Discharge health guidance of orthopaedic trauma
He Bin, Department of Orthopedics, Chongqing Bishan District People’s Hospital
1. Your treatment and care in our ward have been completed, and we hope you will give us valuable opinions and suggestions for our work.
2.Functional exercise is an important part of the treatment of fracture, after discharge, you must follow the medical advice to actively carry out activities, but should be gradual, the range of activities from small to large, the number of activities from small to large, in order not to cause severe pain and fatigue at the fracture end is appropriate.
3. If the affected limb is swollen, please pad the affected limb higher than the level of the heart to facilitate the swelling; if there is redness, swelling, heat and pain in the wound, and if there is exudate from the wound, please seek medical attention promptly.
4. Keep the plaster dry and clean, avoid contact with moisture to prevent softening, deformation and breakage of the plaster. Do not cover the plaster with clothing until it is dry.
5. Patients should eat high-calorie, high-protein, high-vitamin and calcium-rich food, such as eggs, milk, lean meat, fish and fresh vegetables and fruits, etc. Drink more water and keep your mood relaxed to promote fracture healing and tissue repair and prevent complications.
6. Keep the indoor air fresh, open the windows and ventilate daily, and pay attention to keep warm to prevent colds.
7. The review time is: one month after discharge from the hospital, the location is: the ground floor of the outpatient building (next to the registration room), outpatient clinic 5 consultation room, please bring a copy of the discharge certificate or imaging materials when the review.
8.The time of stitch removal is: 14 days after the second day after surgery at the outpatient clinic or local regular hospital.
9. If you need to make copies of medical records, please bring a copy of the patient’s ID card to the medical records office 10-15 days after discharge. If you ask someone else to do it for you, please bring
①Copy of the patient’s ID card
②Patient power of attorney
③Copy of the delegate’s ID card and go to the case office for processing.
10. If you encounter difficulties in nursing at home, please call us at 02341411943.
Other: How to use crutches?
Notes on the use of crutches: the lower end of the crutches must be installed rubber head, so as not to slide the head of the wooden crutches on the ground unstable, the upper beam of the crutches must be padded to avoid pressure on the soft tissues under the armpits when using. The handle height of the crutches should be adjusted according to the length of the upper limbs of the person using the crutches, so that the two arms support the weight, rather than relying on the armpits to support the weight. The height of the crutches is based on height. Generally when upright, the crutch from the armpit to the ground and to the body on both sides of the separation, rubber head from the foot 6 inches.
When walking with crutches, first move both crutches in front of both legs at the same time, then lift the healthy limb to move to the front of the two crutches, and then move both crutches forward to the front of the healthy limb at the same time, and so on. Must keep two crutches and a healthy limb to form an equilateral triangle, this position is the most stable.
Note on the use of a single crutch: the crutch is placed on the healthy side, because the affected limb can not be fully weight-bearing, and with the help of a single crutch to increase the support of the whole body weight on the healthy side.
Note
a. Early functional exercise of fracture: Early fracture is within two weeks after the injury, when the local reflection of the injury is obvious, the swelling reaches the maximum, and the bone scab has not yet formed. The method of exercise is to actively contract and stretch the muscles without joint movement, mainly to exercise the muscles. The method of exercising the upper limb muscles is to make a fist and fully straighten the fingers.
The lower limb muscles are exercised by contracting and relaxing the quadriceps muscle, and by dorsiflexing and plantarflexing the ankle joint and extending and flexing the feet and fingers.
b. Functional exercise in the middle stage of fracture: 3-6 weeks after the fracture, the bone scab has been gradually generated or matured, the local swelling disappears, the fracture end is more stable and close to clinical healing, at this time, you can do large joint activities, but the activities that are not conducive to fracture connection and stability should be limited.
c. Functional exercise in the late stage of fracture: At this stage, the fracture is stronger, the fracture has reached clinical healing, the external fixation has been released, and the range of joint movement has gradually returned to normal. At this time, the function of the limb should be gradually restored through comprehensive muscle and joint exercises. For the joints and muscles that still have different degrees of impairment, targeted exercises should be continued. For example, if a late femoral stem fracture leaves knee dysfunction and quadriceps atrophy, the focus should be on knee joint movement.
As a patient you or a relative, are you still worried? If you or your friends need to consult, you can scan the two-dimensional code of Dr. He below, cell phone login direct message consultation, as long as free, will definitely reply. (Relatively simple, good and intuitive).
You can also follow the WeChat public number “westorthopaedics” “westorthopaedics” and click on “patient consultation” or scan the QR code on this page for consultation. Please pay attention to
Please note: We have had great success in minimally invasive fractures near the joint, such as femoral neck fractures, internal and external ankle fractures, distal radius fractures, proximal humerus fractures, Hofa fractures, and Jones fractures.
Recently, we are actively applying for the ozone therapy instrument and foramoscopic system for intervertebral discs, etc. By then, herniated discs can also be operated under one needle or one channel, which is also a blessing for young adults suffering from intervertebral disc disease.