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Other joint procedures
- Arthroscopic debridement and lavage
- Removal of unstable or loosen bodies such as fragments of bones or cartilage.
- Post management after surgery
- PROM / AAROM immediately after 24-48 hours of surgery
- Quickly progress to AROM
- Synovectomy
- Removal of the synovial lining of the joint
- Typical with RA patients who have constant inflammation of the joint
- Conditions it can treat
- Tenosynovitis (Inflammation of the tendon sheaths where muscles connect to)
- Tensosynovectomy (Excessive synovium in the joint)
- Post management after surgery
- Slow process with exercise and ADL's
- Depended on patient
- Arthrodesis
- Surgical fusion of two articulating joints
- Typical in spine, wrist, thumb, and ankle
- Used to relieve severe pain such as late stage of OA and can even be used on patients where a total replacement surgery failed
- Kisner p.369, table 12-2 for positioning of joint post surgery
- Post management
- Post surgery they wear a cast over the joint for 6-12 weeks
- No more ROM so ROM and strength must be maintained above/below the joint
- WB status till proof of healing
- ORIF
- Some type of inter fixation device is used to stabilize the bone fragments during the healing process
- As it heals a second surgery might be required to remove the fixation
- Postmangement after surgery
- Heavily dependent on so many factors
- WB status is necessary while maintaining immobilization of the area
- Osteotomy
- Surgical cutting and realigment of bone
- Common on the knee and hip
- Used to reduce pain and deformity
- Different types of procedures reffer to Kisner p.370 for more info
- Postmanagement after surgery
- If immobilized in a cast you can peform AROM above and below the joint to prevent stiffness and muscle weakness
- WB status is typically 4-6 weeks
- When WB status has improved and cast is removed you can perform AAROM and active exercise with light weights