Advanced Treatment for Total Hip & Knee Replacement

Credit

Handouts/Brochure

Speaker

Terry Rzepkowski, DPT, MS, BS Related seminars and products

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Terry L. Rzepkowski, DPT, MS, BS, is a Doctor of Physical Therapy with specialization in orthopedic physical therapy. Throughout his 40+ year career, he has specialized in orthopedic roles, total joint replacement surgery, sports medicine, musculoskeletal outpatient rehab, and as an independent private practitioner. A professor in the health science department for Nova Southeastern University, Terry provides instruction in anatomy, biomechanics, kinesiology, and neuro anatomy. Terry’s current clinical role as a home care physical therapist focuses exclusively on orthopedic surgical patients, which keeps Dr. Rzepkowski abreast of the latest techniques and protocols used in joint care rehab. As a sought-after presenter, he enjoys sharing his advanced orthopedic knowledge with interdisciplinary audiences around the country.
 

Speaker Disclosures:
Financial: Terry Rzepkowski has employment relationships with Nova Southeastern University, CORA Physical Therapy, Presbyterian College, National healthcare Licensing Solutions, Inc., Varsity Tutors, and PTCE. He receives compensation as a national presenter. Terry Rzepkowski receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Terry Rzepkowski is a member of the APTA.

 

 

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Objectives

1. Demonstrate a functional approach to assess the LE as a connected chain.
2. Assess altered joint mechanics and muscle imbalance impact of joint function.
3. Compare and contrast traditional joint replacement approaches versus newer MIS and MSS surgical approaches.
4. Evaluate the advantages of computerized and robotic assisted replacement surgeries.
5. Address early signs of adverse events.
6. Assess a multi-modal approach to post-operative pain.
7. Recognize the accelerated return to activity timeline of today’s post-surgical patient.
8. Participate in hands-on lab practice sessions that will focus on advanced intervention strategies for the total hip and knee patient.

Outline

• How you can miss predisposing factors for DJD with a nonfunctional approach
• Examine the whole LE kinetic chain with functional test observations

• The new reality – reducing the amount of rehab care post-op
• Post-op approaches should vary based upon procedure and component used in surgery
• 6 surgical advancements that could affect your plan of care
  • Using muscle sparring approaches
  • Computerized mapping
  • Robotics
  • Peri-operative blood loss
  • Pain control measures
  • 3D custom designed implants

• New CMS guidelines for total joint patients: seeing patients right after surgery
• Confidently managing
  • Pain management, opioid tolerance, and opioid induced constipation (OIC)
  • Active and passive TED strategies
  • Wound care/infection prevention: early identification of wound versus joint infection
  • Blood thinners: various types, early warning signs of high anticoagulant levels, and identifying DVT versus cellulitis or poor edema control compliance
  • Patient education on positioning, safe transfers and mobility

• REMEMBER: Exercising joints in isolation will NOT progress your patients faster, further
• Progress the LE as a functional unit
  • Video demonstration of techniques
• Incorporate closed chain kinematics that lead to successful outcomes in reduced time
• Returning normal gait mechanics using proprioceptive, balance, and coordination activities

Target Audience

• Physical Therapists
• Physical Therapist Assistants
• Nurses
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Exercise Physiologists
• Certified Strength and Conditioning Specialists
• Rehabilitation Managers
• Personal Trainers