Реабилитация больных после эндопротезирования тазобедренного сустава при асептическом некрозе головке бедренной кости
Аннотация
Нами проведена реабилитация всех 64 больных тотальным эндопротезированием с
2015 по 2021 год оперирование по поводу асептического некроза головки бедренной кости.После ЭП ТБС делили на две стадии: Из них с момента операции до 3 недель – это ранняя стадия. С 3 недель до 10 недель – поздняя стадия.В это время необходимо продуктивно выполнять задания и упражнения для реабилитации после ЭП ТБС хирургом и реабилитологом. На санаторно-курортном этапе больные каждый год получали ЛФК и физиотерапии в течение 3 лет в санаторно- курортных условиях. До и после операции оценивалась разница в количестве движений за 10 сек. при выполнении теста оперированной и не оперированной ногой, при этом в наибольшей степени повысился,после операции, показатель отведения бедра. Данные координационного теста показали,что на 14-е сутки этот В это время необходимо продуктивно выполнять задания и упражнения для реабилитации после ЭП показатель на оперированной ноге у основной группы были равны 12,2 м а в контрольной – 11,2 м движения, что на 25,3 % лучшее чем в контрольной.
2015-2021 yillar oralig’ida son boshchasi aseptic nekrozi tashxisi qo’yilgan 64 nafar bemorning son chanoq bo’g’imi total endoprotezlash operatsiyasidan keyingi reobilitatsiyani olib bordik. Son chanoq bo’g’imi total endoprotezlash operatsiyasidan keyingi bemorlar 2 guruhga bo’lindi: bulardan operatsiya kunidan boshlab 3 haftagacha – erta guruh; 3 – haftadan 10 –haftagacha kechki guruh. Bu vaqt oralig’ida jarroh va reabilitolog tomonidan son chanoq bo’g’imi total endoprotezlash operatsiyasidan keyin reobilitatsiya bo’yicha vazifalar va mashqlar samarali bajarildi. Sanator kurort bosqichida bemorlar har yili 3 yil davomida sanator kurort sharoitida jismoniy mashqlar va fizioterapiya kurslarini o’tashdi. Operatsiyadan oldin va keyin 10 soniya ichida harakatlar sonidagi farq baholandi. Operatsiya qilingan va qilinmagan oyog’I bilan test o’tkazilganda, operatsiyadan keyin sonni uzoqlashtirish ko’rsatkichlari sezilarli darajada oshdi.Quyidagi olib borilgan test shuni ko’rsatdiki, operatsiyadan birinchi 14 kunlikda reobilitatsiya bo’yicha vazifalar va mashqlarni samarali bajarish kerak. Natijalar shuni ko’rsatdiki asosiy guruhdagi bemorlar harakat ko’rsatgichi — 12.2 m ga va nazoratdagi guruh ko’rsatgichi – 11.2 m ga teng bo’ldi. Bu esa nazoratdagi guruhdan 25.3% yaxshi.
We have carried out the rehabilitation of all 64 patients with total arthroplasty from 2015 to 2021,surgery for aseptic necrosis of the femoral head. After EP, the hip joint was divided into two stages:Of these, from the moment of surgery to 3 weeks, this is the early stage. From 3 weeks to 10 weeks — late stage. It is necessary to efficiently perform tasks and exercises for rehabilitation after EPHT by a surgeon and a rehabilitation therapist. At the sanatorium-resort stage, every year patients get physical therapy and physiotherapy for 3 years in a sanatorium-resort environment.Before and after the operation, the difference in the number of movements in 10 seconds was assessed. When performing the test with the operated and unoperated leg, the index of hip abduction increased the most after the operation. The data of the coordination test showed that on the 14th day, it is necessary to productively perform tasks and exercises for rehabilitation after EP while the indicator on the operated leg in the main group was equal to 12.2 m, and in the control group — 11.2 m of movement, which is 25.3% better than the control.
2015-2021 yillar oralig’ida son boshchasi aseptic nekrozi tashxisi qo’yilgan 64 nafar bemorning son chanoq bo’g’imi total endoprotezlash operatsiyasidan keyingi reobilitatsiyani olib bordik. Son chanoq bo’g’imi total endoprotezlash operatsiyasidan keyingi bemorlar 2 guruhga bo’lindi: bulardan operatsiya kunidan boshlab 3 haftagacha – erta guruh; 3 – haftadan 10 –haftagacha kechki guruh. Bu vaqt oralig’ida jarroh va reabilitolog tomonidan son chanoq bo’g’imi total endoprotezlash operatsiyasidan keyin reobilitatsiya bo’yicha vazifalar va mashqlar samarali bajarildi. Sanator kurort bosqichida bemorlar har yili 3 yil davomida sanator kurort sharoitida jismoniy mashqlar va fizioterapiya kurslarini o’tashdi. Operatsiyadan oldin va keyin 10 soniya ichida harakatlar sonidagi farq baholandi. Operatsiya qilingan va qilinmagan oyog’I bilan test o’tkazilganda, operatsiyadan keyin sonni uzoqlashtirish ko’rsatkichlari sezilarli darajada oshdi.Quyidagi olib borilgan test shuni ko’rsatdiki, operatsiyadan birinchi 14 kunlikda reobilitatsiya bo’yicha vazifalar va mashqlarni samarali bajarish kerak. Natijalar shuni ko’rsatdiki asosiy guruhdagi bemorlar harakat ko’rsatgichi — 12.2 m ga va nazoratdagi guruh ko’rsatgichi – 11.2 m ga teng bo’ldi. Bu esa nazoratdagi guruhdan 25.3% yaxshi.
We have carried out the rehabilitation of all 64 patients with total arthroplasty from 2015 to 2021,surgery for aseptic necrosis of the femoral head. After EP, the hip joint was divided into two stages:Of these, from the moment of surgery to 3 weeks, this is the early stage. From 3 weeks to 10 weeks — late stage. It is necessary to efficiently perform tasks and exercises for rehabilitation after EPHT by a surgeon and a rehabilitation therapist. At the sanatorium-resort stage, every year patients get physical therapy and physiotherapy for 3 years in a sanatorium-resort environment.Before and after the operation, the difference in the number of movements in 10 seconds was assessed. When performing the test with the operated and unoperated leg, the index of hip abduction increased the most after the operation. The data of the coordination test showed that on the 14th day, it is necessary to productively perform tasks and exercises for rehabilitation after EP while the indicator on the operated leg in the main group was equal to 12.2 m, and in the control group — 11.2 m of movement, which is 25.3% better than the control.