Anatomy/Precautions
Accurately name and perform all movements the hip
abduction, adduction, flexion, extension, internal rotation, external rotation
What are the two surgical interventions used?
Anterolateral
Posterolateral
What is the most common cause of hip fractures?
FALLS!! :((
What kind of Synovial Joint permits movement on all three axes?
Ball-and-socket
True or false – Synthetic materials are cemented down in in order to hold the prosthesis in place?
False!
Name 3 risk factors that would make you more susceptible for hip fractures?
1. Age
2. Woman
3. Osteoperosis
What are the 5 Weight-Bearing Precautions, and their definitions?
WBAT- Weight bearing as tolerated
TTWB- Toe Touch Weight-bearing
NWB- Non Weight-Bearing
FWB- Full Weight-Bearing
PWB- Partial Weight Bearing (50%)
Name adaptive equipment occupational therapists provide and educate patients on post surgery?
1. Reacher
2.Sock-aide
3. Long-handled sponge
4. Shoe-horn
Signs and Symptoms?
Edema
Pain at the site of injury
Deformity
Leg length discrepancy
Discoloration of Skin
What are the precautions of posterolateral and anterolateral approach?
Posterolateral- No hip flexion greater than 90 degrees, no internal rotation, no adduction.
Anterolateral- No external rotation, no adduction, no extension.
In your own words - describe the procedure of hip surgery.
1. An incision is made above the hip on the affected side, muscles and tendons are detached and the femur is dislocated to allow access to the joint
2. The head of the femur is removed
3. The Acetabulum/socket is cleaned by removing all damaged debris, cartilage and bone
4. Diseased articular surfaces are replaced with synthetic materials
5. A new synthetics socket and liner is fit into place where the Acetabulum once was
6. A stem is drilled into the neck of the Femur and a ball is then placed on the end, which corresponds to the size of the synthetic socket and liner
7. The ball is placed into the synthetic socket and is tested for its mobility
8. Muscles and tendons around the new joint are reattached
9. The wound is stapled shut
What is the most common population affected by hip fractures?
Adults 60 and older.