Terry Rzepkowski – Advanced Treatment for Total Hip & Knee Replacement: Faster Recovery and Improved Outcomes

Description

Handouts

Outline

The Full Picture of the Total Joint Patient: Why Looking in Isolation Can be Disastrous

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

Today’s Total Joint Procedure: What We Can Learn by Watching Surgical Videos

• 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

Acute Post-op Recovery Interventions: How to Maintain a Robust Post-op Rehab Plan for Same-day Discharges

• 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

Use Functional Dynamics for Optimal Returns: Hands-on Lab

• 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

Faculty

Terry Rzepkowski, DPT, MS, BS Related seminars and products: 12

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Dr. Terry L Rzepkowski, DPT, MS, BS, is a Doctor of Physical Therapy with specialization in Orthopedic Physical Therapy. Throughout his 37-year career, he has specialized in Orthopedics, specifically: Musculoskeletal out-patient rehab as an independent private practitioner, Total Joint Replacement Surgery, and Sports Medicine. A professor in the Health Science department for Nova Southeastern University Terry provides instruction in Anatomy, Biomechanics, Kinesiology, and Neuro anatomy; Terry has extensive knowledge in relating the complexities of the Orthopedic joint replacement patient. Terry’s current clinical role as home care therapist working exclusively with orthopedic surgical patients in Tampa FL, provides a platform for staying abreast of the latest techniques and protocols utilized in joint care rehab. As a sought-after presenter, he enjoys sharing his knowledge with interdisciplinary audiences around the country. Terry has spoken professionally on shoulder, knee, and hip injuries with advances in orthopedic management.

Speaker Disclosures:

Financial: Terry Rzepkowski is an Assistant Professor for Nova Southeastern University Tampa; and an Assistant Professor for South University Tampa. He receives a speaking honorarium from PESI, Inc.

Non-financial: Terry Rzepkowski is a member of the American Physical Therapy Association (APTA).