人工髋关节置换术的护理与康复1.pptVIP

* * * * 人工股骨头置换术后的护理与康复 均为老年人 骨质疏松 肌肉力量差 平衡感差 易出现卧床并发症 早期坐起 早期下床 早期关节功能锻炼 晚负重 恢复期借助拐杖并专人看护 表面置换术后的护理与康复 年龄轻 活动量大 损伤小 脱位率低 关节活动度大，术后6周可达120° 术后8周完全负重 6个月参加体育运动 高度脱位DDH置换术后的护理与康复 软组织松解广泛 神经张力大 髋臼小，脱位几率高 常有植骨 麻醉清醒前髋、膝关节屈曲位保护神经，清醒后逐渐伸直 术后步态训练很重要 肢体长度纠正后不适应 术后6周完全负重 日常生活注意避免不适当体位 全髋翻修术后的护理与康复 骨量差 常需截骨、植骨 软组织瘢痕多，松解广泛 常合并术中骨折 创伤较大，注意全身和局部 康复方案因病情而定 早期关节功能锻炼 关节活动度不勉强追求 下地早、负重迟 谢谢！ * * * * * * * * * * * * * * * Fitting your walker Adjust your walker so that it fits your arms comfortably. To tell if your walker is the correct height, step inside your walker and: Check your elbow bend. Place your hands on the grips. Your elbow should bend at a comfortable angle — about 30 degrees. Check your wrist height. Relax your arms at your sides. The top of your walker should line up with the crease on the inside of your wrist. A properly fitted walker reduces the stress on your shoulders and back as you move the walker in front of you. Taking your first step If you have a leg injury or disability, begin moving with your walker by pushing your walker forward. Keep your back upright. Dont lean over your walker Pushing your walker out too far in front of you is a common mistake. Always step into your walker, rather than walking behind it, so youll stay upright as you move. Another common mistake is to set your walker at too great a height. Both of these errors can make using your walker less comfortable and make it more likely that youll fall. * Fitting your crutches Most axillary crutches are adjustable. Set the height of your crutches so that the top of each crutch falls just below your armpit. Use your fingers to measure three or four fingers-worth of space. To protect the delicate nerves under your arms, dont use crutches that extend all the way up to your armpits. Rather, brace your crutches against your ribs just below the armpits. Though this may be uncomfortable at first, youll eventually build up tolerance in that area as you use your new crutches. Walking with crutches To