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1、GethipGethiptotohipreplacementhipreplacement22NursingmadeIncrediblyEasy!May/June2008Ahipfractureorotherhiptabulum(aroundedsocket).Ligamentscon-necttheballtothesocketandprovidejointdeformitymaymeantotalhipstability.Articularcartilagecoversthebone2.0replacem
2、entforyourpatient.surfacesoftheballandsocketjoint.ThisANCC/AACNFindouthowyoucanhelphercushionsthebonesandallowsforfreedomCONTACTHOURSofmovement.Thesynovialmembrane(atoasuccessfulrecovery.smooth,thintissue)lubricatesandelimi-natesfrictioninthehipjoint(seeTh
3、ehip).ANNEEBY,RNStaffNurse•OrthopedicsandNeurologyThemostcommoncauseofhippainandBenefisHealthcare•GreatFalls,Mont.disabilityisarthritis,oneindicationfortotalTheauthorhasdisclosedthatshehasnosignificantrelationshipshipreplacement.Otherindicationsincludewithor
4、financialinterestinanycommercialcompaniesthatpertainrheumatoidarthritis,afemoralneckfrac-tothiseducationalactivity.tureasinthecaseofMrs.Graves,failedpreviousreconstructionsurgeries,andcon-JOANNEGRAVES,60,isbroughttoyourgenitalhipdisease.emergencydepartmentb
5、yherdaughteraf-Becauseourpatientrequirestreatmentforterfallingoffherhorse.Mrs.Gravesispe-ahipfracture,let’stakeacloserlookatthetitewithaslimbuild.Shesaysshehaspaintypesofhipfractures,who’smostatriskforinherrighthipthatwon’tgoaway.Onin-fracture,andsignsands
6、ymptomstowatchspection,younoticethattheareaaroundoutfor.herrighthipisswollenandbruisedandthatherrightlegappearsshorterthanherHavesomeclassleft.YoususpectthatMrs.Graveshasfrac-Ahipfractureisgenerallyclassifiedasei-turedherhip.Thehealthcareprovideror-therintr
7、acapsularorextracapsular(seeRe-dersX-raystodeterminethetypeoffractureandwhetherit’sstableThehiporunstable.Ifthefractureisun-stable,Mrs.GraveswillmostIliaccrestSacrumlikelyneedtotalhipreplacement.IliumInthisarticle,I’lldiscusstheindicationsfortotalhipreplac
8、e-mentandthenursingcareofapatientundergoingthisprocedure,aswellasgiveyoutipsonhowtohelpherachieveapain-free,Anteriorsuperiorcomplication-free,andmobileiliacspinerecovery.IschialspineAcetabulumButfirst,let’stak
