5例夏科氏关节病行旋转铰链全膝关节置换的护理

Nursing care of 5 patients with Charcot's arthropathy undergoing rotating hinge prosthesis knee replacement

报告了5例夏科氏关节病患者行旋转铰链全膝关节置换术的护理。术前重点做好心理护理、术前检查,控制血糖和梅毒;术后做好切口及引流管的护理、并发症的预防和护理,早期进行患肢功能锻炼。本组术后随访6个月至5年,近期疗效均较满意。1例术后23个月发生股骨假体周围骨折,经切开复位内固定治疗,骨折愈合。

This paper reports the nursing experience of 5 cases of Charcot＇s arthropathy undergoing rotating hinge prosthesis knee replacement. The nursing care focused on psychological nursing,preoperative examinations,control of blood glucose and treatment of syphilis during preoperative period,as well as wound care,management of drainage tube ,prevention of complications and early functional exercise during the postoperative period. All cases were followed up through 6 to 60 months. The short-term outcomes were satisfying. One patient suffered from periprosthetic femoral fracture at 23-month after the operation, and healed up eventually after open reduction and internal fixation.