As the population ages, the incidence of femoral neck fractures is gradually increasing. Most elderly people have different degrees of osteoporosis, especially women have osteoporosis earlier and are more prone to fracture. If the patient is older, the failure rate of internal fixation surgery is higher. Artificial hip arthroplasty is a successful surgery to relieve the patient’s pain as soon as possible, restore normal life and improve the patient’s quality of life.
Functional exercises.
1.Hip extension.
(1) tighten the gluteal muscles, slightly do the hip elevation action, keep it for five minutes.
(2) Straighten the knee and extend the lower limb with the joint backward.
2.Hip flexion
(1) lying down, excited heel to the hip, pay attention to hip flexion is not greater than 90 degrees
(3) standing, pay attention to the flexion of the hip is not greater than 90 degrees.
3, knee extension: lift one leg about 15 cm, hold for 5 seconds, then change one leg and repeat 10 times.
4.Hip abduction: lie in bed keeping the toes up, straighten the lower limb and spread the lower limb outward. When standing, straighten the lower limb, spread the lower limb outward, hold for 5 seconds, repeat 10 times.
The correct posture of getting out of bed.
1.Move the affected limb closer to the edge of the bed
2.Lower the lower leg slowly
3, try not to put weight on the affected side
4.Hold the walker on the healthy side, hold the edge of the bed on the affected side and stand slowly.
The correct posture of using crutches.
1.Stand first out of the left crutch
2, step right foot
3, out of the right crutch
4, step left foot
Prevention of complications.
1.Prevent dislocation.
(1) Do not cross the affected limb to the opposite side when standing
(2) Do not excessively externally rotate the affected limb
(3) Do not exceed 90 degrees when bending over
(4) Do not bend the body more than 90 degrees when sitting up
(5) Do not cross your legs
2.Preventing venous thrombosis: Starting functional exercise as early as possible is the fundamental measure to prevent venous thrombosis.
3.Prevention of pulmonary infection: Ask the patient to sit up and encourage coughing to prevent crushing pneumonia.
Postoperative follow-up: 1 month, 3 months, 6 months, 12 months after surgery, and then come to the hospital once a year for a routine follow-up examination and X-ray. The purpose of the follow-up visit is to guide the patient for further rehabilitation to achieve the best results of the surgery.