Kings Mill Hospital Therapy Services
(Physiotherapy)
Elective Orthopaedic Training Package for Students:
 Consists of a number of topics, which are to be completed
over the length of the rotation. These are designed to
facilitate learning and practice
 Personal study time will be allocated in line with the
requirements of the service
 The package will concentrate on the procedures commonly
carried out at Kings Mill Hospital
 After completion of each section a discussion will take
place with your clinical tutor
 Numerous resources are available to assist in completing
each section:
Internet
Library
Past IST presentations
Video/DVD
Senior physiotherapists
 Towards the end of the placement you may be asked to
carry out a presentation on a topic previously.
 Orthopaedic training also takes place in the outpatients
department (check for details) and in the education centre
on a Thursday afternoon at approx 12.30 pm which you
are requested to attend.
Week One-Total Knee Replacements
 Describe a typical patient history of someone who may
require a TKR
 How would they possibly present to the assessing
orthopaedic consultant
 How is their function affected
 What are the typical pathological processes involved
 Briefly describe a TKR operation
 Name the common prosthesis used at King’s Mill and
why is any particular type used
 List the possible post-operative complications
 List the complications of bed rest
 What pre-treatment checks need to be adhered to at all
times
 Describe a typical physiotherapeutic regime for a TKR
patient. For example, day 1, day 2 etc
 Demonstrate to your senior/clinical tutor what type of
exercises you would carry out and justify them
 Describe or show your senior/clinical tutor what a pre
and post op X-ray may show
 What criteria needs to be achieved prior to discharge
Week Two-Total Hip Replacements
 Describe a typical patient history of someone who may
require a THR
 How would they possibly present to the assessing
orthopaedic consultant
 How is their function affected
 What are the typical pathological processes involved
 Briefly describe a THR operation
 Name the common prosthesis used at King’s Mill
 Why would a surgeon use a particular type of prosthesis
 List some of the possible post-operative complications
 What pre-treatment checks need to be adhered to at all
times
 Describe a typical physiotherapeutic regime for a THR
patient. For example, day 1, day 2 etc
 Describe the precautions that patients with THR need to
adhere to
 Demonstrate to your senior/clinical tutor what type of
exercises you would carry out and justify them
 Briefly describe what hip re-surfacing is
 What criteria needs to be achieved prior to discharge
 Describe or show your senior/clinical tutor what a pre
and post op X-ray may show
Week Three-Deep Vein Thrombosis
Thrombosis in veins following lower limb orthopaedic surgery
is a common problem discuss the following:
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Pathology
Who is predisposed to a DVT?
Signs and symptoms
How would you assess a patient with a suspected DVT
As a physiotherapist what would you do if you suspected a
DVT in a patient, post surgery?
 What investigations would you expect to be carried out?
 When would you mobilise the patient if a DVT is
suspected or confirmed?
 50% of patients following lower limb surgery such as TKR
and THR will contract a DVT ‘without’ prophylaxis.
What systems are in place at King’s Mill to prevent a
DVT?
 What is the normal range for:
WBC, INR, APTT, Platelets, Fibrinogen, C-reactive
protein, HB and ESR?
 Why are these particular components of blood monitored
and what is the significance of abnormal readings?
Week Four-Total Shoulder Replacement
 Describe a typical patient history of someone who may
require a TSR
 How would they possibly present to the assessing
orthopaedic consultant
 How is their function affected
 What are the typical pathological processes involved
 Briefly describe a TSR operation
 Name the common prosthesis used at KMH
 What pre-treatment checks need to be adhered to at all
times
 Describe a typical physiotherapeutic regime for a TSR
patient
 Demonstrate to your senior/clinical tutor what type of
exercises you would carry out and justify them
 What criteria needs to be achieved prior to discharge
 Describe or show your senior/clinical tutor what a pre and
post op X-ray may show
Week Five-Paediatric elective orthopaedics
 What is legg-calve-perthes disease?
 How is perthes diagnosed?
 How is perthes disease treated? (Surgically and
Physiotherapeutically)
 What is a slipped capital femoral epiphysis?
 How is SUFE treated? (Surgically and
Physiotherapeutically)
Week Six-Elective Surgeries
 Name some of the common shoulder elective procedures
carried out at KMH.
 Describe the indications for sub acromial decompression.
 Compare and contrast the post-op shoulder protocols that
Mr Yousef and Kurian employ
 Describe the different types of Rotator cuff repair, and
how does it affect the inpatient and outpatient
physiotherapy treatment
 Name and briefly describe the common shoulder
stabilisation procedures carried out at King’s Mill
 What is a frozen shoulder and a typically common
pathway for these patients
 Name the common foot surgeries carried out at KMH.
 Describe the etiology and pathology of Hallux Valgus
 What does the elective surgery for Hallux Valgus involve?
 Briefly describe the post-operative physiotherapeutic
regime for Hallux Valgus
Student Training-Elective
Orthopaedics