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An Intensive Training Lab on Total Joint Replacements

Terry Rzepkowski, DPT, MS, BS
Full Day
Oct 27, 2016
PESI Publishing
Product Code:
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  • “Hands-on” treatment sessions for the acute through the subacute phase of recovery
  • Video case studies of the latest in computer and robotic surgery techniques
  • Unique rehab considerations for the traditional and advanced surgical approaches
  • Key strategies to incorporate point-of-care PT/INR
  • Out-patient and beyond: Practical strategies for optimal function and joint longevity

Recent advances in the techniques, equipment, and components now make total joint replacement a commonplace, elective surgery for patients of all ages with compromised articular joint components. This challenges us to keep pace with surgical advances and the active expectations of their recipients.

Terry Rzepkowski, DPT, is excited to share his expertise and passion in orthopedics as a total joint rehabilitation specialist to provide an advanced understanding of total joint replacement surgery. Have you ever wanted to see the latest techniques in joint replacement… but your busy treatment schedule doesn’t allow you time? In this course, we will view together and discuss actual joint replacement videos to be able to discriminate between traditional options and all the very latest procedures for the shoulder, elbow, hip, knee and ankle.

We will also have “hands on” demonstrations and practice of intervention applications from the acute post-op through the advanced out-patient progression for the total joint replacement patient. You will leave with a greater understanding of the surgical process, be better equipped to help patients establish realistic expectations, have increased confidence in this ever-changing field and achieve improved patient reports of satisfaction following surgical interventions for Total Joint Replacement.



* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.  For speaker disclosures, please see the faculty biography.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.3 self-study continuing education credits.

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Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Terry Rzepkowski, DPT, MS, BS's Profile

Terry Rzepkowski, DPT, MS, BS Related seminars and products

Terry L. Rzepkowski, DPT, MS, BS, is a Doctor of Physical Therapy with specialization in orthopedic physical therapy. Throughout his 40+ year career, he has specialized in orthopedic roles, total joint replacement surgery, sports medicine, musculoskeletal outpatient rehab, and as an independent private practitioner. A professor in the health science department for Nova Southeastern University, Terry provides instruction in anatomy, biomechanics, kinesiology, and neuro anatomy. Terry’s current clinical role as a home care physical therapist focuses exclusively on orthopedic surgical patients, which keeps Dr. Rzepkowski abreast of the latest techniques and protocols used in joint care rehab. As a sought-after presenter, he enjoys sharing his advanced orthopedic knowledge with interdisciplinary audiences around the country.

Speaker Disclosures:
Financial: Terry Rzepkowski has employment relationships with PTCE, Presbyterian College, Nova Southeastern University, National Healthcare Licensing Solutions, Inc., and Varsity Tutors. He receives compensation as a national presenter. Terry Rzepkowski receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Terry Rzepkowski is a member of the APTA.



Additional Info

Access for Self-Study (Non-Interactive)

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Determinants for Joint Replacement

  • Muscle imbalance
  • Acute injuries
  • Chronic conditions
  • Systemic conditions

Pre-operative Selection Determinants

  • Postural deformity
  • Diagnostic imaging
  • Function and pain level
  • Conservative therapies
  • Physical co-morbidities
  • Relative bone density
  • Post-op considerations: Acute rehab? Skilled nursing? Home? Which is the right choice in terms of accessibility, assistance, activity restrictions, and length of time?

Surgical Procedures with Video Presentations

  • Total shoulder arthroplasty (TSA)
  • Reverse TSA
  • Total elbow arthroplasty
  • Total hip arthroplasty (THA), conventional posterior and lateral approaches
  • Anterior THA and THA revision
  • Total knee replacement (TKA), conventional and subvastus
  • Total ankle replacement
  • The future of joint replacement:
    • Video radio graph assisted total elbow arthroplasty
    • Computerized and robotic assisted hip, knee and ankle replacement

Acute Post-op Recovery Interventions

  • Pain management, opioid tolerance and opioid induced constipation (OIC)
  • Wound care/Infection prevention demonstration of PICO dressing
  • VTE prophylaxis
    • Hands on demonstration
      • Point-of-care PT/INR
      • The latest recommendations on TED hose
      • Cold recirculator units and cold compression devices

Treatment Sessions for the Acute through the Subacute Recovery Phase

  • Physical/Occupational therapy
  • Movement restrictions
  • Demonstration of proper positioning
  • Hands on practice
    • UE: Donning and doffing of UE immobilizers
      • Shoulder, distal UE exercises, and active proximal scapular exercise, cervical stretching techniques
    • Hip: Immediate post-op exercises and progressions for the conventional/anterior approach hips, including transfer considerations
    • Knee: Immediate post-op exercises and progressions for the conventional/subvastus approach, forms of stretching

Out-patient and Beyond: Strategies for Optimal Function and Joint Longevity

  • Hands on activities
    • Shoulder: Manual techniques to build proximal scapular stabilization, progression to rotator cuff strengthening
    • Hip: Progression of core pelvic strengthening, proximal trunk stability, proprioceptive, balance, coordination activities, return of normal gait mechanics
    • Knee: Progression of flexibility exercises, patellar mobilization, importance of proper footwear, proprioceptive, balance, coordination activities, return of normal gait mechanics




  1. Participate in hands-on application of acute and sub-acute intervention strategies for the total shoulder, hip, and knee patient.
  2. Evaluate the key indications for timing of joint replacement surgery, including post-op recovery considerations.
  3. Practice application of cold therapies, UE immobilizers, and point-of-care PT/INR.
  4. Evaluate post-operative pain, wound care, and anticoagulant options.
  5. Compare surgical approaches and procedures through video presentations to determine appropriate post-op restrictions.
  6. Explain the indications to reverse a TSA.
  7. Distinguish between the various surgical approaches currently available for THA.
  8. Differentiate between traditional surgical approaches and the subvastus approach for TKA.
  9. Analyze the advantages of computerized and robotic assisted replacement surgeries.
  10. Practice hands-on application of advanced out-patient intervention strategies for the total shoulder, hip, and knee patient.

Target Audience

Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants and other Healthcare Professionals



Overall:      4.9

Total Reviews: 14


Rhonda L

"Loved the info and presentation. "

Maureen T

"I enjoyed taking this course. The presenter was very knowledgeable and gave a lot of detail."

Kimberly M

"One of the best presenters I've seen with online course"

Maisha T

"He was excellent!! Presenting us with real videos were awesome."

Jody M


Patricia C

"Great course!! Thank you!"

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