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关节置换

来VVMC做全髋关节手术的病人, 膝盖, 或肩关节置换术都被关怀的氛围所包围, 安慰, 完全理解. VVMC provides comprehensive preoperative and postoperative rehabilitation services for patients undergoing Hip, 膝关节或肩部置换手术. The unit is staffed by a multidisciplinary team working together to provide encouragement and support.

术后康复

患者每天上午和下午接受物理治疗. The first day of surgery, patients will be evaluated and participate in an individual session. 从那时起, 每天进行两次,患者进行不同的锻炼, 练习正确的转移技巧, 学会用辅助设备走路或走动.

外科医生建议病人回家后继续进行物理治疗.

大多数患者在手术后一到四天出院. 然而,如果有医疗需要,病人可能会停留更长时间. 外科医生建议病人回家后继续进行物理治疗. VVMC提供住院康复,如果有必要在病人住院期间. 患者出院后可继续进行物理治疗, 在VVMC门诊康复诊所.

常见问题

  • 什么是骨关节炎,为什么我的臀部或膝盖疼?

    Joint cartilage is a tough, smooth tissue that covers the ends of bones where joints are located. 它有助于在运动时缓冲骨骼, 因为它又光滑又滑, 它允许以最小的摩擦运动.

    骨关节炎, 最常见的关节炎, 是破坏关节软骨的磨损状况吗. 有时, 作为创伤的结果, 重复的运动, 或者没有明显的理由, 软骨磨损了, 露出骨头末端. 随着时间的推移, 软骨破坏会导致骨与骨之间的疼痛接触, 伴随着肿胀和行动不便. 骨关节炎 usually occurs later in life and may affect only one joint or many joints.

  • 什么是全髋关节置换术?

    全髋关节置换术这个术语有点误导人. 髋关节本身没有被替换, 正如人们普遍认为的那样, 而是用植入物来覆盖磨损的骨端. 股骨头被切除. A 金属 stem is then inserted into the femur shaft and topped with a 金属 or ceramic ball.

    The worn socket (acetabulum) is smoothed and lined with a 金属 cup and either a plastic, 金属, 或者陶瓷衬垫. 骨头不再相互摩擦,造成疼痛和僵硬.

  • 什么是全膝关节置换术?

    全膝关节置换术这个术语也具有误导性. 膝盖本身没有被替换, 正如人们普遍认为的那样, 而是用植入物来覆盖磨损的骨端. This is done with a 金属 alloy on the femur and a plastic spacer on the tibia and patella (knee cap). This creates a new, smooth cushion and a functional joint that can reduce or eliminate pain.

  • 谁是全膝关节或全髋关节置换手术的候选人?

    膝盖 or hip replacement surgery may be considered for those suffering from arthritic pain that severely limits the activities of daily living.

    It is only recommended after careful examination and diagnosis of your particular joint problem, 而且只有在采取更保守的措施,比如锻炼之后, 物理治疗和药物治疗已被证明无效.

  • 我的新关节(髋关节或膝关节)能维持多久?可以做第二次替换吗?

    所有植入物的预期寿命都是有限的,这取决于个人的年龄, 重量, 活动水平, 和医疗状况. 全关节植入物的使用寿命因人而异.

    It is important to remember that an implant is a medical device subject to wear that may lead to mechanical failure. While it is important to follow all of your surgeon’s recommendations after surgery, there is no guarantee that your particular implant will last for any specified length of time.

  • 主要风险是什么?

    大多数手术都很顺利,没有任何并发症. 感染和血栓是两种严重的并发症. 为了避免这些并发症, 你的外科医生可能会使用抗生素, 血液稀释剂或压缩装置. Surgeons also take special precautions in the operating room to reduce the risk of infection.

  • 我要在医院住多久?

    Our goal is that all patients get out of bed and walk the same day as their surgery. 第二天早上,病人们穿上自己的衣服, get up to a recliner chair for breakfast and participate in physical and occupational therapy. 大多数病人在手术后的第二天就出院了.

  • 如果我一个人住呢?

    You can still return directly home from the hospital if you have someone to help you at home. 和你的教练谈谈, 亲戚, or friends and determine if someone or different people can stay with you after your surgery to help out until you become more independent. 一般来说,我们建议你在手术后的前两周得到帮助.

    如果你不认为你可以直接从医院回家, visit local skilled nursing facilities to determine where you want to go for rehabilitation until you become independent enough to return home alone. Keep in mind that you must meet certain criteria for your insurance to pay for a skilled nursing facility stay.

  • 我该如何安排手术?

    在你的外科医生安排好手术之后, you will receive a letter in the mail outlining your pre-operative appointments and surgery date and time. A member of the JRIO team will also contact you to schedule your pre-operative class and Hospitalist consultation. 他们会指导你完成整个项目, answer your questions and help determine any equipment or discharge planning needs you may have.

  • 手术过程中会发生什么?

    医院预留了大约2-3小时的手术时间. 这段时间的一部分会被手术室的工作人员用来准备手术.

    大多数患者在手术中使用脊髓麻醉, 它会让你的腿麻木,但不需要你睡觉. You will discuss your anesthesia options further when you meet with an anesthesia provider prior to surgery.

  • 手术会痛吗?

    手术后你会有些不舒服, 但我们的目标是让你的疼痛程度保持在4/10或更低. 这种程度的疼痛能让你吃东西, 睡眠, 散步和做运动,这样你就能舒服地恢复.

    手术后的疼痛因人而异, 不完全可预测, but advancement in medication and improved anesthetic techniques greatly enhance our ability to control pain and dis安慰 after surgery. 预计手术后的前两周疼痛是最严重的.

  • 我的伤疤会留多久,在哪里?

    如果你做了膝关节置换术, 手术留下的疤痕长短不一, 但大多数外科医生会尽量缩短手术时间. 它会在你膝盖的正中央, 除非你以前有过伤疤, 在这种情况下,你的外科医生可能会使用现有的疤痕. 疤痕周围可能会有持久的麻木.

    如果你做了髋关节置换术, 有许多不同的技术用于髋关节置换手术. 技术的类型将决定疤痕的确切位置和长度.

    请注意,疤痕愈合后周围可能会有些麻木. 这是完全正常的,不应该引起任何担心. 麻木感通常随着时间的推移而消失.

  • 我需要助行器、拐杖或手杖吗?

    We recommend all patients begin by using a front wheeled walker immediately following surgery. 患者通常会从使用助行器发展到使用手杖,然后再到没有辅助设备.

    病人 progress at their own rate and wide variability exists for how long a patient will use an assistive device. This determination will be made on an individual basis based on each patient’s progress.

    你可以向你的外科医生或项目经理询问更多细节. 如果需要,程序经理可以帮助您获得这些辅助设备.

  • 出院后我要去哪里?

    大多数病人出院后都能直接回家. 事实上,超过96%的病人出院后直接回家. 只有很小比例的病人会被转移到亚急性康复中心, 他们将在哪里待到安全出院.

  • 我在家里需要帮助吗?

    是的. We recommend that all patients have someone available to assist them all of the time for the first 2 weeks after surgery. 取决于你的进展, 你需要有人帮你准备饭菜, 家务,可能还有日常活动和药物管理.

    Preparing ahead of time, before your surgery, can minimize the amount of help needed. 洗衣服, 房子打扫, 堆场工程完成, 把干净的床单放在床上, 准备好的冷冻食物将有助于减少对额外帮助的需求.

    和你的教练谈谈, 亲戚, 朋友甚至邻居, 决定你回国后谁能以何种身份帮助你.

  • 我回家后需要物理治疗吗?

    For patients with a total knee replacement: 是的, you will be scheduled for outpatient therapy.

    The length of time spent with physical therapy varies widely and is dependent on patient progress and long-term goals. 在一般情况下, expect to participate with outpatient physical therapy for approximately 4-6 weeks after total knee replacement.

    For patients with a total hip replacement: You will need to discuss this with your surgeon. 如果你没有正式的门诊治疗, you will still be expected to complete your daily home exercise program two times/day.

  • 旅行时,我的新膝盖或臀部会触发安全传感器吗?

    Your joint replacement is made of a 金属 alloy and may or may not be detected when going through some security devices. 告诉安保人员你有金属植入物. 工作人员会指导你进行安全检查.


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