Orthopedic Surgery

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Information about Orthopedic Surgery

Published on March 10, 2012

Author: reynel89

Source: authorstream.com

Orthopedic Surgery: Orthopedic Surgery Kristine Aclan , RN Types of Surgery: Types of Surgery PowerPoint Presentation: Open reduction Reduction and alignment of the fracture through surgical incision Closed reduction Manipulation of bone fragments or joint dislocation without surgical incision. PowerPoint Presentation: Internal fixation S tabilization of the reduced fracture with use of metal screw, plates, nails, or pins Bone graft P lacement of autologous or homologous bone tissue to replace, promote healing of, or stabilize diseased bone PowerPoint Presentation: Arthroplasty R epair of a joint; may be done through arthroscope (arthroscopy) or open joint repair Joint replacement T ype of arthroplasty that involves replacement of joint surfaces with metal or plastic materials PowerPoint Presentation: Total joint replacement R eplacement of both articular surfaces within a joint Meniscectomy E xcision of damaged meniscus (fibrocartilage) of the knee PowerPoint Presentation: Tendon transfer M ovement of tendon insertion point to improve function Fasciotomy C utting muscle fascia to relieve constriction or contracture PowerPoint Presentation: Amputation R emoval of a body part Preoperative management and nursing Care: Preoperative management and nursing Care PowerPoint Presentation: Hydration, protein, and caloric intake are assessed GOAL: to maximize healing and reduce risk of complications by providing I.V. fluids, vitamins, and nutritional supplements as indicated PowerPoint Presentation: If patient has had previous corticosteroid therapy, it could contribute to current orthopedic condition (aseptic necrosis of the femoral head, osteoporosis) as well as affect the patient's response to anesthesia and the stress of surgery; may need corticotropin postoperatively PowerPoint Presentation: Evaluate for infection (cold, dental, skin, UTI ), which could contribute to development of osteomyelitis after surgery I t is important to determine whether preoperative antibiotics will be necessary. Coughing and deep breathing, frequent vital sign and wound checks, repositioning are described to prepare patient. PowerPoint Presentation: The patient should practice voiding in bedpan or urinal in recumbent position before surgery T his helps reduce the need for postoperative catheterization The patient is acquainted with traction apparatus and the need for splint or cast, as indicated by type of surgery PowerPoint Presentation: Review discharge and rehabilitation options post-surgery. PowerPoint Presentation: GERONTOLOGIC ALERT Many elderly patients are at risk for poor healing due to undernutrition Suggest obtaining prealbumin evaluation and nutrition consult in advance of surgery postoperative management and nursing Care: postoperative management and nursing Care PowerPoint Presentation: Neurovascular status is monitored, and swelling caused by edema and bleeding into tissues needs to be controlled The affected area is immobilized and activity limited to protect the operative site and stabilize musculoskeletal structures PowerPoint Presentation: Hemorrhage and shock, which may result from significant bleeding and poor hemostasis of muscles that occur with orthopedic surgery, are monitored Complications of immobility are prevented through aggressive and vigilant postoperative care PowerPoint Presentation: Thank You

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