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Phục hồi chức năng của bệnh nhân

Phục hồi chức năng của bệnh nhân Ai đã trải qua khớp háng hoặc thay thế đầu gối Embraces Nhiều khía cạnh chăm sóc, bao gồm phòng ngừa các biến chứng, giáo dục bệnh nhân, và một chương trình nối lại dần của các chức năng bình thường. Chương trình này Chia vào tháng Ba Be giai đoạn. | Total Joint Replacement Optimizing Patient Expectations Robert Poss MD Abstract Rehabilitation of the patient who has undergone total hip or knee replacement embraces many facets of care including prevention of complications patient education and a program of gradual resumption of normal functions. This program may be divided into three phases. In the perioperative phase elimination of factors that contribute to morbidity will facilitate resumption of physical activities. In the interim phase the first year following surgery the patient s desire to return to full activities must be tempered by the goal of preserving for the longest possible time the mechanical-biologic construct of the joint replacement. Although a final functional result is usually achieved in the first 2 to 3 years following surgery the patient must be followed up indefinitely. During this third phase of long-term assessment the question of whether total joint arthroplasty was a success must be answered by the surgeon by the patient and by society. J Am Acad Orthop Surg 1993 1 18-23 This review will address the educational rehabilitative and medical aspects of total hip and knee replacement surgery that contribute to reduced morbidity optimal restoration of function and realization of the patient s expectations. Rehabilitation can be divided into three phases phase 1 the immediate perioperative period in which preventive measures reduce morbidity and allow the patient to participate fully in the early physical rehabilitation program phase 2 from hospital discharge through the first 9 to 12 months following surgery when the patient gradually resumes normal function and phase 3 of unlimited duration when the patient the surgeon and society decide whether the operation fulfilled its promise. Each year approximately 120 000 total hip and 120 000 total knee replacement procedures are performed in North America.1 2 Appropriate preoperative education regarding the risks and benefits of the proposed .