presented by Haideh V. Plock
This course is part of our OCS Prep-Program. Learn more about the full prep-program here: MedBridge OCS Prep-Program.
This course will discuss how tissue healing affects management of lower extremity post-surgical patients and present rehabilitation considerations for more common lower extremity surgical procedures encountered in an outpatient setting.
This is part three of a three part series covering postsurgical management. Be sure to watch:
Post Surgical Management Part 1: Basic Principles and Spinal Surgery
Post Surgical Management Part 2: Upper Extremity Surgical Interventions
Haideh graduated with a double major in Kinesiology and Psychology from the University of California, Los Angeles in 1991. Upon completion of her Master’s in Physical Therapy from Boston University in 1993, she accepted a position at the Kerlan-Jobe Orthopedic Clinic. She worked there for the next 11 years specializing in orthopedic and sports related injuries. Haideh is also a 2002 graduate of the Kaiser Permanente Northern California Orthopaedic Manual Physical Therapy Fellowship and a Fellow of the American Academy of Orthopedic Manual Physical Therapists (AAOMPT). In 2005, she received her certification as an Orthopedic Clinical Specialist. Haideh currently serves as the Vice President for the AAOMPT. She recently relocated to Reno, NV after working for the past 10 years as the manager of the Palo Alto Medical Foundation’s Department of Physical Therapy. She enjoys snowboarding with her husband, hiking, crossfit, and yoga and is looking forward to living life near the Sierras.
Individuals who present persistent hip pain despite conservative measures may be candidates for arthroscopic hip surgery. Advances in the understanding of hip morphology have progressed the use of arthroscopy for many hip pathologies including impingement, labral tears, and cartilage injuries.
Over 200,000 individuals undergo total hip arthroplasty and over 500,000 undergo total knee arthroplasty each year. These surgeries have provided significant relief to people who wish to remain active and have not been able to control their symptoms with more conservative treatments. The majority of these individuals are over the age of 60. Understanding tissue healing as well as the impact of comorbidities on outcomes is essential.
In contrast to total joint arthroplasty, the typical age for someone undergoing an ACL reconstruction is much younger, about teenage to thirties. Reconstructive surgery is often considered, especially if the patient is active or involved in competitive sports.
Until recently, individuals who suffered cartilage defects had few options, especially if they were young. The advent of autologous chondrocyte implantation (ACI) and osteochondral autograft transfer system (OATS) has provided a means to salvage previously irreparable cartilage damage.
Partial or complete ruptures of the Achilles tendon often lead to surgical repair. Repairs can be done as an open procedure or percutaneously, which affects healing times and wound complications.