A few things to keep in mind when discharging a patient with gluteus contracture

  1.Post-operative wound treatment: change one waterproof Band-Aid every day for 10 days after surgery, then stick it on every time you take a bath after 10 days and remove it afterwards, after 21 days you don’t need to stick it. Patients of all types except C2 can take a shower the day after surgery. Before each shower, close the wound with a waterproof band-aid and replace it with a band-aid after the shower. Remember to remember: squatting, sitting and standing up within 3 weeks after surgery must be slow, if too fast may pull the blood vessels bleeding.  2, post-discharge medication: (1) anti-inflammatory and analgesic drugs (such as Fotarine): muscle pain will eat 1-2 times a day, no pain can not be eaten, eat the drug must be half an hour after meals, if there is stomach distension, want to vomit and other gastrointestinal discomfort on hold.  (2) antibiotics (such as cephalosporin, etc.): after discharge from the hospital with a prescription to the pharmacy to buy, oral for a week to prevent inflammation.  (3) blood-activating drugs (such as blood Saitong): start taking them 3 weeks after surgery, and finish the drugs brought by the hospital.  3, rehabilitation training: patients must continue to train according to the rehabilitation training taught by the hospital after discharge, three weeks after surgery training to “devil’s movement” and “30-meter sprint”, usually as long as the sitting must be crossed legs.  4, the following feelings often occur after discharge is normal: (1) morning after waking up, sedentary standing will have a short period of soreness in the surgical area, walking wobbly (6 weeks after surgery because the meat has not grown well, 6 weeks after because of insufficient muscle strength or new meat soreness) or the feeling of high and low feet, walking a few steps after the soreness disappears; will appear a few days better, suddenly appear a few days more than the previous feeling, may also be appear uncomfortable feeling before the cloudy day (because tissue repair is needed at least 6 weeks, complete repair still needs to be converted into normal tissue, these feelings are normal before the new meat becomes normal tissue).  (2) Swelling of the surgical area is uncomfortable when sleeping on the side.  (3) Weakness in raising the leg on the side when sleeping on the side. This is due to the temporary inability of the tissues to exert force after the surgery for severe cases (contracture of the gluteus medius), which will be stronger after the repair of the tissues in the surgical area by side leg raising exercise. Patients with mild disease (no contracture of the gluteus medius) will not have this feeling after surgery.  (4) Soreness in the inner thigh. (This is due to more movement of the inner thigh than before surgery, and will disappear after the tissue repair of the operated area).  (5) Hardness in the popped area of the surgical area. (This is because the new flesh of the tissue repair is hard and it takes time for it to soften).  (6) It feels like the speed and degree of recovery is different in both legs. (This is because the human brain itself feels unbalanced during the recovery process. It will be better after strengthening the exercise for early and complete recovery).  (7) Recessed hips. Dimpling is not a situation unique to a certain surgery. It is because most of the muscles of the gluteus maximus contracture itself have lost their elasticity and the newly grown flesh has no elasticity, so as long as the method that can completely treat the gluteus contracture and the patient’s buttocks are not particularly fat (if there is no fat or other things to fill them), there will definitely be a depression; therefore, patients with a large range of gluteus maximus contracture and little fat in the buttocks will have a depression no matter what method of surgery is done. Conversely, patients with small gluteus maximus contracture and a lot of fat in the buttocks will not have depressions no matter what method of surgery is performed, as long as nothing is removed from the inside. Patients who care about the shape of the buttocks can change the shape through plastic surgery 1 year after the contracture of the gluteus maximus is cured.  (8) Pain in the greater trochanteric area (i.e., surgical area) after cold or excessive exercise, which disappears after warmth and rest, is greater trochanteric bursitis and new tissue fasciitis. (Greater trochanteric bursitis is caused by cold or excessive friction. The scar covering the surface of the greater trochanter before surgery is thicker and less susceptible to cold but prone to excessive friction, so it is easy to have frictional greater trochanteric bursitis before surgery; as the new flesh growing on the surface of the greater trochanter after surgery is thinner than the original scar during the reconstruction process and has poor blood circulation, the greater trochanteric bursa is susceptible to cold, so it is easy to have cold greater trochanteric bursitis and new tissue fasciitis. ) The side dump leg is well practiced, the outer hip muscles are as strong as normal and the blood circulation is good to protect the greater trochanteric bursa, the greater trochanteric bursa is less susceptible to cold and there will be no greater trochanteric bursitis.  (9) Targeted exercise adjustment: The outer hip surgical area is often sore exercise should be based on the devil’s action, 2 seconds in situ high leg run, side leg shake.       Soreness of the buttocks from sitting on a hard bench for a long time should be exercised with devil’s movement, 2-second in-situ high leg raising run and rear leg shake.         The pelvic tilt exercise should be based on the devil’s movement, 2-second in-situ high leg raising run, knee holding and shoulder touching.  (10) Atrophy of the hip muscles. This is the illusion that some patients have muscle relaxation mistaken for myasthenia gravis. Muscle atrophy is caused by the loss of motor nerve innervation to the muscle, and minimally invasive surgery for gluteus contracture is unlikely to injure the motor nerve, and if the nerve is surgically damaged, the muscle will not move immediately after surgery. As we age, everyone’s muscles will relax, and as the contracture tissue lengthens, each patient’s muscles will be looser than before surgery, so muscle relaxation is a normal physiological phenomenon that does not need to be bothered with. Only people who keep their muscles stimulated by regular exercise will have a lighter degree of relaxation than normal people.  (11) walking sway: 6 weeks after surgery because the meat has not yet grown well, 6 weeks later because of insufficient muscle strength or new meat myofasciitis or the feeling of foot height (long and short legs), these are false.  5, crossed legs appear above the leg numbness is normal (because normal people crossed legs will press the vascular nerve of N fossa).  6, weakness of movement: recovery to normal when the movement more than they can afford, physical strength is not enough when the legs weakness, hip and leg pain is normal, this is not the cause of surgery, normal people movement more than they can afford, physical strength is not enough when there will be weakness of the legs, hip, leg pain, limp (mistaken for wobbling, 6 weeks because the new meat has grown out there is no contracture tissue cut off the wobbling) (If the lameness is not a temporary discomfort in the surgical area, there is a protective lameness mistaken for wobbling).  7, remember that all normal people of a muscle want to plump or powerful except for this muscle for the force of stimulating exercise there is no second way.  8, remember not to let the “hip depression” become a heart disease. Hip depression is the inevitable result of thorough treatment for most patients with hip contracture, unless it is not thoroughly treated. (There is an example we should taste more: there was a patient with mastopathy, if a small piece of disease on the foci can not be cured but the chest still has the original fullness, if the removal of the mammary gland can cure the disease but the chest no longer has the original fullness, the patient asked the doctor to give a thorough treatment; after mastectomy patients are not immersed in the happiness of the disease cure but face sunken chest nagging, not choose plastic surgery to change (Instead of choosing plastic surgery to change her breasts, the patient complained all day long that the treatment method was not good, not thanking the doctor for helping her recover her health and complaining that the doctor made her breasts sunken; as a result, her detached preaching inadvertently scared her patients, and some of them gave up or delayed the curative treatment and took a detour in the treatment.)