Product Detail

An Intensive Training Lab on Total Joint Replacement
DVD Video
$199.99 USD
$99.99 USD
Product Details
DVD Video - 4+ hours   Instructions
6 hr 7 min
Multi-disc DVD recording with electronic manual and instructions.
PESI Publishing & Media
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
  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.

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


Terry L. Rzepkowski, DPT, MS, BS, is a licensed Doctor of Physical Therapy with a specialization in orthopedic homecare physical therapy. Throughout his 36-year career, he has specialized in orthopedics, specifically total joint replacement surgery and musculoskeletal outpatient rehab as an independent private owner. Terry has worked on post-operative orthopedic units, serving as an acute care staff therapist, and trauma traction specialist.

Terry currently works as an associate professor of anatomy for OTD and DPT students in the Tampa area and supervises students caring for orthopedic patients in a pro bono clinic with additional responsibilities for instruction in the areas of neuro anatomy, biomechanics, differential diagnosis, kinesiology, test and measures, and therapeutic exercise.

As a sought-after national CEU presenter, Terry enjoys sharing his knowledge with interdisciplinary audiences around the country speaking on shoulder, hip, and knee injuries with advances in operative and non-operative management. He is excited to share his knowledge and years of practice experience for a better understanding in the management of the total joint rehabilitation patient.

Speaker Disclosures:

Financial: Terry Rzepkowski is an Assistant Professor for Nova Southeastern University Tampa; and an Assistant Professor for South University Tampa. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Terry Rzepkowski is a member of the American Physical Therapy Association (APTA).
Continuing Education Credits
Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. 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.

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 mental health professionals. 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 professions standards.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists - Credit Available Until: 10/27/2019
American Nurses Credentialing Center Logo
PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses completing these self-study materials will earn 6.3 contact hours. Expires: 10/27/2019.

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.

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.

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 6.3 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.

Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

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

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.

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.

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.

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.

Texas Physical Therapists & Physical Therapist Assistants: This self-study 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.

Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test/evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

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