39 - Nursing Strategy for the Successful Unicompartmental Knee Arthroplasty
Objective: In order to improve the efficiency of surgical instrument management ,highten the professional level of nurses,focus the safety issue, we established a reference for the nursing management of unicompartmental knee arthroplasty (UKA).
Methods: Using observational study methods, the surgical technique, management of surgical instruments and design principle of instruments in the 107 patients underwent unicompartmental knee arthroplasty (UKA) were summarized and analyze.
Results: Among the patients underwent UKA, 85 were females (79.4%) and 22 were males (20.6%). Aged 52-85 years, males were in average 6 years older than females. The average procedure time was 90.17±14.66 (60min -125min). The average tourniquet time was 47.20±11.80(24-82min). All procedures were successfully completed and all the patients were recovered well. The orthopedic and operating room nurses team has developed pathways to improve the useage, management of orthopedic instruments for UKA with effective collaboration. During the operation, the orthopedic specialist nurses were responsible for the management of hospital instruments and foreign instruments, the instruments were arranged according to the sequential order during the procedures. It is very important to prepare for the transfer of total knee arthroplasty, use the minimalist design principle of measuring spoon, classification management of instruments, modified surgical position, implementation homogenization training to orthopedists and nurses, efficient collaboration between specialist nurses and orthopedists etc., as well as process management.
Conclusion: Specialized orthopedic nurses and orthopedic doctors cooperate effectively, learn together, constantly explore the innovation of technology, improve the quality of operations persistently. The improvement of techniques is helpful to the safety and the efficiency of the procedures.