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Old hip arthroplasty in elderly patients with nursing
PAGE \* MERGEFORMAT 11
Old hip arthroplasty in elderly patients with nursing
[Keywords:] elderly hip arthroplasty functional exercise
Artificial joint replacement surgery has been widely used, joint materials, and surgical technology continues to improve, while people’s pursuit of high quality of life, making surgical indication also been relaxed, senior citizens, elderly patients with hip arthroplasty more and more, which undoubtedly to bring high-risk surgery and care. We have 41 cases of total hip arthroplasty in elderly patients with meticulous care and the effective rehabilitation of the guide, has received good results, now reported as follows Nursing.
A clinical data
From January 2004 to January 2006 in my subjects with hip joint replacement in elderly patients with a total of 41 patients with 42 hips. In which the maximum age of 100 years old, minimum 71-year-old, with an average 81.6 years of age. 30 cases of fresh fractures, 4 cases of old fractures, arthritis in 7 cases. Total hip replacement in 19 cases, artificial femoral head replacement in 22 cases, bone cement type are used. Pre-hospital suffering from hypertension in 8 cases, pulmonary heart disease, 4 cases, 7 cases of chronic bronchitis, diabetes, 9 cases, 6 cases of senile dementia, pressure ulcers in 2 cases. Postoperative cerebral infarction in 3 cases, dislocation in 1 case, post-traumatic stress reactions in 5 cases, 7 cases of electrolyte imbalance, acute renal failure in 1, gastrointestinal bleeding in 1 case, urine incontinence in 3 cases, after active treatment were soon discharged. Follow-up time ranged from 1 to 24 months. Apart from two cases of elderly patients died because of other things, according to harris function scores were excellent in 23 cases, good in 11 cases, fair in 2 cases and poor in 3 cases.
2 Care
2.1 Preoperative Care
2.1.1 a comprehensive assessment of illness, positive preoperative preparation, effective control of complications. In addition to the r
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