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Hip/ Knee precaution

QuestionAnswer
- No hip flexion past 90 degrees - No hip adduction (no crossing legs) - No internal rotation - weight bearing limits (NWB, TTWB) Posterior Approach
Educate the patient and caregiver, train in adaptive equipment, improve strength, adaptive transfer, evaluate the home. OT intervention for Posterior Approach
Bedside commode, shower chair, handheld shower, long handled bath sponge, reacher, dressing stick, sock aide, shoe horn, walker or wheelchair. Adaptive equipment of Posterior Approach
- No extension (don't step backward) - No external rotation of the hip (no turning the leg outward) - No hip adduction (no crossing legs) Anterior Approach
Shorter recovery time Anterior Approach
Educate the patient and caregiver, train in adaptive equipment, improve strength and endurance, reinforce adaptations OT intervention for Anterior Approach
Abduction wedge or pillow in place Supine(back)
Sleep on the non- operative side, do not allow the affected side to crossing midline Side
Never sleep on stomach Stomach
- Never turn toes inward - Never cross ankles - Avoid lying on affected side General Precautions
- No squatting - No kneeling on the affected knee - No pivoting or twisting the affected knee - Knee must be fast when lying in the bed - Knee may be immobilized post surgery Total Knee replacement Precautions
- Educate the patient and caregiver post surgical precautions - Train in the use of any needed adaptive equipment - Improve overall strength and endurance post surgery OT intervention for Total knee replacement
- Walker/wheelchair - Bedside commode or raised toilet seat - Shower chair with grab bars - Long handled sponge - Reacher - Sock aide - Long handled shoe horn Adaptive Equipment for Total knee replacement
Created by: cnk
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