Courses Infomation

Joint Arthroplasty for Today’s Clinician from Trent Brown

Joint Arthroplasty for Today’s Clinician Greater Knowledge, Greater Evidence, Greater Outcomes from Trent Brown

Faculty:Trent Brown

Duration:5 Hours 55 Minutes | Format:Audio and Video

Archive : Joint Arthroplasty for Today’s Clinician from Trent Brown

Outline:

COMMON THEMES AND RESEARCH BEHIND SHOULDER, HIP, AND KNEE ARTHROPLASTY (TSA, THA, TKA)

Demographics
Inclusion criteria for TJA (based on AMA) and who should avoid TJA
Neurological and psychological consequences from delaying total joint arthroplasty
Healing stages
- Inflammatory, proliferative, remodeling
- Bone, cartilage, muscle, tendon, and nervous tissue
Review of joint movement and osteokinematics

TOTAL SHOULDER ARTHROPLASTY

History leading to current procedures and prosthetics
Functional verses textbook range of motion for normal function and ADLs
Procedures/components
- Glenoid component, humeral component
- Hemiarthroplasty
- Cemented versus cementless
- Non-constrained versus constrained
- Reverse TSA
  - Why reverse TSA?
  - Precautions of TSA versus standard TSA
Research behind TSA regarding failure rates, functional outcomes, and ROM
General therapeutic protocol
3 or 4 phase approach
Treatment ideas/lab
- Scapulohumeral rhythm
- The proper pendulum
- 4 approaches to the posterior glenohumeral glide (joint mobilization)
- Non-weight bearing periscapular training

TOTAL HIP ARTHROPLASTY

History leading to current procedures and prosthetics
Procedures/components
- Femoral component (cemented versus cementless)
- Acetabular component (plastic, metal, or ceramic)
- Anterolateral, posterolateral, direct lateral, anterior, and superpath approaches
Research behind THA
General therapeutic protocol
Treatment ideas/lab
- 6 determinants of gait
- Lateral pelvic tilt in supine leading to frontal plane control (LAB)
- Lateral weight shift with pelvic tilt emphasis (single leg stance with resistance)
- 4 way straight leg raise

TOTAL KNEE ARTHROPLASTY

History leading to current procedures and prosthetics
Procedures/components
- Femoral component (cemented versus cementless)
- Tibial component (metal platform with plastic surface for ROM and absorption)
- Patellar component (metal or plastic)
- Unicompartmental option
- Cruciate retaining, posterior stabilized design, fixed bearing, mobile bearing, and gender specific
- Incisions (parapatellar, midvastus, subvastus/quad sparing)
Research behind TSA
General therapeutic protocol
- SLR and closed chain activity
- Dynamic EOM and half-standing with weight bearing/functional emphasis
- Gold standard of the stationary bicycle
- 4 directional patellar joint mobilization
- Treatment ideas

DOCUMENTATION

Documentation ideas “outside the box” for the total joint client
Case study implementing research and treatment ideas

Description:

Total joint arthroplasty is the most common surgical procedure performed in the U.S. However, as surgical advances and prosthetic implants improve annually, the therapeutic process and protocols used with this population have remained stagnant.

In addition, the recent push to reduce length of stay and therapy visits while increasing functional outcomes and activity levels makes the clinician’s job even more critical. With total joint procedures doubling the past decade and trending upward, today’s clinician must possess a stronger understanding of the techniques used by surgeons, the prosthetics commonly (and uncommonly) used, and evidence-based treatment strategies determined not just by their referring surgeon but by current research.

This recording particularly discusses the latest surgical and minimally invasive techniques used and the benefits and risks associated with these techniques. Taking over 1,000 nationally established joint protocols, presenter Trent Brown, MOT, OTR/L, BCG, summarizes the most effective and functionally relevant treatment strategies and protocols. Demonstrations and labs will occur to ensure application of material and immediate carry-over to the clinical setting.

Mr. Brown will also discuss documentation techniques and examples to strongly justify the need for skilled services with this population in hospital, in-patient, acute, home health, and outpatient settings.

Salepage : Joint Arthroplasty for Today’s Clinician from Trent Brown