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Unicondylar Knee Arthroplasty (MAKO)
1
Unicondylar Knee Arthroplasty (MAKO)
Inpatient & Outpatient
Amy Gwynn
MSK II
October 28, 2013
PT Visit 2, Day 1
Pt c/o p in R knee, 8/10
blood seeping through surg dsg
motivated to get up and out of the hospital
Transfers: I sit-->supine, & eob
min sit-->stand, CGA bed-->chair
PT Visit 2, Day 1
Charges, Plan
TherEx:
Pt amb 200' w rw CGA
AROM knee flex/ext w PT overpressure
flex: 70 deg
ext: -4 deg
Charges: 1 TherEx
D/C:
to home
made him an OP PT appt for 1 day post d/c
needs rw
Inpatient: PMHx, PLOF
PT Visit 3, Day 2
62 yo male, retired
PMHx:
Sleep apnea
HTN
COPD
PLOF:
I with all ADL, gait, transfers
lives in single story home with wife
no DME
drives, shops, yardwork
pain: 8/10
ROM: active knee flex: 80, ext: 0
transfers: sit-->stand I
TherEx:
amb 90' w rw, CGA c/o stiffness in R LE
AROM knee flex/ext w PT overpressure
PT Goals & Plan
PT Eval, Day 1
Charges, Plan
PT Eval, Day 1
A&O x4
static & dynamic balance with rw in standing = fair +, seated = good
ROM: knee flex: 58, knee ext: 0
MMT: B UE & L LE 5/5, R LE WFL
1) amb 300' mod I within 2 days
2) knee flexion ROM to 90 degrees within 2 days
PT BID until D/C from hosp
Charges: PT Eval INT
Charge: 1 TherEx
Plan: Pt D/C from hosp on post-op day 2 with wife and rw
OP PT appt on post-op day 3
neither of the PT goals were met by D/C
Transfers: I supine-->sit, sit-->supine
mod I sit-->stand, stand-->sit
TherEx: quad sets, A/AAROM knee flex/ext