Orthopaedic surgery – rehabilitation integration

  Integrated surgery-rehabilitation treatment. We have set up a rehabilitation treatment room, introduced full-time rehabilitators and advanced rehabilitation equipment, and adopted the experience of developed countries in Europe and the United States. The physicians, rehabilitation therapists, nurses and patients together form a treatment team, which is responsible for all the treatment work of patients from consultation to admission, pre-operation, surgery, post-operation, rehabilitation and discharge. We closely integrate diagnosis, treatment, rehabilitation, evaluation and care of the patient. We try to reduce the pain of patients and accidents caused by moving, and adopt different rehabilitation measures according to the different conditions of patients. We have carried out gait training after fracture and joint replacement, training to enhance joint mobility and muscle strength, standing and walking training for paraplegics, functional training after spinal surgery, functional training after hand trauma surgery, including PT, OT, and language training, and also carried out ultrasonic drug penetration and semiconductor laser irradiation for various pain disorders in orthopedics. The treatment effect has been significantly improved, and the patients’ time to get out of bed and discharge from hospital has been advanced, and functional recovery has been accelerated.
  Patients are the biggest beneficiaries
  In the traditional medical care model, doctors, nurses and rehabilitators are each busy with their own work. Doctors tend to focus only on the surgical process, nurses just carry out medical advice, and rehabilitators just follow their own routines for rehabilitation treatment, and have a superficial grasp of the patient’s condition, what kind of surgery to perform, how the surgery is performed and what may happen during the surgery, and how to rehabilitate and care after the surgery. What patients need most is personalized service. If there is no communication between doctors, nurses, rehabilitators and patients, problems can easily arise. For example, some patients can be on the floor 2 to 3 days after hip replacement surgery, while others take 1 to 2 weeks or more. Some joints are not stable after joint replacement surgery, and if a rehabber rushes into activity training without understanding the situation, there is a risk of dislocation. Some fractures require early activity after surgery, while others contraindicate early exercise. For example, in patients after spinal internal fixation surgery, nurses may use an air-cushioned soft bed to prevent decubitus ulcers, which is contraindicated because of the risk of misalignment and fracture of the internal fixation. In addition, the most likely cause of patient complaints and disputes after admission is that “no one cares”, the patient does not see the doctor for a day, the heart panic and no bottom. However, the objective situation is that surgeons are often unable to be with patients at all times because they are performing surgery, attending outpatient clinics, and handling medical records. The integrated model of rehabilitation, with routine training operations twice a day, has increased the verbal and physical contact between medical staff and patients, increased emotional communication, and increased time spent with patients, so that, in the words of patients, “medical staff really take us seriously”. Feeling valued, the patient will be very solid, reducing disputes caused by insufficient communication and improving patient satisfaction. Many patients reflect that the doctors, nurses, rehabilitators and patients are closely connected, the doctors arrange surgical treatment in an orderly manner, the patients and their families are very clear about the condition, treatment and rehabilitation, and often explain the condition and precautions before and after surgery, so that patients not only have a clear understanding of the condition and understanding, but also know a lot about rehabilitation and health care. Patients also know when they should do what and what issues to pay attention to, and the whole treatment process is very cooperative and pleasant, and the recovery is faster. It further enhanced the image of Jian Gong Hospital and the orthopedic department.
  Good coordination between medical and rehabilitation staff
  Rehabbers and nurses are included in the professional group and are jointly responsible for patients together with doctors. They follow the professional group’s room visits and often start communication with doctors about patients’ surgery, treatment, nursing and rehabilitation; they participate in the department’s film reading and condition discussion in the morning shift and after surgery, and the doctors of the professional group explain on the stage, while the rehabilitators and nurses can ask questions at any time, so that they are clearer about the pathogenesis of orthopedic specialty diseases, treatment, medication and rehabilitation, and understand how the surgery is done For example, what position should the leg be placed after hip replacement to prevent dislocation, internal fixation displacement, how to massage the lower limbs to prevent blood clots, what kind of nerve reaction to observe after spinal surgery, how to adjust the gait ……, plus rehabilitation teachers and nurses know the patient’s situation very well and can answer The questions raised by patients and the solutions to their problems play a major role in improving the quality of medical care to prevent medical problems.
  Solving the difficulties of patients and tapping the potential of admission
  Beijing’s tertiary hospitals have a tight bed capacity, and some patients in urgent need of rehabilitation are unable to stay in hospital for rehabilitation, while small and medium-sized hospitals do not carry out rehabilitation work. Many tertiary hospitals have taken the initiative to contact and cooperate in orthopedic rehabilitation work, and patients are constantly transferred. Standardized treatment, warm service and visible good results have gradually increased the number of patients.
  Adopting the internationally accepted rehabilitation model to provide personalized and continuous rehabilitation treatment
  Equipped with rehabilitation treatment and rehabilitation training facilities, professional rehabilitation physicians will provide treatment for you.
  The orthopedic rehabilitation center is located in the orthopedic ward, where skilled professional rehabilitators are in charge of treatment.
  Gait training for stairs after joint replacement to restore your ability to live as soon as possible
  Weight reduction suspension gait training. For lower limb weakness after spinal cord injury paraplegia,
  Exercise for partial weight-bearing after lower limb fracture
  Treatment of common diseases
  Common Diseases
  Treatment methods
  Osteoarthritis
  Drug superconductivity, targeted shock wave, deep target laser, rehabilitation training, wax therapy, intermediate frequency, local massage
  Frozen shoulder
  Drug superconductivity, target shock wave, deep target laser, rehabilitation training PT (OT), local tui-na, microwave
  Cervical spondylosis
  Drug superconductivity, target shock wave, deep target laser, rehabilitation training (PT), traction, local tui-na
  Lumbar intervertebral disc lesion
  Drug superconductivity, targeted shock wave, deep target laser, rehabilitation training PT (OT), traction, local massage
  Rheumatoid arthritis
  Drug superconductivity, targeted shock wave, deep target laser, rehabilitation PT (OT), local traction, ultrashort wave
  Femoral head necrosis
  Drug superconductivity, target shock wave, deep target laser, rehabilitation training PT, medium frequency, local tui-na
  Soft tissue injury, tendon injury
  Drug superconductivity, target shock wave, deep target laser, rehabilitation training, local massage
  Myofibrillar tissue inflammation
  Drug superconductivity, target shock wave, deep target laser, rehabilitation training, local massage, interferential electricity, ultrashort wave
  Peripheral nerve injury
  Drug superconductivity, deep target laser, nerve injury treatment instrument, rehabilitation training PT (OT) wax therapy, intermediate frequency, microwave
  Cerebral Stroke
  PT, OT (soft paralysis phase), limb ultrasound (or computerized medium frequency, low frequency electrotherapy), (spasticity phase) plus wax therapy
  Post-traumatic brain injury/brain surgery
  PT, OT (acute phase) bioelectricity, limb ultrasound (stability) local massage
  Post spinal cord injury/spinal surgery
  Drug superconductivity, targeted shock wave, deep target laser, rehabilitation PT, OT, nerve injury treatment device, ultrashort wave, wax therapy
  Post-operative joint surgery
  Drug superconductivity, target shock wave, deep target laser, rehabilitation PT (OT), local massage, nerve injury treatment device, wax therapy
  Post-operative fracture/non-healing bone
  Drug superconductivity, targeted shock wave, deep target laser, rehabilitation PT (OT), local massage, wax therapy
  Hip arthroplasty
  Drug superconductivity, target shock wave, deep target laser, rehabilitation training PT, OT, wax therapy, medium frequency drug guidance
  Features of Jian Gong Hospital Rehabilitation Center
  Medical specialists, including specialized treatments in orthopedics, brain surgery, internal medicine, rehabilitation and Chinese medicine
  Rehabilitation therapists work with physicians to develop personalized rehabilitation plans, maintaining integration and continuity of treatment and rehabilitation
  Intensive rehabilitation treatment is carried out early, and rehabilitation is integrated into the medical care process so as to improve the patient’s daily living ability and functional recovery in the fastest and most effective way.
  Advanced equipment and treatment methods, various physical therapy, occupational therapy, cultural and sports therapy, and Chinese medicine therapy improve the quality and efficiency of rehabilitation.
  Discharge management Provide patients with post-discharge follow-up and rehabilitation care guidance.
  Knee arthroplasty gait training, which can accelerate the recovery of lower limb strength
  Post-surgical functional recovery
  Rehabilitation after spinal surgery
  Post-surgical rehabilitation after brain surgery
  Rehabilitation of paraplegia after spinal cord injury
  Rehabilitation of cerebral palsy sequelae
  Specialized treatment for neck, shoulder, lumbar and leg pain
  Various physiotherapy, occupational therapy, cultural and sports therapy, Chinese medicine therapy
  Post-surgical standing training rehabilitation treatment
  The latest technology, ultrasonic drug penetration therapy, can deliver anti-inflammatory and analgesic drugs directly to the lesion.
  Chinese and Western medicine can be delivered directly to the lesion to treat cervical spondylosis, frozen shoulder, lumbar spondylosis, tennis elbow, heel pain,
  Pain treatment instrument after double knee replacement to reduce pain and increase muscle strength
  Manual correction treatment of knee joint surgery after knee extension device adhesions flexion and extension disorders
  Lower extremity quadriceps strength training
  Lower limb balance training after arthroplasty