[Download Now] Joint Arthroplasty for Today’s Clinician: Greater Knowledge, Greater Evidence, Greater Outcomes – Trent Brown

The therapeutic process and protocols used with this population have remained stagnant despite the fact that total joint arthroplasty is the most common surgical procedure performed in the U.S.

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.

The benefits and risks associated with minimally-invasive techniques are discussed in this recording. Trent Brown presented the most effective and functionally relevant treatment strategies and protocols. To ensure application of material and immediate carry-over to the clinical setting, demonstrations and labs will occur.

The need for skilled services with this population in hospital, in-patient, acute, home health, and outpatient settings will be discussed by Mr. Brown.

1. Identify common conditions and diagnosis leading to shoulder, hip, and knee arthroplasty
2. List the short- and long-term benefits from undergoing joint replacement and the risks identified from delaying surgery
3. Discuss current components, surgical procedures, and functional treatment strategies for total shoulder, hip, and knee arthroplasty based on current evidence, research, and national protocols
4. Develop documentation strategies and language based on information provided in this course to justify therapy services to all provides with total joint client
5. Discuss the history of joint arthroplasty and what therapists can expect in the next 10-20 years
6. List the variety of options in replacing or resurfacing the shoulder and how to tailor your rehabilitation to the individual

There are common sciences and research beingHIND SHOULDER, HIP, and KNEE ARTHROPLASTY.

• 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​

The total shoulders are 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

There is documentation.

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

The Trent Brown Review states that Joint Arthroplasty for Today’s Clinician: Greater Knowledge, Greater Evidence, Greater Outcomes. Trent Brown is the author of Joint Arthroplasty for Today’s Clinician: Greater Knowledge, Greater Evidence, Greater Outcomes. Trent Brown has a discount on Joint Arthroplasty for Today’s Clinician: Greater Knowledge, Greater Evidence, Greater Outcomes.