What Are the Most Common Hip Replacement Problems?

Hip replacement, also called artificial hip replacement, is an artificial prosthesis that includes the femoral and acetabular parts, and is fixed to normal bone with bone cement and screws to replace the diseased joint and reconstruct the normal hip joint of the patient. Function is a more mature and reliable treatment. Artificial joints began abroad in the 1940s, and gradually started in China after the 1960s. In the early stage, only the artificial femoral head was replaced, commonly known as hemi-hip replacement, and later developed to total hip replacement. Osteoarthritis, femoral head necrosis, femoral neck fracture, rheumatoid arthritis, traumatic arthritis, benign and malignant bone tumors, ankylosing spondylitis, etc., as long as there are X-ray signs of joint destruction, accompanied by moderate to Severe persistent joint pain and dysfunction, and other non-surgical treatments can not be alleviated, there are indications for hip replacement. With the development of technology, the materials of artificial prosthesis include stainless steel, titanium alloy and ceramic. Some patients have postoperative pain and obvious loosening of the prosthesis.

Hip replacement

Hip replacement, also called artificial hip replacement, is an artificial prosthesis that includes the femoral and acetabular parts, and is fixed to normal bone with bone cement and screws to replace the diseased joint and reconstruct the normal hip joint of the patient. Function is a more mature and reliable treatment. Artificial joints began abroad in the 1940s, and gradually started in China after the 1960s. In the early stage, only the artificial femoral head was replaced, commonly known as hemi-hip replacement, and later developed to total hip replacement. Osteoarthritis, femoral head necrosis, femoral neck fracture, rheumatoid arthritis, traumatic arthritis, benign and malignant bone tumors, ankylosing spondylitis, etc., as long as there are X-ray signs of joint destruction, accompanied by moderate to Severe persistent joint pain and dysfunction, and other non-surgical treatments can not be alleviated, there are indications for hip replacement. With the development of technology, the materials of artificial prosthesis include stainless steel, titanium alloy and ceramic. Some patients have postoperative pain and obvious loosening of the prosthesis.

Chinese name

Hip replacement

Features

After more than 30 years of clinical practice

Curing disease

Osteoarthritis is

On the first postoperative day, a T-shaped shoe was worn on the same day as the postoperative day. On the second postoperative day, a knee massage was started, and active flexion and extension activities and resistance activities of the affected ankle were performed. Three to five days after the operation, the affected quadriceps isometric contraction training was performed, and the affected hip and knee joints were passively moved. With double elbow support, with the help of others or holding the rings above the bed with both hands, lift the upper body, lift your hips off the bed, and hold for 10-15 seconds, repeating 5-10 times. On the 5th day after surgery, bend the hips by 10 ° ~ 20 ° on the knee cushion, and then use the knees as the fulcrum to perform hip-up, that is, hip-lifting.

In the second week after surgery, patients are encouraged to perform active hip-knee flexion and extension training in the painless range; hip flexion is 45 ° ~ 60 ° or <30 °, a skateboard can be placed under the affected limb, and the heel on the affected side is placed. Do lower limb flexion and extension exercises on a skateboard on a hollow circular pad to strengthen the strength training of the muscles around the hip and quadriceps on the affected side within a painless range; the height of the head of the bed can be gradually raised until the patient can sit in a half-bed position on the bed. For patients with lateral approach incision, the half-seat time gradually extended (30 ~ 60min). Repeat multiple times a day to prepare for sit-to-stand practice. If available, use upright bed training; continue to perform bedside posture conversion training, including: semi-sitting-reclining conversion exercise, sitting-standing conversion exercise, lying-standing posture conversion, leg support in parallel bars or quadruped walkers Three-point walking, swivel training, etc.

In the third week after the operation, do a four-point support half-bridge exercise, that is, lift the hips under the support of the flexion positions of the elbows and both lower limbs and keep them in the air for 10s, repeat 10 to 20 times, each movement requires slowly; strengthen walking training, Started in the parallel bars, the swing period and the support period in the walking cycle are decomposed, and alternately step back and forth training, and gradually transition to walking training; walking in the parallel bars is smooth and smooth, you should transition to crutch walking, there are Condition to perform weight loss walking; continue to strengthen the quadriceps of the affected side to gradually conduct resistance training to continuously improve the muscle strength of the lower limb of the affected side; improve and enhance the ability of self-care in daily life, and teach patients to independently complete daily wearing of pants, Wear shoes and socks, take a bath, move, and take things to reduce the amount of bending of the patient's hip. Proper environmental modification if necessary, such as raising the height of the bed, chair, and toilet. It is best to have armrests on both sides of the chair to facilitate the patient. Sit up and allow the patient to sleep on a hard bed as much as possible, wearing elastic shoes and loose pants to facilitate the patient to complete the movement.

The range of motion of the affected hip is gradually improved from 4 weeks to 3 months after operation, and the weight-bearing capacity of the affected hip is gradually increased, so that the function of the artificially replaced hip joint gradually approaches normal levels, and the purpose of comprehensive rehabilitation is achieved. Note that within 3 months, the patient's legs will only bear the weight of the touch-type part when walking, walking and passing obstacles. Moving up and down stairs requires that the healthy leg is first brought up and the affected leg is lowered first to reduce hip flexion and load. On the exercise tablet, the gait, pace, and walking distance were further improved, the patient's ability to walk on the field was improved, and finally the transition to walking with abandoned rods.