Correspondent Xie Xiaozhen
Since 2023, the Department of Orthopedic and Joint Surgery of the East Branch of the Orthopedic Center of Qingdao Municipal Hospital has formulated a series of comprehensive rapid rehabilitation programs for patients with joint replacement, so that patients with unicompartmental knee replacement can walk immediately after anesthesia recovery and patients with total knee arthroplasty can walk 6 hours after surgery. Actively practicing the concept of "ultra-accelerated" rehabilitation, reflecting the humanized care of medical work, not only won the recognition and trust of many patients, but also marked a new breakthrough in the perioperative medical comfort of the orthopedic center.
Save time and money, and be discharged within 48 hours
Mr. Li (pseudonym), a 79-year-old citizen, suffered from recurrent knee pain, was unable to walk normally, and had a low quality of life. "I can't walk, I can't stand at all. As his symptoms worsened, Mr. Li gradually realized that he was facing more than simple arthritic pain. He has been in the hospital many times, and the doctor recommended joint replacement as soon as possible to restore the function of the knee joint. However, the elderly were afraid of surgical trauma and worried about the long recovery time after surgery, so they were very resistant to surgical treatment for a while.
Knowing that the team of Professor Yu Tengbo of the Department of Bone and Joint Surgery of the Municipal Hospital could go to the ground on the same day of joint replacement surgery, and that he could be discharged from the hospital after two or three days of postoperative recovery, the old man was full of joy and came to see him.
After examining the patient, Yu Tengbo, an orthopedic expert, secretary of the Party committee and general dean, considered that the main cause of his knee pain was severe degeneration of the medial condyle of the left knee, and recommended minimally invasive unicompartmental replacement surgery to further reduce the surgical trauma and shorten the recovery time. After hearing this, the patient's previous concerns disappeared and he gladly accepted the surgical plan.
Yu Tengbo's team surgery (data map)
On March 20, the operation went ahead as scheduled. After the postoperative anesthetic drug metabolism, the patient immediately walked on the ground and the knee joint was flexed and extended to the normal range of motion. The elderly were discharged from the hospital on the second day after surgery, and the old man walked with the help of an aid, and his gait and gait speed were basically normal, and he recovered well.
Before leaving, the old man smiled and said, "My other leg also hurts, and I will come to operate on the other leg next month!"
The "ultra-accelerated" rehabilitation model is getting better and better
Joint replacement (including total knee replacement and unicompartmental replacement) is an effective method for the treatment of knee arthritis lesions, many patients are afraid of surgical trauma, bleeding, pain and other problems when seeking medical treatment, and do not dare to choose joint replacement treatment, and can only rely on some oral drugs to relieve symptoms, which greatly affects the quality of life of patients.
Director Dai Shiyou and Head Nurse Wang Shengying guide the patient's recovery
How to obtain good postoperative rehabilitation has always been the focus of the orthopedic and joint surgery team.
Since 2023, Yu Tengbo, Secretary of the Party Committee and orthopedic expert, has proposed to establish an integrated day surgery process of examination, anesthesia, surgery, nursing and rehabilitation for unicompartmental knee replacement. This is another innovative practice that follows the hospital's high-quality development strategy, effectively improves the medical experience of patients, and practices the concept of accelerated recovery medicine.
The trinity of medical care, nursing and health is interlocking
After long-term repeated practice, the integrated treatment mode of bone and joint surgery, nursing and rehabilitation in East Hospital has become more and more mature.
After the knee replacement patient is admitted to the hospital, routine laboratory tests and auxiliary examinations are first carried out, personalized surgical plans are formulated for different degrees of arthritis, relevant departments are consulted to rule out contraindications to surgery, and the medical, nursing and health teams relieve the patient's fear, ensure adequate sleep, strengthen the management of painless wards, and drink carbohydrate liquids before surgery to reduce the consumption of the body through preoperative education, pre-rehabilitation and psychological counseling.
During the joint replacement surgery, the anesthesiologist's precise anesthesia and the meticulous care team in the operating room completely eliminate the patient's nervousness. The surgical team adheres to the concept of minimally invasive throughout the whole process, operates skillfully, completely stops bleeding, does not place drainage tubes and urinary catheters, and shortens the use time of tourniquets. After the metabolism of anesthetic drugs was eliminated after the operation, the nursing team of bone and joint surgery immediately instructed the patient to perform ankle pump training and knee flexion and extension exercises, which laid a strong confidence for the patient's early postoperative recovery.
Dai Shiyou, Director of the Department of Orthopaedic and Joint Surgery at the Eastern Hospital, said: "We will continue to actively promote multidisciplinary collaboration, deepen the connotation of day surgery, and implement patient-centered individualized, efficient and whole-process closed-loop medical management. ”
Tengbo Yu, MD, second-level professor, doctoral supervisor, postdoctoral supervisor, chief physician
He is currently the Secretary of the Party Committee and President of Qingdao Hospital of Rehabilitation University, Secretary of the Party Committee and General Dean of Qingdao Municipal Hospital (Group), and the Dean of the Institute of Sports and Rehabilitation of Qingdao University. Young and middle-aged experts with outstanding contributions to national health, leading talents in Qilu health and health, and top-notch talents in Qingdao.
Since 1991, he has been engaged in clinical work in orthopedics, specializing in clinical, teaching and scientific research related to surgery and sports medicine. It was the first in the province to establish sports medicine specialties and clinical subspecialties, and established a national shoulder and elbow arthroscopy Shandong Provincial Designated Training Center. He has completed 5,000 cases of arthroscopic surgery, joint replacement, revision technology, joint trauma and other surgeries on knees, shoulders, hips, elbows, wrists and ankles, and more than 800 difficult and complex surgeries such as multiple ligament injuries, severe joint deformities, and giant rotator cuff tears. During his work, he has visited the United States, South Korea, Germany, the United Kingdom, Taiwan and Hong Kong to study minimally invasive joint replacement and arthroscopic techniques.
Clinic Hours: Wednesday Morning (East Hospital)
Dai Shiyou, Director of the Department of Bone and Joint Surgery, East Hospital of the Orthopedic Center, Chief Physician, Master Supervisor
He specializes in hip and knee replacement, unicompartmental replacement, joint prosthesis revision and complex intra-articular fracture surgery. In particular, it has a unique treatment method for diseases such as femoral head necrosis, knee osteoarthritis, and shoulder joint. It includes minimally invasive treatment of hip, knee, shoulder and ankle osteoarthropathy, knee and hip preservation treatment, minimally invasive treatment of shoulder pain, knee ligament and meniscus injury, and comprehensive treatment of complex fracture trauma such as limb fracture and pelvic fracture.
Specialist Clinic: Monday Morning, Thursday Morning, Friday Afternoon (East Hospital)
Well-known Specialist Clinic: Friday Morning (East Hospital)
Wang Shengying is the head nurse and deputy chief nurse of the Department of Bone and Joint Surgery of the Eastern Hospital, and the leader of the VTE preventive nursing group of the group
He specializes in perioperative care of bone and joint diseases, especially focusing on accelerated perioperative rehabilitation nursing for joint replacement, perioperative early rehabilitation of elderly patients with hip fracture and multi-disease coexistence, and popularization of VTE protection health knowledge and popular science production.