What is the nursing after total hip replacement

summary

The high incidence group of orthopedic diseases is the elderly, because the elderly have osteoporosis, serious loss of calcium, the body is more vulnerable. Total hip arthroplasty is an operation that can make patients recover better and faster. Let's talk about the nursing after total hip arthroplasty.

What is the nursing after total hip replacement

First: postoperative care. After returning to the ward after operation, in addition to closely observing the vital signs and the changes of the whole body, we should pay attention to the following aspects: correct posture, keep the affected limb abduction neutral position after operation (the affected limb abduction is 30 degrees, the toe is upward, the hip joint and knee joint are flexing 30 degrees respectively), Place pillows between the legs, and wear t-shoes when necessary. In order to avoid long-term discomfort caused by the same posture, it is appropriate to alternate supine position and contralateral inclined position. Pay attention to the soft pillow between the legs and the back when the contralateral position is used to maintain the neutral position of the affected limb.

Second: functional training. After the anesthesia disappeared, the quadriceps femoris muscle of the affected limb began to contract actively and the ankle joint flexed, extended and rotated regularly, supplemented by passive massage, which could promote venous blood return. The healthy side of the lower limb should also be raised and knee flexion exercise to prevent muscle atrophy, joint stiffness, deep venous thrombosis.

Third, strengthen nutrition and promote calcium absorption. The elderly often have different degrees of osteoporosis. It is suggested to eat more high protein, high calorie, high fiber and calcium rich foods, and to supplement calcium and vitamin D to correct the negative calcium balance in order to facilitate fracture healing. For postmenopausal women, if there is no drug contraindication, appropriate amount of estrogen replacement therapy can be used.

matters needing attention

Patients need better care, careful and correct postoperative care can reduce the possibility of postoperative infection and speed up the recovery, so postoperative care must not be ignored.