nlwxpearo
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Location: England
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 Posted: Fri 23:22, 04 Mar 2011 Post subject: Year to complete bilateral total hip arthroplasty |
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Year to complete bilateral total hip arthroplasty 34 cases of nursing
Total hip replacement in hip (THR) surgery reported more uJ,[link widoczny dla zalogowanych], but the earlier treatment of bilateral total hip replacement reported cases of hip disease, very few indications for its strict, technical operations demanding, prone to complications, so Postoperative care extremely difficult. January 1999 - 2002 7 cases of our hospital over the same period 34 cases of THR satisfactory outcome, nursing now reported as follows. 1 1.1-clinical data as information. 34 cases of this group of patients, 18 males and 16 females, aged 45 - 74 years old, mean age 56 years. The longest history of 6a, the shortest 1 week, joint pain and limited function or trauma can not be completed after the inspection, or flexion and extension, adduction, abduction, internal rotation, external rotation and so was limited. 1.2 surgical approach. Endotracheal intubation anesthesia, the whole lateral position, the election after the lateral hip incision people way in advance of total hip arthroplasty on one side, placing drainage, suturing the skin after carefully moving the patient, so that the other side of the full lateral position, Road, opposite the same person and complete the surgery. 1.3 results. According to follow-up after surgery the patient's symptoms change, self efficacy evaluation criteria are as follows: excellent: complete disappearance of preoperative pain, joint function of flexion and extension, abduction adduction, internal and external rotation range of normal, no infection and other complications; good: surgery significant improvement in pain before, rest vanished, the scope of activities in all aspects of joint function was improved with no infection and other postoperative complications; in: little improvement in preoperative pain, joint function of a certain activity, but can not walk and daily life No infection and other serious complications; difference: no change in preoperative pain, increase joint function, no improvement or even can not walk, and affect their daily lives, there are 1 or more postoperative complications. Harris scoring system by combining the self-evaluation standard, the results: excellent in 11 cases, good in 3 cases, the poor no good rate of 100%. 2.1 postoperative rehabilitation after 2 1 - 3d. Outreaching limbs remain neutral position to prevent dislocation of the hip; and started to leg muscle contraction exercises. Ankle and toe joints can be active dorsiflexion and plantar flexion exercises, the main purpose is to maintain muscle tone, and promote blood return leg to prevent deep vein thrombosis,[link widoczny dla zalogowanych], deep breathing exercises at the same time. After 2 ~ 3d,[link widoczny dla zalogowanych], may sit in the guidance, the slight flexion and extension exercises, within the time normally limited to 30IIliI. 34 patients in this group can be carried out under the guidance of the rehabilitation exercise, no one case of deep vein thrombosis. 2.2 after 4 ~ 7d. 3d most patients pain disappeared after the wounds, if the patients general condition is good, and for the initial surgery, the use of bone cement, you can encourage patients to early ambulation stand. The method used for the first sat up in bed,[link widoczny dla zalogowanych], no dizziness and so the patient can sit in bed and further adaptation. Note sit up activities, the hip flexor is not Will cause dislocation of the hip. Get out of bed, his hands control edge of the bed, and gradually get out of bed 2. No dizziness and other symptoms after someone began under the protection of protection or crutches to walk. The patients, 12 patients in the bedside stand 5d,[link widoczny dla zalogowanych], 22 patients out of bed 5 ~ 7d gradually. 2.3 after 8 ~ 14d. During this period the majority of patients can get out of bed to stand, and began to practice walking, walking cane or walker should help to prevent falls. 16 patients in this group of patients with bone cement can be fully loaded during this period; 18 cases were patients with cementless fixation part of the load, to be 6 to 8 weeks after full weight bearing. 2.4 after 3 weeks to 3 months. Patients in flexion and extension activities can not be , Do not take the low stool, do not do squat action, do not wash basin together, but internal rotation or external rotation degree of lower limb, not sideways to sleep, if you must sideways, they have thick pad placed between the legs to prevent intra-articular adduction and internal rotation.If necessary, 6 weeks after surgery, but it must be someone who can help. 2.6 Abduction time abandoned varies, generally smooth and no pain in walking time. 2.7 has been successful total hip replacement surgery patients should avoid heavy manual labor and strenuous exercise. Life without squatting. 2.8 regular follow-up to life.
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