Prevention measures and reasons analysis of the elder patients early anti-dislocation after total hip arthroplasty

VernacularTitle:老年患者全髋关节置换术后早期关节脱位原因分析及对策*
Author: Minling LI ; Ying ZHONG ; Jie NI ; Xiaoling CHEN ; Qiaoli LIU ; Zizhen GUI ; Tianwen HUANG ; Yan KANG
Publication Type:Journal Article
Keywords: elderly patients; dislocation of hip joint; total hip arthroplasty; nursing
From: Modern Clinical Nursing 2016;15(7):27-30
CountryChina
Language:Chinese
Abstract: Objective To explore the reasons and preventive measures of early dislocation after total hip arthroplasty in elder patients. Method A retrospective study was done to analyze dislocation time, reason and time of 168 elderly patients with early anti-dislocation after total hip arthroplasty in joint surgery. Results Only 7 patients (4.1%) had type I joint dislocation, including 2 male and 5 female patients aged 65~89 years. The dislocation happened in 4~5 weeks postoperatively, mainly resulting from hip joint over flexion when urinating in bed, sleep-turning, loaded-moving, walking and stoop and diachoresis. Conclusions For the elderly patients after total hip replacement, it is type I dislocation which happened 4 ~ 5 weeks after operation, more femal than male, reasons including over-exercrse. Effective prevention measures includes regular rehabilitation training, early precautions enhanced mental support and safety nursing.