How to care after bone necrosis surgery

The disease of bone necrosis has always existed, but it did not occur often before so it did not attract much attention. However, in recent years, more and more people have suffered from bone necrosis, and this disease can have a great impact on patients. Especially the unbearable pain, it is really torture. Therefore, after suffering from this disease, you must follow the doctor's guidance for treatment. The following editor will introduce how to care after bone necrosis surgery?

How to care after surgical treatment of femoral head necrosis:

1. Observe changes in the patient's vital signs: After the patient returns to the ward after surgery, closely observe changes in vital signs, measure every 15-30 minutes, and carefully observe the patient's face, lip color, consciousness, etc. If the patient shows signs of hypovolemic shock such as low blood pressure, oxygen should be given immediately, intravenous access should be established, blood transfusion and fluid replacement should be given, and other rescue measures should be taken. The patient's condition should be carefully observed and the doctor should be notified in a timely manner.

2. Observe incision drainage and care: After surgery, closely observe the patient's incision dressing for exudation. For patients with excessive bleeding or extravasation of dressings, notify the doctor promptly to change the dressing. For those who have drainage placed in the incision, the drainage must be kept closed to prevent retrograde infection. The drainage bag must be fixed in a secure position and the amount and nature of the drainage fluid must be observed. Incision infection becomes apparent within 3-7 days after surgery, with the patient experiencing fever, throbbing incision pain, and local redness, swelling, and tenderness.

3. Postoperative pain care: The pain from the surgical incision gradually increases, especially on the day of the operation. Observe the timing, nature, and intensity of the pain. If the incision is painful within 24-48 hours after surgery, analgesics can be given. It is best to give the medicine before the patient feels severe pain, as this will have the best analgesic effect. Local pain can cause vasospasm and reduce the survival rate of bone grafts. Other factors that may cause incision pain to patients, such as coughing, vomiting, activity, tight dressings, improper traction, etc., should be avoided as much as possible. It can also divert the patient's attention, provide psychological counseling, and guide the patient to do some relaxation exercises, such as abdominal breathing.

4. "Femoral head deficiency syndrome" after artificial joint replacement surgery: a series of clinical symptoms caused by the loss of the femoral head, with a complication rate of approximately 45-81%. Specific symptoms include: pain, swelling, high fever, abdominal distension, constipation, difficulty breathing, incision infection, nausea and vomiting, bedsores and other symptoms. In severe cases, symptoms such as pale face, blue lips, confusion, dull expression, and accelerated heart rate may occur. Currently, there is no effective treatment for this type of complication.

5. Late postoperative period. Clinical manifestations: Except for some patients who still need bed traction, the rest of the patients have removed the traction and can perform functional exercises such as hip flexion and knee flexion. I feel soreness and weakness in my waist and knees, sweating when I move, and difficulty flexing and extending my joints. Dialectical analysis: "Tendons are hard" and "bones are trunk". Strong muscles and bones can support limb movements. The liver and kidneys are the external combination of tendons and bones. When the liver is full of blood and the kidneys are sufficient, the tendons and bones will be strong. Weakness and soreness in the waist and knees and difficulty in flexing and extending the joints are signs of liver and kidney yin deficiency.

6. Diet adjustment: nourish the liver and kidneys, strengthen the muscles and bones. Dietary taboos: eating too much fatty food and exercising after a full meal. Recommended foods: stewed pigeon with Astragalus and wolfberry; stewed old duck with Cordyceps sinensis; stir-fried beef with tomatoes; spine soup with Eucommia ulmoides; stewed water fish with Chinese yam and longan.

Every disease requires attention and care after surgery or during the recovery period. For the disease of bone necrosis, everyone needs to have a clear understanding of postoperative care. I believe that with the help of family members, you will recover your health as soon as possible. The same diet and lifestyle habits also need attention.