Comprehensive Clinical Approach to Total Joint Replacement - Elite Livestream

Evaluation and Treatment of Patients with Joint Reconstruction and Fracture Fixation of the Hip, Knee and Shoulder

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Comprehensive Clinical Approach to Total Joint Replacement

Evaluation and Treatment of Patients with Joint Reconstruction and Fracture Fixation of the Hip, Knee and Shoulder

Instructor: Patrick A. Tino, PT, DPT

Course Length: 6 hours | Tuition: $239 or FREE for Elite Passport Members (learn more)

This is a livestream, interactive course.  The instructor will teach in real time and you will have the opportunity to ask and answer questions.

Benefits of Attending

  • Review relevant anatomy & physiology of hip, knee, and shoulder joints
  • Understand surgeons’ rationale for repair vs. replace for various fractures
  • Understand the differences between surgical approaches to THA & TKA
  • Understand the relevance of “primary” vs. “revision” post-op precautions
  • Demystify the “weight-bearing” debate in TJR ambulation and exercise
  • Understand why “less is more” and how to simplify HEP’s
  • Review what comprises a comprehensive differential diagnosis and medical screen for hip, knee, shoulder, and internal-organ “red flags”

Course Description

In this timely course, you will review the post-operative contraindications and precautions typically associated with rehabilitation and learn the intricate nuances of hip, knee and shoulder arthroplasty surgery from a therapist who has observed over 100 procedures.

Guided by video applications and case studies you will discuss interventions to regain ROM, improve strength and address the oft forgotten components of balance/proprioception/coordination re-training and others. Through interactive demonstrations and body segmentation you will target specific assessments and treatments for the hip, knee and shoulder.

Course Objectives

  1. Summarize the transition from “fee for service” to “value based care”
  2. Discuss and identify the pertinent anatomy and relevant pathology of the hip, knee, and shoulder joints that necessitates a total joint arthroplasty procedure
  3. Classify and categorize the various components used from DePuy, Stryker, Zimmer, etc.
  4. Outline the “nuances” of the tissues violated for the various surgical approaches to hip, knee, shoulder arthroplasty procedure
  5. Relate serious complications to need for hip Girdlestone and Knee Resection arthroplasty and need for complex revision surgeries
  6. Differentiate post-op weight-bearing (WB) precautions, joint-angle positions, and movement restrictions protocols to the procedure performed
  7. Discuss the “no flexion greater than 90 degrees” and “20lbs weight-bearing” orders
  8. Outline the benefits of physical therapy to facilitate improvement of functional performance of ADL’s and IADL’s.

Course Outline

Hip Joint Anatomy Review

Hip Joint Pathologies

  • OA, FAI, DD, etc.

Medical Screen & Differential Diagnosis

  • Organ pathology, vascular, mets, fractures

Hip Physical Exam/Evaluation

  • SI vs. Lumbar Spine, TFL vs. Joint

The 4 Surgical Approaches to the THA Procedure

  • Smith-Peterson, Watson-Jones, Hardinge, Posterior

THA Video

  • DePuy Pinnacle

Types of Implant Components and Designs

THA Revisions

Post-op THA Exercise Programming

  • Open Chain vs. Closed Chain
  • Balance re-training
  • Importance of the Glute Medius

Knee Joint Anatomy Review

Knee Joint Pathologies

  • OA, RA, Gout, Meniscus, MCL/LCL, Chondromalacia, etc.

Knee Physical Exam/Evaluation

  • ACL, PCL, MCL, LCL, P-F, Hamstrings

Type of Implant Components and Designs

TKA Surgical Video

  • TKA Revision-High-Volume Surgeon

TKA Revisions

Post-op TKA Exercise Programming

  • Open-Chain vs. Closed Chain
  • Proprioceptive Re-training
  • Muscle flexibility

Shoulder Joint Anatomy Review

Shoulder Joint Pathologies

  • Proximal Humeral/4-part Fracture, Rotator Cuff, SLAP, Biceps, etc.

Post-op TSA/r-TSA Exercise Programming

  • Differences between traditional TSA and Reverse TSA
  • Importance of scapular stabilization and function of the SA

TSA Surgical Video

Course wrap—up, Q&A, and Adjourn