Bone tumors are divided into primary bone cancer and metastasis of primary tumors outside the bone. The most common sites are bones containing red bone marrow, such as the skull, vertebrae, ribs, pelvis and the epiphyses of long tubular bones. Surgical treatment occupies a special position in the comprehensive treatment of bone metastases, especially when bone metastases cause pathological fractures, spinal instability and spinal cord compression. The treatment of bone cancer should be based on the different locations and range of lesions. For limb shaft fractures, the most appropriate method is to use interlocking intramedullary nail internal fixation, and early postoperative ambulation. 1. Encourage patients to perform functional exercises to prevent muscle atrophy, joint stiffness, and venous thrombosis. 2. 1-3 days after surgery, focus on exercising the muscles of the affected limb, and avoid activities that affect skeletal muscle stability. 3. 4-10 days after the operation, after the drainage tube is removed, you can do exercises on the distal joints of the limbs, such as the ankle and knee joints. 4. Three weeks after the operation, the proximal and distal joints of the surgical site can be moved, but the movements should be gentle and no weight-bearing activities should be performed. 5. 4-6 weeks after surgery, perform whole body muscle and key joint activities, gradually increasing the amount and range of activities. If necessary, use auxiliary equipment or get help from others to move around. Bone metastasis is not an incurable disease, and many patients can survive for a long time after treatment. Therefore, we should understand the relevant knowledge and current treatment methods and levels, have the confidence to defeat cancer, and do not give up treatment easily. |
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