RAHBAR
RAHBAR MBBSYear 05 • Orthopaedics & Trauma
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YEAR 05 • ADVANCED CLINICAL

Orthopaedics & Trauma

20 learning units • 100 chapter sections • 200 explained questions. Assess musculoskeletal disease and injury, recognise limb-threatening emergencies and plan treatment, rehabilitation and prevention.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓
MODULE 20 / 20

Rehabilitation, Amputation & Integrated Follow-up

Plan recovery around function, participation and coordinated long-term care.

Quick revision ↓   Medical Dictionary

01Start with goals

Assess baseline independence, occupation, home environment and the activities that matter to the patient. Set achievable goals with the rehabilitation team and review them as recovery changes. Injury severity on imaging does not reliably predict every rehabilitation need or the impact on daily life.

02Progress safely

Communicate permitted loading, movement and precautions clearly. Physiotherapy and occupational therapy address strength, range, balance and practical tasks. Progress should match healing and function; both unnecessary prolonged restriction and premature heavy loading can impair recovery.

03Pain and psychological needs

Persistent pain may reflect mechanical problems, nerve injury or complex regional pain syndrome among other causes. Assess rather than assume. Fear, sleep disturbance and traumatic stress can affect rehabilitation, so integrate appropriate psychological support without dismissing physical symptoms as merely emotional.

04Amputation care

When amputation is required, multidisciplinary care addresses wound healing, residual-limb protection, contracture prevention, pain and mobility. Prosthetic assessment is individual and depends on function, goals and health. Phantom sensations and pain deserve explanation and treatment; rehabilitation is broader than obtaining a prosthesis.

05Close the loop

Confirm who reviews imaging, wounds, bone health and functional progress. Coordinate return to work or education and reassess barriers to participation. Explain warning signs and referral access. Completion of this subject supports supervised clinical reasoning; procedures and rehabilitation prescriptions still require appropriately trained clinical judgement.

High-Yield Revision

  • Recovery goals should reflect the patient’s daily life.
  • Loading restrictions must be clear and reviewed.
  • Rehabilitation includes physical and psychological needs.

Common Pitfalls

  • Equating a healed image with complete recovery.
  • Treating prosthesis provision as the whole amputation pathway.

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.