从肩关节置换手术中恢复
Feeling a little anxious about shoulder replacement surgery is normal, 但知道会发生什么会有所帮助. Here's some information about the immediate and long-term post-op period.
After surgery, we'll move you into the recovery room, where you'll stay for approximately two hours. You'll be monitored as you wake from anesthesia until you're ready to be taken to your hospital room. 你手术后的手臂会因为神经阻滞而麻木, 哪一种可以有效地缓解第二天的疼痛. Another side effect of the nerve block is that you won't be able to move your fingers or wrist on the operated arm. 你很可能在手术后的第二天就可以回家了.
你要用肩带吊六个星期. 吊带是重要的保护更换关节和, 解剖性肩关节置换术患者, 用于保护肩袖修复. We recommend wearing it whenever you're in public or moving around, 但在相对静止的活动中,你可能会松开它, 比如阅读, 看电视或在办公桌前工作. 您可以使用手臂进行正常的日常活动, 比如吃, 写字或刮胡子, 但不要举起物体或突然移动, 比如迅速伸手去拿某物, 除非你得到安全的指示.
可能的术后并发症
全肩关节置换术是非常成功的手术, with 90% of implants free of complications 10 years after surgery. Many patients end up with well-functioning shoulders and are able to return to the activities of daily living as well as low-impact sports without pain.
Surgical complications, such as infection or bleeding, can occur but are rare. 替换后的肩关节有脱臼的风险, especially shortly after surgery if you fall or aren't using the shoulder sling. Occasionally, some patients have persistent weakness, stiffness or pain.
物理治疗
肩关节置换术后,物理治疗是必不可少的. Usually, 手术后第一天, a physical therapist will teach you specific exercises that will prevent your elbow and shoulder from getting stiff and help you regain full range of motion. Performing the exercises will be difficult at first but will get easier over time. Before you leave the hospital, a physical therapist will make sure you're doing them properly.
病人 with an anatomic shoulder replacement will start a structured physical therapy program one to two weeks after surgery. For the first six weeks, this will focus on passive range-of-motion exercises. 做反向肩关节置换术, 患者在手术后六周开始物理治疗, tapering use of the sling and beginning with work on regaining active motion. 病人 generally start working on shoulder strengthening three months after surgery and can return to most activities involving the shoulder about six months after surgery.
After exercise, you may experience swelling and bruising of your hand and arm. The best treatment for this is to bend and straighten your elbow frequently and to periodically make a fist to boost circulation.
在家护理
Most patients are discharged from the hospital the day after surgery. 确保你能安全回家, we want to see that you are medically stable and your pain is controlled. 一旦你回家, be sure to follow your orthopedic surgeon's instructions carefully, 尤其是在最初的几个星期.
药物
你会收到一些止痛药的处方. We've found that using drugs that work in different ways can provide the best pain control without patients needing high doses of any single medication. The timing and dosing of your medications will be discussed with you before you leave the hospital.
照顾你的切口
You'll have stitches along your incision on the front of your shoulder. These will be removed at your first follow-up appointment, one to two weeks post-op. 如果你的切口肿胀,立即打电话给你的外科十大赌博平台排行榜, drains, 变红或变得疼痛, 或者你的体温超过101华氏度.
Be careful not to let the dressing or bandage covering your incision get wet or dirty; moisture increases the risk of infection. Try to simply leave the dressing alone until your first post-op appointment, 虽然你可以自己仔细地改变它, 如果有必要的话. 在拆线,十大赌博平台排行榜说没事之后, 你可以洗个澡, 让水流过伤口. But don't submerge the area in a bathtub or swimming pool until the incision has completely healed. 淋浴后把伤口拍干.
后续
Your first two appointments will be scheduled at one to two weeks after surgery and six weeks after surgery. At the first appointment, in addition to stitch removal, we'll take an X-ray of your shoulder.
在你手术后的第一年, 你要去看你的整形外科十大赌博平台排行榜做例行随访, 一般是三个月, 六个月和十二个月. After that, you'll return for annual visits to assess the status and functionality of your implant.
加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
常见问题
- 手术后我什么时候可以开车?
For the first six weeks, you'll be in a sling and unable to drive. You can get behind the wheel once you're out of the sling and have appropriate control for driving safely.
- 我什么时候能恢复正常活动?
Generally, people are able to resume most activities by about six months after surgery.
- What are the differences between anatomic and reverse shoulder replacements?
这两种植入物都能很好地缓解疼痛, which is the main reason to consider having a shoulder replacement. To have an anatomic shoulder replacement, your rotator cuff needs to be functioning normally. If your rotator cuff doesn't work, the reverse shoulder replacement is a good option. 反向更换后, patients may have a less-than-normal ability to rotate the shoulder but can still expect to regain the ability to reach overhead.
- 肩关节置换术需要多长时间?
植入的关节由金属和塑料制成. 像其他机械部件一样,它们会随着时间的推移而磨损. We expect that 90% of shoulder replacements will last at least 10 to 15 years.