A. Notes on functional exercise after hip replacement: On the day after surgery: 1. Early ankle joint active movement, after surgery, according to the routine care of anesthesia, give a depillowed lying position, with the affected limb under a soft pillow elevated 10-20 cm, maintain an abducted neutral position, and put a soft pillow between the legs to prevent inversion. Immediately after waking up from anesthesia, perform active movements of the toes and ankle joints, paying attention to a wide range of ankle flexion and extension, because the average velocity of venous blood in the lower limbs increases by 40.1% during flexion and extension movements of the ankle after total hip replacement. Early active movement of the ankle joint has a positive effect on the prevention of deep vein thrombosis. Specific steps of ankle exercise: (1) Flexion and extension of the ankle joint: slowly hook the toe upward, then extend it farther to make the foot surface tense. 5-10 times every hour for 3 seconds each; start immediately after surgery until you are fully recovered. (2) Ankle rotation: rotate your ankle joint from the inside out; repeat 5 times 3-4 times a day. (3) Exercises for the healthy side of the limb: bend your hip and knee to contract the muscles of the healthy side of the lower limb. Practice 1 set every 2 hours, 30 reps per set, lasting 10-15 seconds each time. Through this phase of exercise should achieve: basic elimination of affected limb swelling; affected side of the thigh, calf muscles can coordinate force to make muscle stretching effect. Second, the first day after surgery: perform ankle joint exercise, and at the same time, perform quadriceps contraction and hip lift training. Patients were afraid to move because they were worried about wound pain, so they could place their hands at the quadriceps muscle during the exercise to help them perform the correct isometric contraction of the quadriceps muscle. During hip lift training, the nurse stands on the affected side of the patient and asks the patient to hold the hoop above the traction bed with both hands, lift the upper body, and lift the hip off the bed by stirring the leg on the traumatic surface on the healthy side. When there is no traction bed, use both shoulders or both elbow joints and the head for support, and pedal the leg on the healthy side on the bed surface to lift the upper body and buttocks. On the first day of practice, the nurse held the patient’s waist and buttocks with both hands flat and assisted the patient’s body to lift off the bed, paying attention to keeping the affected limb in abducted neutral position when lifting the buttocks. After the hip lift training, the patient was given a semi-sitting position and instructed to breathe deeply and cough and expel sputum effectively. (1) Flexion and extension of hip and knee exercises: Patients can flex and extend the hip and knee joints on their own so that your heel slides towards the hip and then straightens. Be careful not to swing the knee to the sides. (2) Hip contraction exercises: Lie flat so that the hip muscles are tight and hold for 5 seconds. (3) Abduction exercises: straighten the leg in the flat position and spread it out to the sides as far as possible, then retract it, taking care not to bring it completely together. (4) quadriceps contraction exercises: your front thigh muscles (quadriceps), try to straighten the knee joint, hold for 5-10 seconds, practice 10 times every 10 minutes until you feel a little fatigue of the thigh muscles. (5) Straight leg raise exercise: your front thigh muscles, straighten the knee joint as much as possible, raise the lower limb (10CM from the bed) and hold it for 5-10 seconds, slowly lower it. Repeat the exercise, you will feel a little tired thigh muscles. (6) Hip straightening exercises: active straightening action of the hip joint on the operated side or a pillow under the hip, which can stretch the flexor hip muscles and the anterior part of the joint capsule. Third, the day after surgery, the patient sits on the bedside for hip and knee activities. The doctor and the nurse (or family members) move the patient’s body outward to the bedside, the lower limb on the affected side is lifted off the bed and moves with the body at the same time, both lower legs hang naturally on the bedside, and the knee joint is bent at 90°. 4. One week after surgery Instruct the patient to practice walking with a walker at the bedside. During the practice, the nurse or family members should assist at the side to prevent falls; continue to strengthen the muscle strength and walking training of the affected limb and gradually disengage from the walker or. Second, hip joint replacement after the operation of daily life precautions: 1, after the operation is prohibited stilts; 2, sitting: the first month after the operation should not sit for too long, not more than 2 hours each time, so as not to lead to poor venous return of the affected limb, usually can elevate the affected limb to improve circulation. Keep the knee joint lower or flatter than the hip. It is not advisable to sit in a low chair (500px), sofa, low toilet, squatting position, not cross-legged and straddle movement, leaning backward when sitting, leg forward. 3, sleeping position: the best sleeping position lying down, side lying, try not to the surgical side, and preferably between the two thighs folder a pillow. 4, go to bed: the healthy limb first, the affected limb after the bed; 5, cover the quilt: before going to bed, the quilt will be laid flat before going to bed, to prevent forward bending to take the quilt when the hip flexion more than 90 °; 6, toilet: not squatting toilet, can only use the toilet, sit down when the knee should be lower than the height of the hip joint; 7, wear pants: sit down first straighten the affected leg, and put on the pants, and then wear the other side; 8, wear socks: 1 month after surgery by family members 8, wear socks: 1 month after surgery, with the help of family members, wear shoes without laces, 6 months can sit on a high stool, the affected limb flexed hip and knee, abduction and external rotation to wear socks and shoes; 9, bath: sit on a high bath chair, use a long-handled bath brush or long-handled sponge to clean the foot; 10, get into a cab: it is appropriate to get into the car on the healthy side, the patient is straight, the hip first sitting in the car, the healthy limb first moved into the car, the affected limb as straight as possible to move into the car; 1, 1 get out of the cab: it is appropriate to get out of the car on the healthy side, the healthy limb first stepped on the ground, the The patient should try to keep straight and move out of the car; 12.Going up the stairs: it is advisable to go up the stairs with the healthy limb first; 13.Going down the stairs: it is advisable to go down the stairs with the affected limb first, and hold the stair handrail with your hand when going up and down the stairs to avoid falling; 14.Driving: you can drive after about 3 months of surgery, and the seat should be padded when driving.