Total Hip Arthoplasty Posterior Approach
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 630 Ratings
🗓️ 13 September 2023
⏱️ 11 minutes
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Summary
Vicky is 67-year-old female with advanced osteoarthritis is scheduled for a total hip arthroplasty. The orthopedic surgeon decides on a posterior approach. Which of the following is the PRIMARY reason for utilizing a posterior approach during the procedure?
A. Minimize disruption to hip flexors
B. Provide better access to the acetabulum
C. Avoid risk to the sciatic nerve
D. Reduce surgical time
LINKS MENTIONED:
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to change |
| 0:28.2 | lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:55.8 | For this week's clinical file, we have Vicky, and Vicki is a 67-year-old female with advanced osteoarthritis and is scheduled |
| 1:03.1 | for a total hip arthroplasty. The orthopedic surgeon decides on the posterior approach, |
| 1:09.6 | which of the following is the primary reason for utilizing |
| 1:13.7 | a posterior approach during the procedure. |
| 1:16.8 | So we have, A, minimize disruption to the hip flexors. |
| 1:21.0 | B, provide better access to the acetabulum. |
| 1:24.8 | C, avoid risk to the sciatic nerve, and D is the reduced surgical time. |
| 1:31.8 | All right. Let's go up to the top of this one. This is the type of question that always used to, |
| 1:36.7 | like, get me, where they give you a question, you know you've studied it, total hip arthroplasty, |
| 1:42.9 | great. Post-year approach, seen it a thousand times, right? You study all of this stuff and they end up asking you a question that is just different than the way that you prepared. Do you know what I'm talking about? Like in this question, they're like, what is the primary reason, right? For a posterior approach. And it's like, I've studied everything about postage |
| 2:03.3 | other than that, you know? And then you get stuck on this MPTE and it's like your review |
| 2:09.6 | course didn't tell you to study that and whatever, right? And so this is a very common problem |
... |
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