polyethylene)

femoral head - Answers made out of ceramic

femoral stem - Answers made out of titanium

postolateral THR - Answers most common but risk for dislocation

gluteus medius and minimus - Answers a postolateral approach does not disturb these muscles which
rotate the thigh and prevent abduction from being compromised

abduction pillow - Answers these device is used after a postolateral approach to prevent dislocation

knee immobilizer - Answers surgeon may place this on the ipsilateral knee to prevent adduction of the
legs after postolateral approach

90 degrees - Answers precaution: patient must not flex past ________

adduction - Answers precaution: patient must not do this motion

internal rotation - Answers precaution for postolateral approach: patient must not do this specific
motion

external rotation - Answers precaution for anterolateral approach: patient must not do this specific
motion

anterolateral approach - Answers this approach decreases risk of dislocation and does not require
abduction pillow

superior gluteal nerve - Answers what nerve is affected when the medius and minimus muscles are
divided during the anterolateral approach

limp - Answers huge risk for anterolateral approach, due to affected gluteal nerve

4 to 6 weeks WBTT then walker then cane - Answers cement implant weight bearing

6 to 12 weeks TTWB, then PWB, then cane - Answers cementless implant weight bearing

porous bone stability - Answers if this is poor, a cementless implant is not an option

hybrid implant - Answers femoral head cement, acetabulum is not

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