Recovering from Shoulder Replacement Surgery
对肩关节置换手术感到有点焦虑是正常的, but knowing what to expect can help. 这里有一些关于术后短期和长期的信息.
手术后,我们会把你转移到恢复室,你会在那里待大约两个小时. 在你从麻醉中醒来的过程中我们会一直监视你直到你准备好被送进病房. Your operated arm will be numb from the nerve block, which can provide effective pain relief into the following day. 神经阻滞的另一个副作用是你不能移动你的手指或手腕. 你很可能在手术后的第二天就可以回家了.
You'll use a shoulder sling for six weeks. The sling is important for protecting the replaced joint and, in patients with an anatomic shoulder replacement, for protecting the rotator cuff repair. 我们建议你在公共场合或四处走动时戴上它, but you may loosen it during relatively motionless activities, such as reading, watching television or working at a desk. You may use your arm to perform normal daily activities, such as eating, writing or shaving, but don't lift objects or make sudden moves, such as quickly reaching for something, until you're instructed that it's safe to do so.
Possible postsurgical complications
Total shoulder replacement is a very successful operation, 90%的植入物在术后10年内没有并发症. 许多患者的肩部功能良好,能够恢复日常生活活动,以及无疼痛的低冲击运动.
手术并发症,如感染或出血,可能发生,但很少见. There is a risk of the replaced shoulder dislocating, 尤其是手术后不久,如果你摔倒或没有使用肩带. 偶尔,一些患者有持续的无力、僵硬或疼痛.
Physical therapy
After a shoulder replacement, physical therapy is essential. Usually, the first day after surgery, 物理治疗师会教你具体的 练习 ,防止你的肘部和肩膀僵硬,帮助你恢复全方位的活动. 做这些练习一开始会很困难,但随着时间的推移会变得容易. 在你离开十大赌博平台排行榜之前,理疗师会确保你做得很好.
解剖性肩关节置换术的患者将在手术后一到两周开始有组织的物理治疗计划. 在前六周,主要是被动的活动范围练习. For a reverse shoulder replacement, patients start physical therapy six weeks after surgery, 逐渐使用吊带,并开始工作,以恢复主动运动. 患者通常在术后3个月开始进行肩部强化训练,并在术后6个月左右恢复大部分肩部活动.
运动后,你的手和手臂可能会肿胀和青肿. 最好的治疗方法是经常弯曲和伸直肘部,并定期握拳以促进血液循环.
Care at home
大多数病人在手术后第二天就出院了. To ensure you can go home safely, 我们希望看到你的病情稳定疼痛得到控制. Once you're home, 一定要认真听从整形外科十大赌博平台排行榜的指导, especially during the first few weeks.
Medications
You'll receive prescriptions for a few types of pain medication. 我们发现,使用不同方式起作用的药物可以提供最好的疼痛控制,而不需要患者使用高剂量的任何单一药物. 在你离开十大赌博平台排行榜之前,十大赌博平台排行榜会和你讨论你服药的时间和剂量.
Caring for your incision
你肩膀前面的切口要缝几针. 术后一到两周,你的第一次随访预约会把这些东西取下来. Call your surgeon immediately if your incision swells, drains, turns red or becomes painful, or if you develop a temperature over 101°F.
Be careful not to let the dressing or bandage covering your incision get wet or dirty; moisture increases the risk of infection. 试着在你第一次术后预约之前不要包扎, although you can carefully change it yourself, if necessary. After the stitches are removed and your doctor says it's fine, you can take a shower, letting water run over the wound. 但在切口完全愈合之前,不要将伤口浸入浴缸或游泳池. Pat the wound dry after showering.
Follow-up
您的前两次预约将安排在手术后一到两周和手术后六周. 第一次预约时,除了拆针外,我们还要给你的肩膀拍x光片.
During the first year following your surgery, you'll see your orthopedic surgeon for routine follow-up visits, generally at three months, six months and 12 months. 在那之后,你每年都会回来检查一下种植体的状态和功能.
UCSF Health medical specialists have reviewed this information. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.
Frequently asked questions
- When can I drive after surgery?
前六周,你会被吊着,不能开车. 一旦你从吊索中解脱出来,你就可以坐到方向盘后面,并对安全驾驶有适当的控制.
- When can I return to my usual activities?
一般来说,人们在手术后六个月左右就能恢复大部分活动.
- 解剖肩关节置换术和反向肩关节置换术有什么区别?
Both implants are great at relieving pain, 考虑做肩关节置换的主要原因是什么. 要进行解剖性肩关节置换术,你的肩袖必须功能正常. 如果你的肩袖不起作用,反向肩关节置换是一个不错的选择. After a reverse replacement, 患者旋转肩部的能力可能低于正常水平,但仍有望恢复到头顶的能力.
- How long do shoulder replacements last?
The implanted joints are made of metal and plastic. Like other mechanical parts, they wear out over time. 我们预计90%的肩关节置换术至少能持续10到15年.