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MS2 Orthopedic Surgery

The document outlines the nursing care and management for orthopedic surgery, including types of surgery such as open reduction, closed reduction, and joint replacement. It emphasizes the importance of pre-operative assessment, hydration, and infection evaluation to maximize healing and reduce complications. Post-operative care focuses on monitoring neurovascular status, managing swelling, and preventing complications of immobility.

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Seaniah Faith Apolona
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9 views1 page

MS2 Orthopedic Surgery

The document outlines the nursing care and management for orthopedic surgery, including types of surgery such as open reduction, closed reduction, and joint replacement. It emphasizes the importance of pre-operative assessment, hydration, and infection evaluation to maximize healing and reduce complications. Post-operative care focuses on monitoring neurovascular status, managing swelling, and preventing complications of immobility.

Uploaded by

Seaniah Faith Apolona
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NURS 17 MEDICAL AND SURGICAL NURSING

Orthopedic Surgery | 3rd Year | 2nd Semester - AY 2024-2025

➢ This helps reduce the need for postoperative


catherterization.
Outline:
I. Types of Surgery • The patient is acquainted with traction apparatus and
II. Pre-operative Management and Nursing Care the need for splint of cast, as indicated by type of
III. Post-operative Management and Nursing Care surgery.
• Review discharge and rehabilitation options post-
surgery.
TYPES OF SURGERY
Open Reduction Reduction and alignment of
the fracture through surgical GERONTOLOGIC ALERT:
incision. • Many elderly patients are at risk for poor healing due
Closed Reduction Manipulation of bone to undernutrition.
fragments or joint dislocation • Suggest obtaining prealbumin evaluation and
without surgical incision. nutrition consult in advance of surgery.
Internal Fixation Stabilization of the reduced
fracture with use of metal POSTOPERATIVE MANAGEMENT AND NURSING CARE
screw, plates, nails, or pins. • Neurovascular status is monitored, and swelling
Bone Graft Placement of autologous or caused by edema and bleeding into tissues needs to
homologous bone tissue to be controlled.
replace, promote healing of,
or stabilize diseased bone. • The affected area is immobilized and activity limited
Arthroplasty Repair of a joint; may be to protect the operative site and stabilize
done through arthroscope musculoskeletal structures.
(arthroscopy) or open joint • Hemorrhage and shock, which may result from
repair. significant bleeding and poor hemostasis of muscle
Joint Replacement Type of arthroplasty that that occur with orthopedic surgery, are monitored.
involves replacement of joint
• Complication of immobility are prevented through
surfaces with metal or plastic
materials. aggressive and vigilant postoperative care.
Total Joint Replacement Replacement of both
articular surfaces within a
joint.
Meniscectomy Excision of damaged
meniscus (fibrocartilage) of
the knee.
Tendon Transfer Movement of tendon
insertion point to improve
function.
Fasciotomy Cutting muscle fascia to
relieve constriction or
contracture.
Amputation Removal of a body part.

PREOPERATIVE MANAGEMENT AND NURSING CARE


• Hydration, protein, and caloric intake are assessed.
• GOAL: maximize healing and reduce risk of
complications by providing IV fluids, vitamins, and
nutritional supplements as indicated.
• If patient has had previous corticosteroid therapy, it
could contribute to current orthopedic condition
(aseptic necrosis of the femoral head osteoporosis) as
well as the affect the patient’s response to
anesthesia, and the stress of surgery; may need
corticotropin postoperatively.
• Evaluate for infection (cold, dental, skin, UTI), which
could contribute to development of osteomyelitis after
surgery
➢ It is important to determine whether
preoperative antibiotics will be necessary.
• Coughing and deep breathing, frequent vital sign and
wound checks, repositioning are described to prepare
patient.
• Patient should practice voiding in bedpan or urinal in
recumbent position before surgery.

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