29 Orthopedic Surgery

29 Orthopedic Surgery

CHAPTER LESSON PLANS & OBJECTIVES

Lesson 29.1: Orthopedic Surgery

1. Identify major bones of the body
2. Discuss specific types of instruments used in orthopedic surgery
3. Explain the uses of common orthopedic implants and hardware
4. Discuss basic techniques used in fracture reduction and fixation

Classroom Preparation

Lesson 29.1: Orthopedic Surgery

INSTRUCTOR PREPARATION

Textbook Objectives Covered

1. Identify major bones of the body
2. Discuss specific types of instruments used in orthopedic surgery
3. Explain the uses of common orthopedic implants and hardware
4. Discuss basic techniques used in fracture reduction and fixation

National Standards Covered

• See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.

Classroom Preparation

Lesson 29.1: Orthopedic Surgery

STUDENT PREPARATION (1 hr)

1	READ – Chapter Heading(s) • Introduction • Surgical Anatomy Bones and Their Structure Bone Tissue Bone Membranes Bone Structure and Shape Landmarks Joints Tendons, Ligaments, and Muscles • Pathology of Soft Connective Tissues and Joints • Orthopedic Pathology Fractures Timing and Urgency of Surgical Treatment Physiology of Bone Healing ANSWER – Textbook • Review Questions 1, 9 ANSWER – Workbook • Chapter 29 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions
2	READ – Chapter Heading(s) • Orthopedic Case Planning • Patient Positioning • Hemostasis • Orthopedic Sutures • Infection Control • Dressings • Casting • Orthopedic Power Equipment • Drill • Saws • Orthopedic Instruments Retractors and Bone-Holding Clamps Rongeurs and Bone Cutters Chisels, Osteotomes, Gouges, and Curettes Elevators and Rasps Measuring Devices ANSWER – Workbook • Chapter 29 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions
3	READ – Chapter Heading(s) • Orthopedic Implants • Implant Materials • Documentation • Implant Sterilization • Screws • Plates • Intramedullary Nail or Rod • Wires and Cables • Kirschner Wires and Steinmann Pins • Modular Rod and Pin Fixation • Suture and Suture Devices • Joint Replacement Implants • Arthroplasty Materials • Design Structure • Bone Cement • Bone Grafts and Bone Substitutes Bone Grafting Harvesting Bone Graft Substitutes Traction ANSWER – Textbook • Review Questions 3, 4, 5, 6, 7, 8, 10 ANSWER – Workbook • Chapter 29 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions
4	READ – Chapter Heading(s) • Arthroscopic Surgery • Instruments • Joint Distention • Surgical Procedures • Shoulder • Positioning and Surgical Exposure • Forearm • Open Reduction Internal Fixation of Forearm Fractures • External Fixation of the Radial Shaft • Wrist and Hand • Hip • Knee • Knee Arthroscopy • Irrigation • Foot ANSWER – Textbook • Review Question 2 ANSWER – Workbook • Chapter 29 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions

50-Minute Lesson Plan

Lesson 29.1: Orthopedic Surgery

LECTURE OUTLINE (50 min)

	POWERPOINT SLIDES	CHAPTER HEADING(S)
1	ANATOMY: SLIDES 4-7	• Introduction • Surgical Anatomy Bones and Their Structure Bone Tissue Bone Membranes Bone Structure and Shape Landmarks Joints Tendons, Ligaments, and Muscles • Pathology of Soft Connective Tissues and Joints • Orthopedic Pathology Fractures Timing and Urgency of Surgical Treatment Physiology of Bone Healing
2	INSTRUMENTS: SLIDES 8-12	• Orthopedic Case Planning • Patient Positioning • Hemostasis • Orthopedic Sutures • Infection Control • Dressings • Casting • Orthopedic Power Equipment • Drill • Saws • Orthopedic Instruments Retractors and Bone-Holding Clamps Rongeurs and Bone Cutters Chisels, Osteotomes, Gouges, and Curettes Elevators and Rasps Measuring Devices
3	IMPLANTS AND HARDWARE: SLIDES 13-16	• Orthopedic Implants • Implant Materials • Documentation • Implant Sterilization • Screws • Plates • Intramedullary Nail or Rod • Wires and Cables • Kirschner Wires and Steinmann Pins • Modular Rod and Pin Fixation • Suture and Suture Devices • Joint Replacement Implants • Arthroplasty Materials • Design Structure • Bone Cement • Bone Grafts and Bone Substitutes Bone Grafting Harvesting Bone Graft Substitutes Traction
4	TECHNIQUES: SLIDES 17-18	• Arthroscopic Surgery • Instruments • Joint Distention • Surgical Procedures • Shoulder • Positioning and Surgical Exposure • Forearm • Open Reduction Internal Fixation of Forearm Fractures • External Fixation of the Radial Shaft • Wrist and Hand • Hip • Knee • Knee Arthroscopy • Irrigation • Foot

1	DISCUSS (30 min) • Break the class into three or four small groups. Assign each group a joint or region, such as knee, hip, hand, radius, or forearm. Ask each group to select the seven most important anatomical features of its bone group or joint and create a mnemonic to remember them. Have each group present its work to the class. Appropriate Settings: Traditional/online/flipped classroom
2	DEMONSTRATE (50 min) • Demonstrate to the student’s specific case planning for orthopedic surgery. Include setting up the room, instruments, and special equipment. Appropriate Settings: Traditional classroom
3	INVITE (50 min) • Invite a local orthopedic surgeon to talk to your class. Ask the surgeon to bring hardware and implants from his or her office (most offices use these as patient teaching tools). Ask the surgeon to discuss any or all of the following areas: • Types of fractures • Types of internal fixation devices • Types of casting materials and techniques for applying a cast (the surgeon’s office nurse or tech could demonstrate this technique in your lab) • Compartment syndrome • Osteomyelitis If a surgeon is unable to come, ask him or her to recommend a sales representative from your area that can present the same lab. Representatives will have all the implants and their instrumentation to bring as “show and tell.” Many are happy to speak with a little advance scheduling. Appropriate Settings: Traditional classroom DISCUSS (30 min) • Write the name of one instrument, implant, or material from the textbook on individual index cards. Mix it up by adding a dozen instrument names from previous chapters. Break the class into two teams. Each team takes turns drawing an instrument, implant, or material name from the pile. Each student must describe the function of the instrument, implant, or material and the type of case it would be used for. Appropriate Settings: Traditional/online/flipped classroom
4	DISCUSS (50 min) • Discuss the diagnostic procedures of the skeletal system with the class. • Ask students to work in small groups to list internal and external fixation devices and the types of fractures they would be used to repair. Have volunteers present their group’s list to the class. RESEARCH (50 min) • Break the class into small groups. Assign each group an orthopedic (or orthopedic-related) condition, such as tumor, fracture, gout, torn ligament, or arthritis. Using the Internet or other classroom resources, each group should briefly research its disease, emphasizing diagnostic tests used to identify the disease and orthopedic-related signs and symptoms. Ask each group to present its findings to the class. Appropriate Settings: Traditional/online/flipped classroom

1-4	Workbook • Chapter 29 Evolve Instructor Resources • Test Bank Create a quiz using ExamView; sort by objective. Evolve Student Resources • Mock Certification Exam • Review Questions
All	Elsevier Adaptive Quizzing • Chapter 29 – Graded quizzes (Mastery Levels 1, 2, and 3)