ischarge instructions for limb fractures:
1. Oral antibiotics taken outside the hospital to prevent infection; Medications such as improving blood circulation and promoting fracture healing are used for symptomatic treatment. If there are no abnormalities in the incision, the stitches will be removed 14 days after surgery. 2. Continue to rest in bed for 2-3 months, and if there is a cast, fix it externally; 3. Pay attention to exercising the muscles and joints of the affected limbs, while strengthening the muscles and joints of the healthy limbs; 4. Three months after surgery, X-ray will be re examined to determine whether to start walking with crutches and gradually walk with crutches, and gradually abandon crutches based on the healing of the fracture; 5. Pay attention to X-ray re examination every 3 months after surgery, and further guide functional exercise and decide on the removal of internal fixation devices based on the fracture healing situation; 6. Pay attention to preventing complications: supplement calcium and strengthen nutrition, take Jinqiancao granules orally, and drink plenty of water; 7. Pay attention to turning over in bed to prevent the formation of bedsores. 8. If there is any discomfort, follow up at the outpatient clinic on Wednesday (Professor X). 9. Outpatient follow-up for discomfort.
Discharge instructions for lumbar fusion surgery:
1. After being discharged from the hospital, continue to rest in bed for 2 weeks. You can sit upright with a waist tied and gradually stand and walk, but you need to use crutches to get out of bed and should not engage in strenuous activities. 2. After one month of discharge, daily activities can be carried out, and no weight or bending should be carried out for three months. At the same time, the waist circumference should be used correctly, that is, the waist circumference should be worn intermittently every day, and the waist circumference can be removed when sleeping or eating. After waking up and before work, exercise the waist appropriately to increase the coordination of the lumbar muscles and the flexibility of the spinal joints. When moving things, the object should be close to the body and adopt a squatting, hip bending, and knee bending posture. Avoid carrying heavy objects and heavy physical labor within 6 months. When lifting objects, the weight should be less than 1/10 of the body weight. Avoid standing or sitting in a single position for too long (female patients should avoid standing or walking in high heels for long periods of time). 3. We should strengthen the functional exercise of the waist and back muscles in daily life, striving to achieve our own "muscle waist circumference". In the later stage of recovery, waist circumference is only used for prolonged sitting and bending over to bear weight, to prevent atrophy of the lower back muscles. Control weight, adopt a low-fat diet, prevent obesity, and reduce the burden on the lumbar spine. 4. After discharge, one should still lie on a hard bed and stay in bed as much as possible within 3 months, which is beneficial for postoperative recovery. When lying in bed, the head of the bed should be at a height of 30 ° and the knees should be slightly bent to help reduce spinal lordosis and relieve back muscle spasms. 5. Within one year after surgery, avoid excessive weight-bearing and carrying, and avoid strong coughing, sneezing, etc. to increase abdominal pressure. Also pay attention to preventing constipation. 5. Dismantling situation; 6. Continue to pay attention to preventing complications related to prolonged bed rest outside the hospital; 7. Outpatient medication; 8. Outpatient follow-up for discomfort. (Wednesday x Professor's expert clinic).
Discharge instructions for cervical spondylosis:
1. Continue taking antibiotics orally outside the hospital for 5-7 days. If there are no abnormalities in the incision, the stitches will be removed 7-10 days after surgery. Cosmetic incisions do not require stitches to be removed; 2. Wear a neck brace for 4-6 weeks after surgery to protect the cervical spine. (For artificial disc replacement and posterior cervical laminoplasty, it is best to remove the neck brace early after surgery, which is beneficial for restoring cervical mobility and muscle strength.); 3. The neck brace can be gradually removed from 6 weeks to 3 months after surgery, first during sleep, and then intermittently used after adapting for a period of time until the neck brace is completely removed, gradually restoring neck activity. However, vigorous exercise or special positions may cause bone grafting and steel plate displacement. 4. Within 2-6 weeks after surgery, avoid holding heavy objects with both hands to avoid affecting the tissue healing and recovery of the neck. 5. Choose a suitable pillow for discharge (length 40-60cm or exceeding shoulder width 10-16cm, height 10-12cm, with the middle being lower and the ends being higher); 6. Avoid vigorous movements such as lowering, looking up, or rotating the neck, and avoid watching TV or computer for long periods of time to prevent excessive neck fatigue; 7. Maintain physical function through exercise; 8. After surgery, neck trauma should be prevented, especially from causing severe shaking of the neck back and forth during sudden braking in a car, which can lead to injury. 9. Regular follow-up: Follow up at the hospital in 1, 3, 6, and 12 months after discharge to check the condition. If there is redness, swelling, exudation, pain, or trauma in the wound, immediate medical attention should be sought. (Wednesday afternoon, Professor X's expert clinic)
Discharge instructions for spinal tuberculosis:
⑴ After discharge, one should still lie on a hard bed at home, either lying flat or sideways, to minimize or relieve the contraction, tension, and spasms of the back muscles. ⑵ The bed rest time for patients undergoing lesion clearance surgery and interbody fusion surgery is generally 3 months for cervical spine surgery and 4-5 months for thoracic and lumbar spine surgery. When the bone graft has reached fusion, you can get up and move around Patients with cervical tuberculosis can choose appropriate neck circumference fixation to avoid rotation of the head and neck in all directions Patients with lumbar and thoracic tuberculosis should learn how to correctly use the chest belt to maintain spinal stability. Avoid sitting in soft chairs and prolonged sitting. Stand and rest for 3 minutes every 30 minutes of sitting; Avoid weight-bearing activities such as bending over, and prevent extreme twisting or bending of the chest and waist Continuing functional exercises should be done gradually, with the amplitude increasing from small to large and the frequency decreasing from small to large, with the aim of not exacerbating wound pain or fatigue Persist in taking anti tuberculosis drugs and do not stop or change the medication at will During the medication period, blood sedimentation rate should be rechecked weekly, and liver and kidney function should be rechecked monthly. If you experience hallucinations, visual hallucinations, auditory hallucinations, hearing loss, numbness in your hands and feet, etc., please seek medical attention at a specialized hospital in a timely manner for examination and adjustment of medication; If there are persistent lower back pain, lower limb pain and other abnormal conditions, timely follow-up visits should be made to the hospital. (Wednesday afternoon, Professor X's expert clinic)
Discharge instructions for intervertebral disc endoscopy (MED):
1. Pay attention to rest and strengthen nutrition. 2. Actively engage in lower back muscle function exercises and lower limb straight leg lifting exercises after discharge. Within 4 weeks after discharge, weight-bearing and carrying of the waist are prohibited, and within 3 months, excessive weight-bearing and carrying are prohibited. 4. Outpatient follow-up visits at 1 month, 3 months, and 6 months after surgery. (Director X will have a full day expert clinic on Wednesday); 5. Discomfort follow-up.
Carefully organized
Discharge instructions for spinal deformities: The implementation of spinal deformity correction surgery does not necessarily mean the end of treatment, and the final treatment is also related to the patient's self-care after discharge. Here, we introduce the precautions after discharge as follows: 1. Fixation time of braces: After getting out of bed, braces should be worn, and the fixation time of braces should be between 6-12 months. 2. Getting in and out of bed within one month: After 1-2 weeks of surgery, you can wear braces to get out of bed and move around. At the beginning, someone should help you up. After 1-2 weeks, you should start getting out of bed from the prone position, and vice versa. 3. Pay attention to the height of both shoulders: strive to maintain the same height of your shoulders and keep your head in the center of your torso, correcting your habitual posture. 4. Activity: Within six months, do not participate in contact sports activities (such as various ball games, etc.), do not sit on the sofa, avoid excessive forward bending of the upper body, try to minimize spinal activities (i.e. bending forward, backward, to both sides, etc.), avoid collisions, and do not ride a bicycle within nine months. After one year, one can participate in non competitive sports activities such as slow running, cycling, etc. You can resume normal work and life within 1 and a half to 2 years, but adventurous sports activities such as skydiving, cliff jumping, bungee jumping, etc. should be avoided for life. 5. In the future, avoid engaging in work that excessively increases spinal load, such as long-distance driving, transportation, physical education teachers, etc. 6. Generally speaking, internal fixation should not be removed unless there is any discomfort, except for other reasons. 7. Follow up: Regular follow-up examinations must be conducted after discharge. Follow up examinations should be conducted every 3 months, every 6 months after one year, and every 3 months after two years
Recheck every 5 years. (Director X will have a full day expert clinic on Wednesday)
Carefully organized
