1 which is suitable for hip replacement surgery?(1) a variety of hip arthritis, including primary or secondary osteoarthritis and traumatic
1 which is suitable for hip replacement surgery?
(1) a variety of hip arthritis, including primary or secondary osteoarthritis and traumatic arthritis, rheumatoid arthritis, hemophilic arthritis, Charcot arthritis; femoral head necrosis; (2) (3) of congenital hip dislocation or subluxation, acetabular dysplasia (4); hip fusion or pseudarthrosis; (5) tumors around the hip joint; (6) infectious arthritis resting (including tuberculosis); (7) the failure of repair of hip joint reconstruction. Department of joint surgery, Xijing Hospital, Han Yisheng
2 what is the purpose of artificial hip replacement?
To restore and improve the motor function of joint;
3 what are the cases of hip replacement surgery
The recent and current hip joint infection, distant infection;
The medical condition is unstable, such as the underlying disease is too serious, can not tolerate replacement surgery;
4 artificial hip replacement surgery should be done before the preparation of what?
Should be under the guidance of the correct use of crutches, strengthen the four muscle contraction of the biceps femoris muscle, ankle flexion and extension exercises, to master the correct method of cough, expectoration;
Preoperative preparation for the preparation of the examination, skin preparation, the treatment of systemic disease, to prevent colds, quit smoking, practice bed;
Diet light, easy to digest, in order to ensure postoperative patency, preoperative fasting, to prevent intraoperative aspiration of the trachea.
5 advantages and disadvantages of artificial hip joint
Advantages: A: surgical technique is mature; B operation treatment period is shorter, about one month; C joint pain can be basically removed.
The disadvantages: the effect of a on the run, stool mountain this kind of motion; B surgery should avoid sitting stool and completely squatting; C surgery after 10-15 years, there may be between the loose bone and artificial joints, to replace the proportion of the number is about 5%-10%; D artificial joint infection treatment is very difficult. 1% of the patients after surgery to cause infection, the need to extend the treatment time, and even had to pull out the artificial joints, infection control, joint replacement. The infection rate of the replacement joint was higher than that of the first operation; e artificial joint wear and loosening were also the causes of postoperative pain and operation failure; F was more expensive;
6 the main process of hospitalization
On the same day and the next day: to go through the formalities of hospitalization, to arrange the bed, to ask the doctor for medical history and examination, routine examination and examination before operation.
In the day before operation: talk before surgery and sign the consent for surgery and other medical instruments, drug allergy skin test, skin, blood preparation procedures.
In the day of surgery: fasting, catheterization, transfusion, surgery. After the operation, the transfusion tube, the catheter and the drainage tube are reserved.
The day after surgery: 10-12 stitches, enhanced functional exercise, usually in about 1 weeks on crutches under.
7 the duration and efficacy of artificial hip joint
Hip joint is an important joint, it has to walk, run, jump, squat and other functions. Once the hip joint lesions, articular cartilage will be damaged by the original smooth surface such as a mirror into a rough or even defective surface, and further make the bone deformation. You will feel the pain, walking inconvenience, activity limitation, claudication. The disease progresses to a certain extent, the joint has been destroyed, the need for surgery. The artificial hip joint is used to replace the damaged joint to restore walking function. The greatest benefit of artificial joint surgery is to eliminate joint pain after operation, greatly improve the joint function, improve the quality of life of patients, so as to be able to work and live well in their lifetime. The success of artificial joint replacement surgery can make you live without pain and to meet daily activities, for the destruction of the hip joint, the other treatment methods can not achieve the same effect. At present, more and more patients are willing to accept the artificial joint surgery.
8 the life of artificial hip joint:
Mainly depends on two points, one is the joint wear problem, two is caused by wear particles loose prosthesis. The strength and wear resistance of artificial hip joint can meet the needs of more than 20 years. Now the artificial joint placement for twenty years, continue to be able to use more than 95%. Of course, the life of the artificial joint is also associated with many factors, such as the amount of movement of the patient, the choice of prosthesis, the doctor's surgical technique and its own conditions, etc..
9 postoperative review:
Three months after discharge to the hospital to review, shooting X, to understand the location and stability of joint prosthesis is good. After half a year again, after every year to check the film. If you do not feel, such as swelling, pain or discomfort and joint injuries due to unexpected circumstances, to the hospital in time to check.
10 postoperative rehabilitation exercise should be how to do?
The postoperative day to limb back to start the self-contained centripetal massage, ankle flexion and extension of active and passive exercises;
Second to 3 days after the operation, the hip and knee joints can be extended and rotated after the drainage tube was removed;
2 weeks postoperative fourth days, patients with physical recovery, gradually started by lying to sit, sit to stand, walk to the station by train (the need to pay attention to prevent a fall in the process);
The third week after operation, gradually restore load capacity, strengthen gait training;
After operation fourth ~ 6 weeks, gradually improve the hip joint activities range, increase the load bearing capacity of the hip, hip joint function was close to normal level;
The postoperative seventh ~ 12 weeks is mainly to improve the overall muscle strength, continue to practice the use of crutches to walk training. In a word, rehabilitation training must follow the principle of early, middle and late, individuation and gradual progress.
11 pedestrian hip replacement surgery home should pay attention to what aspects of the answer: 1 functional exercise should be step by step, first to help turn the corner, then gradually abandoned the walk;
2 for your seat, toilet and the installation of reliable handrails on the stairs;
3 for your seat for a comfortable cushion, and safety seats and handrails, prepare a footstool to facilitate your limb rest;
4 raise the toilet;
5 prepare reliable handrails and chairs in the bathroom;
6 clear all items that may cause you to fall in the area of your home, such as moving carpet and telephone lines.
7, avoid sitting cross legged stool, hunkered down health leg pressure in the limb, avoid heavy manual labor, to prevent dislocation, loosening;
8 to strengthen nutrition, calcium supplements to prevent osteoporosis, femoral shaft fractures;
9 months after the review once every six months after 2 to 3 months to review once, such as pain discomfort, swelling of the lower limbs and other discomfort as soon as possible to seek medical treatment.
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