1. 0-3 days after surgery (mainly rest and pain relief)
Active or passive movement of the ankle joint (10 times per hour of flexion and extension), isometric contraction exercise of the lower limb muscles (see after), use of special equipment to improve blood circulation in the lower limbs.
On the day of surgery, the lower limbs were slightly padded so that the hips and knees were slightly flexed, with thong shoes and triangular pads between the legs.
The next day of surgery, withdraw the pad to straighten the lower limbs.
2.4-14 days after surgery (mainly to restore joint range of motion, followed by restoration of muscle strength)
Support crutches and gradually increase the range of motion according to the body’s tolerance. For those who use bone cement prosthesis, decide the degree of weight bearing according to your tolerance; for those who use non-bone cement prosthesis, partial weight bearing within 6 weeks; for those who use bone implant, extend the time of partial weight bearing according to the situation.
Hip flexion exercises.
Bed rising exercises.
Sitting hip extension in bedside position.
Rotation exercises in sitting position.
3.2-4 weeks after surgery (mainly to enhance muscle strength)
Lower limb muscle strength exercise. (See after)
Remove stitches and can be discharged from hospital.
Up and down step exercises. (Good leg goes up first, bad leg goes down first)
Pedaling exercises for those who are able. (Practice back pedaling first, then front pedaling)
4.More than 4 weeks after surgery
Continue muscle strength exercise. (See after)
Gait balance exercise.
If possible, continue pedaling exercises.
Prevent joint dislocation, limit the activities of large angles such as hip joint planking and hyperflexion, and limit ****** for 6 weeks.
Quadriceps (anterior thigh muscles) strength exercise method.
Start with the knee flexed in the seated position or with the knee padded in the supine position. Straighten the knee and keep it straight for 5 seconds, then relax and let the knee flex on its own, count the 1st time in your mind; then straighten the knee again and keep it straight for 5 seconds, then relax and let the knee flex on its own, count the 2nd time in your mind; …… until you rest after 10 exercises. The total number of exercises per day varies according to individual circumstances, generally 250-300 times. When you feel this exercise is easier, you can tie a 1 – 2 pounds of sandbags at the ankle.
National rope muscle (rear thigh muscle) strength exercise method.
At the beginning, prone position will be straight knee joint. The knee joint will be bent hard, and keep the hard bending state 5 seconds after relaxation, let the knee joint straight, the heart silent count for the first time; then again the knee joint will be bent hard, and keep the hard bending state 5 seconds after relaxation, let the knee joint straight, the heart silent count for the second time; …… until the exercise 10 times after rest. The total number of exercises per day varies depending on the individual, generally 250-300 times. When you feel that this exercise is easier, you can fix a leather belt at the foot of the bed, hook the belt with your ankle and exercise the flexion knee joint.
Lower limb muscle isometric contraction exercise method.
The “lower limb muscle isometric contraction” is to make all the muscles of the lower limb tense, but the joints of the lower limb are not contracted by muscle extension and flexion activities. This exercise method is usually used in the early post-operative period, and usually does not lead to increased pain and bleeding.