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2. Early Mobilization and Rehabilitation

Early mobilization plays a vital role in preventing complications and promoting faster recovery.
Rehabilitation is a structured process that gradually restores strength, flexibility, and functional
mobility.

Rehabilitation and Exercise Initiation

• Passive Range-of-Motion (PROM) Exercises:
o Assisted movements performed by a therapist or technologist to prevent joint stiffness.
o Essential for patients undergoing total joint replacements or prolonged immobilization.
• Active-Assisted and Active Range-of-Motion (AROM) Exercises:
o The patient starts moving the joint with or without assistance.
o Encouraged as soon as tolerable to prevent atrophy and joint contractures.

Weight-Bearing Guidelines

• Non-Weight-Bearing (NWB):
o No weight on the affected limb; used after fractures requiring strict immobilization.
• Partial Weight-Bearing (PWB):
o Limited weight can be placed on the limb (e.g., toe-touch weight-bearing for hip
fractures).
• Full Weight-Bearing (FWB):
o Allowed when healing progresses and implants provide sufficient support.
• Orthopaedic Technologist’s Role:
o Reinforce the weight-bearing status prescribed by the surgeon.
o Educate patients on proper use of mobility aids (crutches, walkers, canes).

3. Wound Care and Dressing Management

• Types of Postoperative Dressings:
o Sterile gauze with antimicrobial solutions: Used immediately after surgery to protect
the incision site.
o Negative Pressure Wound Therapy (NPWT): Used for complex wounds requiring
continuous drainage control.
o Absorbable Hemostatic Agents: Applied to surgical sites to control minor bleeding.
• Orthopaedic Technologist’s Role:
o Perform routine dressing changes using sterile techniques.
o Monitor wound healing, ensuring no signs of infection or excessive drainage.
o Educate patients on proper wound care at home, emphasizing keeping incisions dry and
clean.

4. Long-Term Rehabilitation and Functional Recovery

• Gradual Return to Daily Activities:
o Encourage safe movement, emphasizing joint protection and energy conservation
techniques.