膝髋关节 Knee and Hip: Arthritis and Surgery

By the end of this module you can…

• Talk about knee arthritis and joint replacement in the patient’s words, with the chart words beside them.
• Explain a weight-bearing order in plain words, and always point back to the surgeon’s orders.
• Coach the first exercises after surgery, and the work of straightening and bending the knee.
• Teach hip precautions and the helpers that go with them: reacher, sock aid, raised seat.
• Explain which swelling is expected, and the warning signs: calf pain and swelling, chest pain, an angry incision.

Key vocabulary

Sixteen words from this module. Tap the speaker to hear each one.

The joint and the first weeks

• 骨关节炎gǔ guān jié yánOsteoarthritis
• 人工膝关节rén gōng xī guān jiéArtificial knee, knee implant
• 人工髋关节rén gōng kuān guān jiéArtificial hip, hip implant
• 伤口shāng kǒuIncision, wound
• 抬高tái gāoTo raise, elevate (the leg)
• 弹力袜tán lì wàCompression stockings
• 踝泵huái bèngAnkle pumps
• 足跟滑动zú gēn huá dòngHeel slides

Hip precautions and helpers

• 跷二郎腿qiāo èr láng tuǐTo cross your legs
• 矮沙发ǎi shā fāLow sofa
• 蹲下dūn xiàTo squat down
• 加高马桶座jiā gāo mǎ tǒng zuòRaised toilet seat
• 取物夹qǔ wù jiāReacher, grabber
• 穿袜器chuān wà qìSock aid
• 长柄鞋拔cháng bǐng xié báLong-handled shoehorn
• 外展枕wài zhǎn zhěnAbduction wedge pillow

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 右腿能承受多少就踩多少，疼了就少踩一点。Yòu tuǐ néng chéng shòu duō shǎo jiù cǎi duō shǎo, téng le jiù shǎo cǎi yì diǎn.As much weight on the right leg as is comfortable; if it hurts, less.
2. 一定要按做手术的医生说的来。Yí dìng yào àn zuò shǒu shù de yī shēng shuō de lái.Always follow your surgeon’s orders.
3. 脚往上勾，再往下踩，像踩油门一样。Jiǎo wǎng shàng gōu, zài wǎng xià cǎi, xiàng cǎi yóu mén yí yàng.Foot up, foot down, like a gas pedal.
4. 伸直跟弯曲一样重要。Shēn zhí gēn wān qū yí yàng zhòng yào.Straightening matters as much as bending.
5. 休息的时候，别在膝盖下面垫枕头。Xiū xi de shí hou, bié zài xī gài xià miàn diàn zhěn tou.No pillow under the knee when you rest.
6. 按您医生的要求，这段时间先别跷二郎腿。Àn nín yī shēng de yāo qiú, zhè duàn shí jiān xiān bié qiāo èr láng tuǐ.Your surgeon asks: don’t cross your legs for now.
7. 您可以用取物夹，不用弯腰。Nín kě yǐ yòng qǔ wù jiā, bú yòng wān yāo.Use the reacher, so you don’t bend.
8. 冰敷一般一次十五到二十分钟，把腿垫高。Bīng fū yì bān yí cì shí wǔ dào èr shí fēn zhōng, bǎ tuǐ diàn gāo.Ice usually 15 to 20 minutes at a time; prop the leg up.
9. 小腿又疼又肿，要马上联系您的外科医生。Xiǎo tuǐ yòu téng yòu zhǒng, yào mǎ shàng lián xì nín de wài kē yī shēng.Painful, swollen calf: call your surgeon now.
10. 突然喘不上气，或者胸口疼，马上打911。Tū rán chuǎn bu shàng qì, huò zhě xiōng kǒu téng, mǎ shàng dǎ jiǔ yāo yāo.Sudden breathlessness or chest pain: call 911.

What’s in Module 7

1. Part 1 · Warm-UpWarm-Up: Knees and Stairs
2. Part 2 · Knee and Hip WordsReading the Pinyin · Saying 换膝盖 vs. Charting 全膝关节置换术 · Vocabulary · Flash Cards · The Weight-Bearing Order
3. Part 3 · Before and After SurgeryThe Surgery Talk · Whose Rule Is It? · Key Patterns · Knee Arthritis · The First Exercises · Straighten and Bend
4. Part 4 · The New HipHip Precautions · Reachers and Sock Aids
5. Part 5 · Safety & ConcernsSwelling, Ice and Elevation · Calf, Chest and Incision · What Patients Say · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 7 Knowledge Check
8. Part 8 · Wrap-UpModule 7 Homework · Take-Home Phrase Sheet · Module 7 Wrap-Up · 下次见