Artificial Joint Replacement and Rehabilitation

What is an artificial joint An artificial joint is an artificial organ designed to save a joint that has lost its function, and artificial joints have the best efficacy among artificial organs. Generally speaking, the service life of artificial joints can be more than 20 years. Which patients are suitable for artificial joint replacement surgery At present, it is believed that in addition to acute infectious diseases, active tuberculosis and blood system diseases, joint pain and serious dysfunction caused by many diseases can be used for artificial joint replacement surgery (the patient’s age is still an important reference factor), including: (1) osteoarthritis caused by joint deformity or joint destruction; (2) ankylosing spondylitis; rheumatoid arthritis caused by joint deformity or joint damage; (2) ankylosing spondylitis; rheumatoid arthritis; rheumatoid arthritis caused by joint deformity or joint destruction. (2) loss of joint function due to ankylosing spondylitis; rheumatoid arthritis; (3) severe comminuted fracture or traumatic osteoarthritis of the localized joints; (4) loss of joint function due to infection, including specific infections; (5) advanced stage of aseptic necrosis of the femoral head; (6) non-healing or delayed healing of fracture of the femoral neck in elderly people; (7) pain in the joints due to congenital dislocation of the hip joints; (8) bone tumors in and around the joints. Bone tumor. Why Artificial Joint Replacement When the joint is structurally altered due to various reasons, the use of medication alone is undesirable because medication can only partially relieve the pain symptoms. Artificial joint replacement can achieve the following purposes: (1) Pain relief: it can relieve pain caused by various reasons; for example, pain caused by rheumatoid arthritis, joint destruction, etc.; (2) Stabilization of joints: stabilize joint instability due to various reasons; for example, old joint dislocation, severe knee instability combined with osteoarthritis; (3) Correction of deformity: at the same time of artificial joint surgery, it can correct joint deformity so that the original joint can be replaced with an artificial joint. (3)Correction of deformity: to correct the deformity at the same time of artificial joint surgery, so that the original deformity can be corrected and improved; (4)Improvement of joint function: to make the original stiffness, limited movement of the joints can restore the normal function of the joints. Things to pay attention to before surgery (1) Drink plenty of water to prevent urinary tract infection. (2) Clean your body to prevent infection. (3) Cut your nails flat. (4) Do not inject or scrape on the affected area. (5) Do not smoke or drink alcohol. (6) Do not take medicines indiscriminately. What kind of examination should be done when you are hospitalized? (1) Consultation and physiological examination. (2) Chest X-ray and X-ray of diseased joints. (3) Blood test. (4) Urine test. (5) Electrocardiogram. Post-operative care (1) If the wound is painful, give painkillers as prescribed by the doctor. (2) There is a drainage tube in the wound, mainly to drain out the residual blood from the surgical site. Depending on the amount of drainage, it will be decided to remove it after 24 or 48 hours. After removal, the wound should be kept clean and soft, and the stitches should be removed in about 10~14 days. (3) Turn over and pat your back every two hours with the assistance of healthcare workers or family members. If no one is available to assist you, please do not change your position at will. (4) Try to take a deep breath and cough to cough up phlegm and secretions in the lungs to prevent lung infection. (5) On the first day after surgery, the head of the bed can be swung up 60 degrees so that the patient can do some things in bed, such as brushing teeth, eating, and grooming. Rehabilitation after surgery (1) Rehabilitation after surgery is mainly to strengthen the muscle strength around the joint to restore the mobility of the hip joint until the patient can take care of himself. (2) The medical staff and the rehabilitator will teach the patient how to train the muscles around the joint, how to get in and out of bed, sit in a wheelchair, practice standing, walk with a walker, and walk up and down stairs. Precautions after discharge (1) After discharge from the hospital, you should continue to do exercises to strengthen your muscles. (2) For hip replacement patients, do not let the knee joint exceed the hip joint (e.g., do not sit in a chair that is too low, do not bend down to pick up things, sit on a raised bedpan, etc.), and do not do cross-legged exercises. These instructions must be strictly followed for at least three months after the operation. (3) After three months, you can do mild exercise such as swimming, but strenuous exercise is still prohibited, such as playing ball games. (4) If the affected limb joint replacement site suddenly feels severe pain, restricted movement, or dislocation of the artificial joint, immediate medical attention must be sought. (5) If you have to undergo minor surgery for other reasons (e.g., tooth extraction), you must inform the physician who sees you that you have had an artificial joint replaced and that they will add antibiotics to the treatment in order to avoid infection. (6) If you experience symptoms of infection, such as fever, pain or discharge from the affected area, please return to the clinic immediately.