Hip replacement issues, hip replacement latest policy

In fact, whether it is a biological type or an ordinary type, the difference in service life will not be very large, because the materials can be the same. But their main difference is in the design of the prosthesis, that is to say, the design of the biotype is more in line with the biomechanical requirements of our human body, so the patient's function is well recovered after the exchange, there are fewer complications, and the patient's quality of life is also higher. The ordinary type is generally relatively simple in design, and many of them are simply a metal head and handle, which does not meet the biomechanical requirements of the human body to a low degree, so there are relatively more postoperative complications, and the patient may have more obvious pain after replacement and affect the quality of life.

Therefore, here is a question of choice for patients and their families. As mentioned earlier, there are relatively more complications after the replacement of ordinary prostheses, but they are cheaper, and they can be handled for more than 10,000 yuan in some hospitals. As for the biotype, although the thing is good, but it is expensive, I don't know about other hospitals, anyway, it costs more than 40,000 yuan in our hospital.

Therefore, it depends on how the patient chooses, if the quality of life is very demanding, and the personal funds are relatively generous, then choose the biotype. However, if it is to meet the purpose of being able to walk, and at the same time do not have excessive requirements for the quality of life, then choose the ordinary type.

Why is it said that the price of biotype and ordinary implants can be so different when the material is the same, then there is a factor of knowledge content. For example, Microsoft's operating system is actually very low, but it sells it so expensive, because there is knowledge in it. Because the biotype of prosthesis has been patented, only his best, and at the same time, only their company can produce it, so they have to sell it very expensive, and we can't do it.

Finally, if you choose the ordinary type due to your financial situation, then I recommend that you do not have a femoral head replacement, but a simple screw internal fixation surgery. Why do you say that: first of all, in terms of cost, screw internal fixation is much cheaper than ordinary prosthetic replacement; Secondly, one of the main problems after general prosthesis replacement is pain and poor joint mobility, but if simple screw internal fixation is performed, avascular necrosis of the femoral head will occur in the future, and the main manifestations are pain and poor joint mobility.

In other words, the results after both surgeries are about the same. Therefore, in the case of relatively low cost, it is better to only use simple screw fixation than ordinary prosthesis replacement. This is also a very important reason why many large hospitals only change the biotype of the patient when they replace the joint, and do not change the ordinary type.

Because if the patient changes to the ordinary type and spends 20,000 or 30,000 yuan, the result is still painful, and the function is not good or bad, it is difficult for the patient to accept, so it is easy to have medical disputes.

These are a few suggestions I have made to the questions asked, I hope you will find them helpful.

1: It mainly depends on the physical condition of the elderly, and if the physical condition is good, it is recommended to have surgery to improve the quality of life.

2: If the physical condition is poor, it is recommended to be conservative ** because of the tolerance and risk of surgery.

There is not much difference between a living thing and an ordinary one for an old man of this age. The biological ones are more expensive.

The age of the old man is 75 years old, there is no need to let the old man suffer from surgery, it is recommended to use the method of combining traditional Chinese and Western medicine**.

It's better to use the ordinary one, and it can be used for 15-20 years, which is enough. Why don't you talk to your doctor?

Introduction: Patients with hip joint lesions need to pay attention to many problems in the process, and hip replacement surgery will also face certain risks. The topic I want to share today is, what are the risks of hip replacement?

Such patients can also come to learn about it.

1. What are the risks of hip replacement?

Hip replacement may cause massive bleeding during the operation, which can damage the sciatic nerve, causing weakness in one limb, numbness in the limbs, and drooping feet. During the implantation of the prosthesis, fractures, postoperative prosthesis loosening, hip dislocation, and venous thrombosis of the lower extremities can occur. In addition, because of the poor physical fitness, the wound is not easy to heal, and in severe cases, it will induce infection, resulting in the wound not healing for a long time.

No surgery can be 100% successful, there are certain risks, and doctors can only do their best to reduce the occurrence of complications.

2. What should I pay attention to after hip replacement?

It is necessary to pay attention to the care of the wound, ** cleaning must be done in place, once the wound is not properly cared for, it will produce bacterial infections and cause adverse symptoms. Most hip replacements, because the patient does not have a good cold and warm after surgery, causes venous thrombosis, resulting in blood blockage, which is very harmful. After hip replacement, you should always pay attention to the care of your body to prevent dislocation of the hip joint.

In the 2-3 weeks after surgery, proper exercises can be performed to allow the hip joint to perform proper activities. However, you can't exercise vigorously or blindly, you need to move your muscles and bones properly under the correct guidance of a doctor to prevent local dislocation and displacement, and your sitting posture must be correct. You should also pay attention to your diet, as good nutrition can make wounds heal faster.

The diet must be light and nutritious, so that the patient can get enough nutrients and can also promote the wound to recover as soon as possible.

First of all, it needs to be noted that there are still great risks in hip replacement surgery, which are mainly reflected in the following aspects:

First, blood vessels and nerves may be damaged during the operation, which may cause heavy bleeding and limb movement disorders.

Second, drug allergies may occur during anesthesia, resulting in respiratory and cardiac arrest.

Third, if there is no active dressing change and disinfection and anti-inflammatory after surgery, it may cause the patient to have intra-articular infection, and once the infection is caused, the operation will fail.

Fourth, after hip replacement surgery, it is easy to cause blood clots in patients, such as cerebral infarction and pulmonary embolism, which will endanger the patient's life.

With hip replacement, there may be risks of infection, stress reaction, rejection, necrosis of the femoral head, bone lesions, etc.

There will be a risk of inflammation, there will be a risk of infection, there will be a risk of bone bruising, there will be a risk of joint necrosis, there will be a risk of not being able to stand up.

I changed both sides of the first one is very good, the two have changed for more than a year, walking is not as flexible as my brother, I can't walk for about 15 minutes, I feel uncomfortable, the hospital even the gasket has to pay 2000 yuan for 2000 yuan, 2000 yuan for 4000 yuan, what is the reason why people don't have this kind of cost, the operation is good, is it reasonable?

In the Appraisal Standards for the Degree of Human Injury and Disability (Trial), the disability level of the dust and hip joints has the following three conditions: Level 6 disability: complete loss of function of more than two joints in the hip, knee, and ankle joints.

Grade 7 disability: complete loss of function in one of the hip, knee, and ankle key joints. Grade 8 Disability:

More than 75% of the function of one joint in the hip, knee, and ankle joints is lost. Based on this, it can be judged that the replacement of the artificial hip joint can be identified as a grade 7 disability.

If there is a problem with both hip joints, can it be solved at once?

Is it feasible to surgically replace the artificial hip joints on both sides under a single anesthesia?

Research evidence

In January 2017, the well-known orthopedic journal JBJS published a research result, which is in the first question. The authors followed 94 patients who underwent both hip replacement surgeries at the same time and 94 other patients of the same age and sex who accompanied Takashi Yama in two separate surgeries for four years.

The follow-up results showed that although the operation time was longer and the length of hospital stay was longer (reasonable), the risk and complications after surgery were not relatively high. There is also no difference in the durability of artificial joints. And opening both sides at the same time can also reduce medical expenses.

One less entry into the operating room, one less anesthesia).

Opening both sides at the same time is no longer a problem

With the advancement of surgical technology, artificial hip replacement has entered the era of minimally invasive, not only the wound is small, the recovery is fast, the muscles are also destroyed, you can get out of bed immediately, and the satisfaction after surgery is much better than before. Compared to the knee joint, the pain after hip surgery is also milder, so it is no longer a problem to open both sides at the same time.

After artificial hip arthroplasty, some patients do not pay attention to the protection of the new joint, thinking that they will be relieved if the joint is replaced; Some patients are overly focused on the new joint and are careful about what they do. So, after artificial hip surgery, what kind of exercise and diet is "moderate", let's talk about it.

It is not recommended to do squatting, putting on shoes and socks for six weeks after surgery; After six weeks, behaviors such as wearing shoes, socks, walking and jogging, and swimming can be performed. If some patients are not comfortable and think that six weeks after surgery is too early, they can also postpone it until three months later;

2.After artificial hip arthroplasty, it is not completely impossible to "sit on the legs" and cross the legs. However, these behaviors can not be done until three months after surgery and the patient has recovered well.

If you do "stilt legs" and cross-legged movements within six weeks after surgery, it is likely to lead to hip dislocation, which is very dangerous;

3.Patients should not sit for a long time after surgery, because sitting for a long time is a test for the hip joint, lumbar spine, etc. In general, this "long time" means more than 30-40 minutes. That is, it is recommended that the patient sit for 30 to 40 minutes and stand and walk for a while;

4.After surgery, patients need to pay attention to "good up and bad down" when going up and down stairs, that is, when going upstairs, the leg on the healthy side goes up first, and when going downstairs, the leg on one side goes down first. In addition, for three months after surgery, patients should try to hold on to handrails when going up and down stairs.

Because on the one hand, the joint may not be very stable after hip replacement; On the other hand, patients may fall after surgery due to muscle weakness. But after three months, if the patient has recovered better through the side leg raise, there is no need to be so careful;

5.If hip replacement is required due to necrosis of the femoral head due to alcohol consumption, it is recommended that these patients abstain from alcohol or reduce alcohol consumption, even if they have a new joint. Because continued drinking after surgery may lead to necrosis of the femoral head on the contralateral side (good side), and may also cause damage to the liver and kidneys;

6.There are not many precautions in diet after hip replacement, so there is no need to avoid eating because of it.

The previous introduction is full, you just look at him, don't exercise vigorously and moderately, and choose more soft ones, like tai chi, but squat movements are less, followed by supplementing some health products, such as Kanglikyl ammonia sulfate.