Drove leg after hip replacement
Exercise therapy when replacing the hip joint
Feeling of constant, unremitting pain, lack ofconfidence in the future, the inability of free movement - all this is a consequence of a patient or injured hip joint. But this does not mean that everything is lost, and we must forget about normal life. It is not necessary to suffer pain every day, it is possible to make hip joint endoprosthetics.
Endoprosthetics of the hip (joint replacement) is a surgical operation,which consists in replacing the damaged or destroyed head of the femur with an artificial (artificial joint), which allows to restore the lost mobility. The result of the operation is that patients can return to normal life several months after the operation. Hip replacement is the most effective method of treating joint pathology and is used when the therapeutic agents used are ineffective.
It should be noted that at present, when replacinghip joint is important not only the stage of the disease, but important is the severity of the pain syndrome, as well as the degree of impaired limb function. It is necessary to pay attention to the effectiveness of therapeutic treatment, as well as the patient's need for additional means of support. It is necessary to take into account the degree of decrease in physical activity, as well as the futility of other surgical methods.
A professional instructor on exercise therapy and therapeutic swimming holds individual classes in Baku for rehabilitation after hip replacement. Tel. (055) 827-36-46; (050) 451-74-17;
In what cases should I replace the hip joint with an artificial joint? What is the use of an artificial hip joint? In many cases, hip replacement is the only highly effective means of restoring joint mobility.
Indications for hip arthroplasty
- the presence of degenerative-dystrophic diseases that affect the ligament-articular apparatus (osteoarthritis or arthritis of various etiologies)
- the presence of coxarthrosis of different etiology
- the presence of autoimmune processes leading to the production of antibodies to cartilaginous tissue
- inflammatory processes that lead to decreased mobility of the joint
- severe joint injury
- defeat of the joint with a tumor
- the presence of aseptic necrosis
- hip fractures
- lesions of rheumatoid nature
- congenital anomalies, as well as the consequences of injuries sustained.
Contraindications to hip arthroplasty
Absolute contraindications to surgery are:
- diseases of the cardiovascular and bronchial-pulmonary system (the stage of decompensation)
- the presence of mental or neuromuscular disorders
- the presence of a focus of purulent infection
- immaturity of the skeleton
- the presence of polyallergy
- active or latent infection in the hip joint, which occurs less than 3 months
- Available acute diseases of the vessels of the lower limbs, such as thrombophlebitis, thromboembolism
- impossibility of movement
- Absence of bone marrow canal of femur.
It should be noted that there are also relative contraindications to the replacement of the hip joint, which include
- presence of oncological diseases
- the presence of chronic somatic diseases
- Hormonal osteopathy
- liver failure
- Obesity (grade 3).
Artificial hip joint will help get rid of the pain. which is caused by the above diseases of the joint. Thanks to the artificial joint, the patient will be able to practice his usual occupations, and his psycho-emotional state will also improve significantly.
Endoprosthetics of the hip joint ishigh-tech procedure, in which a thorough preoperative examination of the patient is necessary. Examining the hip joint, a specialist assesses the condition of the affected area, taking into account what is selected the prosthesis, which is most suitable for a specific case.
Rehabilitation after hip replacement
In the first few days after surgery,gymnastics with hip replacement should include isometric exercises for the hip muscle tension, is also widely used and breathing exercises, which does not develop pulmonary and cardiovascular disease. Also of great importance is the therapeutic exercise in hip arthroplasty.
Although the prosthesis of the hip joint will allowpatient to return to normal life, but beforehand he will need to again learn to sit down and get up, and also climb and go down the stairs, etc. The complex of medical procedures as it is being rehabilitated is significantly expanded, its purpose is to increase muscle strength and to adapt the patient to performing routine operations.
The patient can in most cases be discharged from thehospitals after two weeks, after the completion of the main stage of postoperative rehabilitation. In general, rehabilitation after the replacement of the hip joint is divided into short-term and long-term.
At an early stage of the recovery periodThe patient who underwent the operation will have to master a series of movements. The first movements are carried out with the help of walkers already in 1-2 days after the operation, and on the third day the patient is discharged home. The short-term rehabilitation period lasts from 4 to 6 weeks on average.
Long-term recovery is completehealing of tissues and scar after surgery. This period ends when the patient is already able to return to his daily activities. The long-term recovery period can last for 6 months.
For the speedy rehabilitation after surgery on the hip joint, the following rules should be adhered to:
1) Remove all carpet tracks in the apartment, on which you can slip, in general, try not to walk on a slippery surface.
2) Remove from the house all objects with sharp corners, as well as cumbersome furniture that blocks the passage.
3) Do not wear uncomfortable shoes.
4) Monitor your pain.
It must be remembered that complete healing andstrengthening muscles and other tissues, usually lasts about 3 months. All this time, the risk of displacement of the new joint is possible, that is, the joint head can move from the joint bag. To avoid this, the following recommendations should be observed:
a) Do not allow flexion in the hip jointmore than 90 degrees (relative to the body). In the sitting position, the knees should be slightly lower than the thighs (a small pillow should be placed on the chair seat).
b) Do not cross the legs, and also do not allow the shifted operated leg to the center line of the body.
c) Avoid twisting the operated leg in and out. Steps while walking and bending straight.
d) Do not lie down on the side of the operated leg. When lying on the non-operated side between the legs, you should put a pillow (this will prevent the shift of the joint of the operated leg).
e) Do not do too harsh movements with your hips.
In the event that the pain in the area of the operated joint has increased, and there was also swelling and fever, you should immediately consult a doctor.
I must say that the set of exercises when replacingan artificial hip joint is very important. And gymnastics at endoprosthetics of a hip joint can quite be carried out in house conditions. Exercises should be done daily, with the need for control from the physician, as well as the attending physician.
LFK with the replacement of the hip joint (the exercises are performed immediately after the operation)
These exercises improve the circulation of the legs andprevent the formation of clots (blood clots), also exercises with hip replacement significantly strengthen muscles and improve movements in the hip joint. It is necessary to perform them at a slow pace.
It should be noted that not all exercises can be suitable for all patients. In any case, you should consult your doctor.
Initial position - lying:
1. Perform slow movements of the foot up and down. Do this exercise every 5 or 10 minutes several times.
2. Perform the rotation of the foot of the operated leg first clockwise, and then in the opposite direction (the rotation is performed only at the expense of the ankle, but not the knee). Repeat 5 times in each direction.
3. Tighten the muscle on the front surface of the thigh (quadriceps). Then try to straighten the knee, pressing the back surface of the foot to the bed. Hold the muscle in a stressed state for 5-10 seconds. Repeat with each foot 10 times.
4. Perform knee flexion with heel support: move the heel towards the buttocks, while bending the knee and touching the heel of the surface of the bed. Do not allow the knee to turn in the direction of the other leg and do not bend the hip joint more than 90 degrees. Repeat 10 times.
5. Perform shortening of the buttocks: compress the muscles of the buttocks and keep them tight for 5 seconds. Repeat at least 10 times.
6. Take (maximally) the operated leg to the side, then bring it back. Repeat 10 times.
7. To carry out lifting of the straightened leg: strain the muscles of the thigh so that the knee of the leg lying on the bed is completely straightened. Then lift the leg a few inches from the surface of the bed. Repeat 10 times for each leg.
Therapeutic gymnastics with the replacement of the hip joint in the early rehabilitation period (2-6 days after the operation)
These exercises are carried out in a standing position, holding on to a reliable support (for example, behind the back of the bed, table, wall or sturdy chair).
1. Lift the knee of the operated leg (do not lift above the waist). Hold the foot for 3 seconds, then lower it.
2. Perform a slow retreat of the operated leg backwards (the back is straight). Hold the foot for 2-3 seconds, then bring it back to the floor.
3. Carry out the removal of the operated leg to the side (thigh, knee, and foot should be directed strictly forward). Keep the case straight. Then slowly lower your leg back to the foot to stand on the floor. Run 6-8 times.
5. Perform alternate bending of the legs in the knees (legs on the width of the shoulders). Repeat 4-6 times.
6. Perform lifting of the knee bent at the knee. Make each leg 4-6 times.
7. Perform the removal of the leg bent at the knee. Make each leg 4-6 times.
8. Walking on crutches. 100-150 meters 4-5 times a day.
LFK with hip joint hip arthroplasty in the late rehabilitation period (4-8 weeks after surgery)
Exercises are performed with the help of elastic band(with resistance). One end of the elastic band should be fixed around the ankle of the operated leg, and the other end tied to a locked door, heavy furniture or to the Swedish wall. To keep the balance, you can hold on to the chair or the back of the bed. Perform these exercises in the morning, afternoon and evening for 10 times.
1. Perform flexion in the hip joint with resistance: stand with your back to the wall or a heavy object to which the elastic band is attached, slightly pushing the operated leg aside. Raise the leg forward, while the knee should be straightened. Then slowly return the leg to its original position.
2. Carry out the removal of the leg with resistance: stand up sideways to the door or a heavy object to which the elastic band is attached, and withdraw the operated leg to the side. Then slowly return the leg to its original position.
3. Perform walking. In doing so, you should use the cane until you are confident of balance. First walk for 5-10 minutes 3-4 times a day. Then, when strength and endurance increase, you can walk for 20-30 minutes 2-3 times a day.
4. Exercises on a stationary bike (allow to restore the strength of muscles and mobility of the hip joint). In this case, the height of the seat should be adjusted so that when the knee is straightened, the patient hardly touches the pedals. First pedals should be turned back. Then forward. When the muscles get stronger, they will become stronger (approximately 4-6 weeks after the operation), the load should be gradually increased. Do not forget to follow the rule of the right angle: do not raise the knee above the hip joint.
Turn pedals forward for 10-15 minutes 2 times a day, gradually increasing this time to 20-30 minutes 3-4 times a week.
5. Perform a dynamic balance training with an elastic band on a healthy leg. To do this, it is necessary to tie loose ends of an elastic band about 2 meters long to any fixed object (for example, to the crossbar of the Swedish wall) approximately 20 cm above the floor. The loop will be about 1 meter long. Standing on a sick leg, the patient should put this loop on a healthy leg in such a way that the loop is at the level of the ankles (ankles). Thus the patient should stand approximately in 60-70 centimeters from a wall. It is necessary to stand so that the knees are slightly bent, but the trunk should be kept straight. Then, with a healthy foot, swing to the side. Make 8-10 times.
Thanks to this exercise, the muscles of both legs are trained, and the coordinated work of muscles is trained (balance training).
How long does the hip joint prosthesis work?
For a large number of elder patientsage artificial hip joint, most likely, will last a lifetime only if there is no weakening of the prosthesis or if there are no other problems. As a rule, the installed prosthesis serves for 15-20 years. However, young patients during their lifetime may undergo a second operation of endoprosthetics.