Hip and Knee: Advancements in Joint Replacement
Description
This course provides Rehab professionals with a thorough overview of current approaches in hip and knee arthroplasty and the factors involved with managing these patients. The course examines relevant anatomy and pathophysiology, presents current concepts and recent advancements in joint replacement practice, and describes the main surgical approaches used. Prognosis and complications for the post-arthroplasty patient are presented. Traditional and rapid-recovery therapy intervention parameters are discussed, with the aim of maximizing the patient’s functional outcomes. Therapist Tips and case study discussions help focus the clinician’s application of the material. This course will be immediately useful in clinical practice for therapists and therapy assistants who work with hip and knee replacement patients at any stage of their recovery.
Physicourses is an AOTA Approved Provider of professional development. Course approval ID# 6295. This distance learning-independent course is offered at 1.0 CEUs Intermediate Level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
Available Course Credits
| Alaska State PT & OT Board | 10.00 | ||
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AOTA | 10.00 | |
| Arizona State Board of Physical Therapy | 10.00 | ||
| Arkansas State Board of Physcial Thearpy | 10.00 | ||
| California Physical Therapy Board | 10.00 | ||
| Colorado Division of Professions and Occupations | 10.00 | ||
| Connecticut Department of Public Health | 9.50 | ||
| Delaware Examining Board of Physical Therapists and Athletic Trainers | 10.00 | ||
| District Of Columbia Department of Health | 10.00 | ||
| FPTA | 20.00 | ||
| Georgia State Board of Physical Therapy | 10.00 | ||
| Hawaii Board of Physical Therapy | 10.00 | ||
| Idaho Physical Therapy Licensure Board | 10.00 | ||
| Illinois Department of Professional Regulation | 10.00 | ||
| Indiana Physical Therapy Board | 10.00 | ||
| Iowa Board of Physical Therapy and Occupational Therapy | 10.00 | ||
| Kansas State Board of Healing Arts | 10.00 | ||
| Kentucky Board of Physical Therapy | 10.00 | ||
| Louisiana Physical Therapy Board | 10.00 | ||
| Maine Board of Physical Therapy | 10.00 | ||
| Maryland Board of Physical Therapy | 1.00 | ||
| Massachusetts Board of Allied Health Professionals | 10.00 | ||
| Michigan Board of Physical Therapy | 10.00 | ||
| Mississippi State Board of Physical Therapy | 10.00 | ||
| Missouri Advisory Commission for Physical Therapists | 10.00 | ||
| Montana Board of Physical Therapy Examiners | 10.00 | ||
| Nebraska Department of Health and Human Services | 10.00 | ||
| New Mexico Physical Therapy Board | 10.00 | ||
| New York State Education Department | 10.00 | ||
| North Carolina Board of Physical Therapy Examiners | 10.00 | ||
| North Dakota Board of Physical Therapy | 10.00 | ||
| Office of Professional Regulation, Vermont Secretary of State | 10.00 | ||
| Oklahoma Physical Therapy Board | 10.00 | ||
| Oregon Board of Physical Therapy | 10.00 | ||
| Pennsylvania State Board of Physical Therapy | 10.00 | ||
| Physical Therapy Governing Board New Hampshire | 10.00 | ||
| South Dakota Physical Therapy License Board | 10.00 | ||
| State of Alabama Board of Physical Therapy | 10.00 | ||
| State of Rhode Island Department of Health | 10.00 | ||
| Tennessee Board of Physical Therapy | 10.00 | ||
| Texas Physical Therapy Association | 10.00 | ||
| Utah Physical Therapy Licensing Board | 10.00 | ||
| Virginia Board of Physical Therapy | 10.00 | ||
| Washington State Board of Physical Therapy | 10.00 | ||
| West Virginia Board of Physical Therapy | 10.00 | ||
| Wisconsin Physical Therapy License Board | 10.00 | ||
| Wyoming Board of Physical Therapy | 10.00 |
Course Content
| 473 Hip and Knee: Advancements in Joint Replacement Copy | Module | ||
| 473 Hip and Knee Quiz | Module | ||
| Course Evaluation | Module |
Sarah R.Stillings, MA, PT, MPT, CHT
Sarah R. (Sally) Stillings is a PT and Certified Hand Therapist in Texas. She received her physical therapy degree from the University of North Carolina at Chapel Hill. Prior to becoming a therapist, Sally taught university-level writing courses and was assistant editor of The Journal of Craniomandibular Practice. In her extensive career as a PT, she has held a variety of clinical, teaching, administrative, and business roles, including general PT practitioner, upper extremity specialist, clinic manager, hand therapy clinic coordinator, continuing education (CE) instructor, and CE course administrator. She has also served as Executive Director of the Kellermann Foundation, a U.S. nonprofit organization supporting healthcare and community development in Uganda, East Africa. Her work now focuses on creating evidence-based CE materials for rehab professionals. Sally is a lifelong runner who celebrates all those who cover the ground.
473 Hip and Knee: Advancements in Joint Replacement
Course Objectives
After successfully completing this course, the learner should be able to:
- Identify relevant anatomical features of the hip and knee regions and the pathophysiology of osteoarthritis and rheumatoid arthritis
- Recall the prevalence of osteoarthritis in the U.S.
- Recall the history of hip and knee joint arthroplasties
- Identify recent advancements in the construction and use of joint replacement components
- Differentiate the main standard and minimally invasive surgical approaches used for hip and knee total joint arthroplasties, including computer-assisted surgery, and recall their advantages and disadvantages
- Define elements of the healing sequence and identify possible complications after joint replacement
- Recall traditional post-operative hip restrictions and precautions specific to various surgical approaches
- Identify and apply in case studies conventional and rapid-recovery rehab therapy interventions for patients with these joint replacements at various stages of recovery
- Apply appropriate evidence-based therapeutic interventions to specific case studies
- Recall comprehensive treatment approaches to help patients who are status post hip or knee replacement in order to regain maximum function
Table of Contents Page #
HOUR 1
Course Instructions 2
About the Author / Course Description 3
Course Objectives 4
Table of Contents 5
Introduction 8
Chapter 1: Applied Anatomy and Pathophysiology 9
The Hip
Functions
Bony Anatomy 10
Ligaments 12
Muscles 13
Nerves and Blood Supply 15
The Knee 17
Functions
Bony Anatomy
Ligaments and Tendons 19
Muscles 21
Blood Supply and Nerves 22
HOUR 2
Pathophysiology 23
Prevalence of Arthritis 24
Osteoarthritis 26
Grading Systems 29
Rheumatoid Arthritis 31
Chapter 2: Hip Arthroplasty Surgical Options 33
Types of Hip Arthroplasty 34
History of Hip Replacements 35
Current Prosthesis Types 37
Metal-on-Polyethylene 38
Metal-on-Metal 39
Ceramic-on-Ceramic 40
Ceramic-on-Polyethylene 41
Ceramic-on-Metal 42
HOUR 3
Fixation Techniques
Cemented Prostheses
Cementless Prostheses 43
Hybrid Prostheses 44
Component Designs
Acetabular Components 45
Femoral Components 46
Surgical Approaches to the Hip 47
Posterior Approach 48
Direct Lateral Approach 51
Direct Anterior Approach 53
Anterolateral Approach 56
HOUR 4
Minimally Invasive Surgery
Computer-Assisted Surgery 60
Chapter 3: Knee Arthroplasty Surgical Options 63
History of Knee Replacements 64
Types of Knee Arthroplasty 65
Total Knee Arthroplasty
Unicompartmental Knee Arthroplasty 66
Patellofemoral Arthroplasty
Current Prostheses Types 67
Materials
Fixation
Design
Posterior-Stabilized Prosthesis 68
Cruciate-Retaining Prosthesis 69
Bicruciate-Retaining Prosthesis 71
Tibial Fixed-Bearing Component
Tibial Mobile-Bearing Component 72
Unicompartmental Prosthesis 73
Patellar Component
Gender-Specific Implants 75
HOUR 5
Revision Prostheses
Primary Surgical Approaches to the Knee 76
Medial Parapatellar Approach 78
Subvastus Approach 80
Midvastus Approach 82
Trivector Approach 83
Other Surgical Approaches to the Knee 84
Lateral Approach 85
V-Y Turndown 86
Quadriceps Snip
Tibial Tubercle Osteotomy 87
Minimally Invasive Surgery 89
Bilateral TKAs 90
Computer-Assisted Surgery 91
HOUR 6
Chapter 4: Postoperative Healing and Complications 92
Healing after THA or TKA
Tissue Repair 93
Recovery Schedule 95
Post-Operative Prognosis 98
Complications 100
Infection
Periprosthetic Fracture 103
Peripheral Nerve Injury 105
Implant Dislocation 107
DVT/PE 109
HOUR 7
Other Complications 113
Osteolysis 114
Heterotopic Ossification
Muscle Injury
Limb Length Discrepancy 115
Chronic Pain
Component Longevity 116
Return to Athletics 117
Chapter 5: Rehabilitation after THA 122
Preoperative Intervention 123
“Prehabilitation”
Preoperative Patient Education
Traditional Post-THA Rehabilitation 125
Restrictions and Weight-Bearing Status
Phases of Traditional Rehabilitation 128
HOUR 8
Rapid Recovery Approaches 133
Phases of Rapid Recovery Rehabilitation 137
Addressing Postsurgical Soft Tissue Impairments 139
Muscle Contractures 140
Muscle Weakness 141
Chapter 6: Rehabilitation after TKA 144
Preoperative Intervention
Traditional Post-TKA Rehabilitation 145
Phases of Traditional Rehabilitation
HOUR 9
Rapid Recovery Approaches 149
Phases of Rapid Recovery Rehabilitation
Best Practices for Rehab after TJA 151
Addressing Postsurgical Impairments 153
Knee Stiffness
Difficulty Kneeling 154
Muscle Imbalances 155
Conclusion 157
Case Studies 158
HOUR 10
Appendix A: Patient Education Links 162
Appendix B: Rehabilitation Protocols 164
References 166
Examination and Evaluation 182-195
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Educational Level: Intermediate
Target Audience: PT, PTA, OT, OTA
Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit
This course is approved for 1.0 CEUS. 10 contact hours
Physicourses is committed to ensuring accessibility to the most extensive audience possible. If you have any questions or special needs requests, please contact us at info@physicourses.com.