Poster Sessions - 2018 Research Day

Event Title

Acute Care Physical Therapy Intervention for a Patient who Presented Post-Op Right Total Hip and Right Total Knee Arthroplasty: A Case Report.

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background and Purpose: The incidence of patients undergoing a total hip or total knee arthroplasty is continually increasing. Despite this increase in prevalence, few studies have reported the outcomes of physical therapy (PT) intervention for a patient who has undergone a simultaneous ipsilateral total hip and total knee arthroplasty. The purpose of this retrospective case report is to describe the clinical, functional, and patient reported outcomes impacted by skilled PT intervention in the rehabilitation of a patient who presented to acute care PT immediately post-op simultaneous right total hip (postero-lateral approach) and right total knee arthroplasty.

Case Description: The patient described within this retrospective case report was a 53-year-old Caucasian male who presented to acute care PT post-op day 1 after a simultaneous right total hip and right total knee arthroplasty. This patient had also undergone a simultaneous left total hip and left total knee arthroplasty within six months prior to this episode of care.

Outcomes: Following two days of PT intervention, with two PT sessions per day, the patient demonstrated improvements in pain ratings, functional mobility, gait velocity, ambulation distance, stairs ascended, and active range of motion (AROM) of the right knee and right hip.

Discussion: PT intervention appeared to be correlated with improvements in functional and clinical outcomes for the patient described in this case report. Future research is needed to determine the long-term effects of PT intervention on clinical and functional outcomes for patients who have undergone a simultaneous ipsilateral total hip and total knee arthroplasty.

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

Acute Care Physical Therapy Intervention for a Patient who Presented Post-Op Right Total Hip and Right Total Knee Arthroplasty: A Case Report.

Hall of Governors

Background and Purpose: The incidence of patients undergoing a total hip or total knee arthroplasty is continually increasing. Despite this increase in prevalence, few studies have reported the outcomes of physical therapy (PT) intervention for a patient who has undergone a simultaneous ipsilateral total hip and total knee arthroplasty. The purpose of this retrospective case report is to describe the clinical, functional, and patient reported outcomes impacted by skilled PT intervention in the rehabilitation of a patient who presented to acute care PT immediately post-op simultaneous right total hip (postero-lateral approach) and right total knee arthroplasty.

Case Description: The patient described within this retrospective case report was a 53-year-old Caucasian male who presented to acute care PT post-op day 1 after a simultaneous right total hip and right total knee arthroplasty. This patient had also undergone a simultaneous left total hip and left total knee arthroplasty within six months prior to this episode of care.

Outcomes: Following two days of PT intervention, with two PT sessions per day, the patient demonstrated improvements in pain ratings, functional mobility, gait velocity, ambulation distance, stairs ascended, and active range of motion (AROM) of the right knee and right hip.

Discussion: PT intervention appeared to be correlated with improvements in functional and clinical outcomes for the patient described in this case report. Future research is needed to determine the long-term effects of PT intervention on clinical and functional outcomes for patients who have undergone a simultaneous ipsilateral total hip and total knee arthroplasty.