Total knee Replacement & Total Hip Replacement

Data patient:

Name : Mrs. N.H

Age : 74 years old

Live : Melbourn, Australia.

Identity and X factor

- kind person

- if talk with her little louder

- quickly talk and little difficult to understanding

- 1 years ago her husband died so she still sad

- she have hobby reading book

History patient:

Patient came to clinic at june 24 2014. Early about 14 month ago operation in the knee left (TKR) side after that took operation in the right side of hip(THR)

Goal :

Patient back to Australia with good feel, there was no pain and absolutely happy.

Complaint

-       She feel there was something bounce in her knee and there was stiffness.

-       Antalgic gait or lyimping gait

-       Baker cycst

-       Leg Lenght Discrepancy so appears left longer than other.

Diagnosis

THR( Total Hip Replacement) on theright side and TKR(Total Knee Replacement) on the left side.

Treatmen:

1.       Massages. We can give in the left foot on knee and right side on the hip and on the knee

2.       LOS(Leg On Shoulder). In this position make massages on the posterior side more easier beside can give US. With LOS make knee Open Chain Position so Wave of the US can directly touch in to articulation.

3.       Traction. Traction to latero caudal way on the right hip, traction from the knee with flexion position also can give traction from the ankle combine with inrotasion or eksrotasion.

4.       US if there was scar tissue.

5.       Exercise focus on body and brain awareness it always be maintanance, propioseptif and balance.