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Perioperative lower limb fractures in the care of patients

On the blood circulation of the Explain to patients the importance of functional exercise to make a positive allocation. Based on the patient's general condition after surgery, fracture site, fracture type, fracture damage, the damage of the wound in terms of functional exercise to develop a scientific plan for guiding patients l habitat toe, ankle, active movement, quadriceps static contraction exercises and leg joint flexion and extension muscle active contraction training. Functional exercise should be gradual, within our capabilities. Contralateral limb to the patient to do cardiac massage to prevent muscle atrophy. The first day after surgery to help patients with limb ankle plantar flexion, dorsiflexion and lower limb muscle contraction and relaxation activities, movements to keep 5s, then relax,[link widoczny dla zalogowanych], repeat the training. Postoperative day in patients with active guidance from the start line isometric quadriceps training, specific method is: force straight knee, ankle dorsiflexion, tight leg muscles, continuous 5-10s ~ relax ,6-8 times / rain, on the afternoon exercise time, each exercise lO-20min. Quadriceps isometric exercise, can promote the deep venous return, reducing the surgical tissue bleeding and help body's blood circulation, promote swelling, prevent muscle adhesion. Withered after surgery to help patients begin to do straight leg raising and guiding flexion movement, requiring Taigaohuanzhi heel away from the bed 20crn, 10s stay in the air and then put down 0 mantle of motion exercises and gradually increase the range and intensity to the patient does not feel fatigue, pain is appropriate. According to patient age, fracture location and fracture healing, decided to get out of bed time, usually children and young people help after the surgery 6N plaster bed with crutches, not weight-bearing standing and walking, 3 to 4 times, each time 20-30min. Get out of bed in the elderly patients can delay the time, usually after 2 months to get out of bed with crutches, no weight-bearing standing. Rehabilitation should be: muscle contraction under the joint functional training exercise E near the joints of a functional exercise for a crutch to stand for a walk with crutches to walk for a disposable Shui. Patients usually walk with crutches after tomorrow, in the clinical and) films were confirmed when the fracture has healed,[link widoczny dla zalogowanych], guiding patients with weight-bearing walking exercise, until the feature is completely restored. 3.6 lower extremity fracture patients discharged from rehabilitation guidance 14 days after suture removal usually observed 1-2 days later, without discomfort, may be discharged. Nurses to discharge patients and their families after discharge detailed matters: ① limb should tell patients and maintain outreach brake neutral position, emphasizing the functional exercise to be sustained, gradual increase in activity, activity time, the scope of activities. ② told his family to do the work of supervision and assistance, monitoring patients taking medications, exercise the right time,[link widoczny dla zalogowanych], attention and rehabilitation of patients with emotional situations. ③ body massage method of family members of the church. ④ film return visit to tell the patient the time, after 1 month, 3 + fl, 6 months, a referral, according to the healing callus guide the patient to walk, part of the load and full load of time. ⑤ tell patients in their daily lives, within 3 months after surgery to avoid the affected side lying position, no load, no cross-legged, not the income, do not take the low stool, no squatting, no heavy lifting. ⑥ tell a patient to enhance nutrition, eat high nutrition, high-calorie, high calcium foods such as shrimp, crab, and many more fresh vegetables and fruit, more than the sun, enhance the body resistance, accelerate fracture healing; and tell the patient the doctor contact, there are special circumstances, contact your doctor promptly. 4 results of all 156 patients in this group with the defense, up from 6 to 12 months, only 1 case of femoral shaft fractures in patients 56 days after a sudden plate fracture, resulting in secondary fracture fixation surgery again, the remaining 155 cases were normal fracture healing , function recovered well without complications. 5 discuss the lower limbs in humans throughout the body plays a role in load-bearing and movement, a sudden fracture will cause inconvenience to patients, how effective surgery will directly affect the future quality of life of patients,[link widoczny dla zalogowanych], the correct perioperative care is an important part of successful operation, situation for patients, good preoperative and postoperative overall care, guidance of patients with good early functional exercise, a comprehensive guide to do the work of rehabilitation hospital, is to improve the success rate, prevent complications and promote patient rehabilitation and quality of life an important guarantee. Mission
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