Hospital-based: Inpatient
Innovative Postoperative Management and Outcomes Analysis for Patients Following SEMLS
Saturday, November 10
10:30 AM - 1:00 PM
Location: Meeting Room 4/5 - Convention Center
The rehabilitation process and the success a patient has after undergoing a SEMLS procedure are directly linked. The Post-SEMLS acute, subacute, and outpatient rehabilitation guidelines are crucial for optimizing surgical outcomes thereby improving patient satisfaction and success. One major factor that appears to be related to post-operative success during the rehabilitative period is the initiation of weight-bearing. Historically, physical therapists waited 6-8 weeks to initiate weight-bearing if a SEMLS procedure included a bony intervention to the femur or the tibia. A recent survey of the literature and other SEMLs programs revealed that institutions widely vary in protocols for weight-bearing initiation. SHC-Houston, a leader in Post-SEMLS orthopedic management, has initiated post-operative weight bearing within 2 days after SEMLs (excludes bony foot reconstruction, patellar advancements, and distal femur extension osteotomies) for over the last 10 years. Prior to this change in treatment philosophy these patients would have typically remained non-weight bearing for 6-8 weeks. The recommended intensity and length of stay for rehabilitation in the hospital will also be discussed.
Both short-term rehabilitation outcomes and long-term surgical outcomes analysis at 1 and 5 years post-op demonstrates that this rehabilitation protocol produces successful outcomes.
Learning Objectives:
- Upon completion of this course, the learner will be able to describe the indications for typical bony and soft tissue procedures associated with SEMLs.
- Upon completion of this course, the learner will be able to design patient specific interventions in the acute, subacute, and outpatient stages of rehabilitation for children after SEMLS intervention.
- Upon completion of this course, the learner will be able to summarize an advanced rehabilitation progression including appropriate outcome measures for children following SEMLS.
- Upon completion of this course, the learner will explain the benefits of early postoperative mobilization for children following SEMLS.
