Which diseases are suitable for artificial hip replacement? Age-related osteoarthritis, rheumatoid osteoarthritis, compulsory spondylitis affecting the hip joint, fracture of the neck of the femur, necrosis of the head of the femur, post-traumatic arthritis, congenital dysplasia or dislocation of the hip joint, peri-acetabular tumors, old tuberculosis of the hip joint, old suppurative osteoarthritis of the hip, and failure of an arthroplasty. If you have any of these conditions, are over 55 years of age, and have joint pain, deformity, instability, and other treatments that have not worked, you may be considered for a hip replacement. The most common patients to receive hip replacement are femoral head necrosis, senile osteoarthropathy and femoral neck fracture. Patients younger than 55 years old with rheumatoid arthritis and hip tumors can also receive hip replacement. Preparation for surgery: After you are hospitalized, you will need to have blood, urine, stool, biochemistry, chest and lung X-ray, electrocardiogram, echocardiogram, and hip X-ray to determine if there are any contraindications to surgery. If you suffer from diabetes or hypertension, please inform the doctor in charge to help you regulate your blood sugar and blood pressure. If you have other internal diseases and have been taking medication for a long time, please inform the doctor in charge whether the medication affects the surgery. In addition, please pay attention to your diet, sleep, quit smoking and drinking, and build up your physical strength to prepare for the surgery. The day before the surgery, your family members need to sign for the surgery and the anesthesia, and the anesthesiologist will ask you whether you need to keep an analgesic pump after the surgery, and you can choose whether you need to use it or not according to your own situation. The night before the surgery, you need to fast and abstain from food and water. If you cannot sleep at night, ask the nurse for a Valium tablet. After hip surgery, if the affected limb is overly externally rotated or internally retracted, the joint may be dislocated. The correct sleeping position is to separate the legs appropriately with the toes pointing upwards to prevent dislocation. You can be discharged from the hospital 2 weeks after the operation. At this time, your artificial hip joint should be able to reach straightening, flexion of 70 degrees, proper abduction, and you can walk with a walker. Rehabilitation after discharge: After discharge from the hospital, you should insist on appropriate exercises, otherwise the joint function gained after surgery may be gradually lost. Exercises can also relieve joint pain and discomfort, and are also effective for non-operated joints. Please consult with your doctor first to see if you are suitable for the following exercises. ① Hip flexion ② Hip extension ③ Hip abduction ④ Straight leg raise in bed The above exercises can be performed in the order of ①, ②, ③, and ④ once a day or every other day for 20-30 minutes. The purpose of the exercise is to maintain the range of motion of the hip joint from 0 to 70 degrees and the stability of the joint, and the range of motion of the joint should be from 0 to 70 degrees and 30 degrees of abduction during the exercise. Continued pain and swelling of the joint after the exercise is an indication that the exercise is too intense. You should also learn to use crutches to walk up and down stairs. Daily living: Lie on your side with the healthy side under you and a pillow between your legs. Usually you will be able to walk without crutches after 10 weeks of replacement. You can do most of your daily activities, such as using a toilet, sitting in a chair, walking, biking, dancing, swimming, etc. You should not squat, sit in a toilet, sit in a chair, ride a bike, or swim. You should not squat, sit on a low stool, use a low sofa, kneel, sit cross-legged, or cross your legs. Also pay attention not to excessive bending to pick up objects, do not lie on your side with the affected limb underneath you for 3 months, and when you lie on your side, you should put the healthy limb underneath you with a pillow between your legs. In addition, climbing mountains, stairs, running is harmful to the artificial joints are not recommended to do or less. Choosing appropriate activities can not only maintain joint function but also improve health and control weight. Weight control is especially important for obese patients. Special note: You may be alarmed when passing through airport security, please show proof of diagnosis. Unusual phenomena: If the joint is constantly swollen and painful, the skin is red and hot, and the wound is bleeding, you should be alerted to joint infection. The incidence of infection is very low, but it is the most serious complication. If your artificial joint has been in use for a number of years and you have recently experienced joint pain with movement, the joint may be loose or worn out. If you can’t move your hip with pain after a fall or hip sprain, the joint may be dislocated. Please go to the hospital for timely treatment in the above cases. Dietary management: osteonecrosis of the femoral head and osteoarthritis of the hip joint are due to factors such as deficiency of the liver and kidney, deficiency of the spleen and kidney, coupled with traumatic injury or feeling of external evils, or uncontrolled appetite, excessive drinking, or improper use of medication, damaging the spleen, stomach, liver and kidney, resulting in a deficiency of the kidneys can not produce bone, the veins and collaterals are out of order, and the flow of blood is impeded, which results in costal disease. 1.Qi and blood stasis Hip distension or tingling obvious, the pain is fixed and does not move after exertion or after sitting and lying down for a long time pain aggravation, the tongue is slightly dark, the moss is thin and white pulse sinking and swirling. Diet should be given to activate blood circulation to dispel blood stasis and promote circulation of qi to relieve pain, such as Panax ginseng and Panax quinquefolius in boiled field chicken, Buddha’s hand in boiled ribs soup, black fungus in boiled chicken soup. Give traditional Chinese medicines that invigorate blood circulation to dispel blood stasis and promote circulation of Qi to relieve pain to be warmed up in decoction. Deficiency of the liver and kidneys: mild hip pain, aggravated by activity, spontaneous sweating, night sweating, heatiness, muscle atrophy of the affected limbs, fatigue, pale tongue, thin white moss, and a fine, astringent pulse. Diet should nourish the liver and kidney and strengthen the muscles and bones, such as Poria, ripened earth boiled turtle, cornelian cherry meat, yellow essence boiled mountain spotted fish. Those with night sweating and spontaneous sweating can use schizandra and maitake in boiled water to drink. For those who have five heartburns and heat, Xiyangshen or tai zi ginseng h is also given. Give herbal medicines that nourish the liver and kidneys to be decocted and served warm. 3, damp-heat phlegm fire Hip pain, lower limb heaviness, tongue red, moss yellow and thick, pulse string slippery. Diet should be clearing heat and neutralizing phlegm, such as boiled fish with radish, boiled lean meat with Chen Pi and Poria, hawthorn h tea, and so on. Decoction of traditional Chinese medicine to clear heat and neutralize phlegm should be given. 4.Liver fire retaining tendons Patients with irritability, dry mouth, bitter mouth, hip pain, red urine, constipation, red tongue with yellow fur and stringy pulse. Dry mouth, bitter mouth, urinary red, advise patients to drink more water, with Xihuangcao h tea or corn husk boil water for tea. Constipation can be used senna leaves or manna nitrate appropriate h service, can also be used to large Chengqi Tang enema, diarrhea heat laxative. Diet in the clearing of heat and diuresis, diarrhea and pass the products, such as chicken bone grass boiled lean meat, loofah boiled pork rib soup, plantain boiled crucian carp, and so on. Give herbal medicines that clear heat and promote dampness, lax fire and clear the channels decoction to be taken warmly. Bone disease patients and general healthy people’s daily diet is similar to the choice of a variety, rich in a variety of nutritious diet can be. We should pay attention to make the food easy to digest and absorb, and be cautious of using spicy products (chili pepper, raw onion, mustard, pepper) that have adverse stimulation to the respiratory tract and digestive tract. When the systemic symptoms are obvious, the so-called soft food should be given between the normal diet and the semi-liquid diet, and the food supplied must contain less residue, be easy to chew and digest, and must be chopped and boiled softly when cooking, and should not be fried or deep-fried.