JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/JCNR.v10i9.15813ArticlePerioperative Nursing Care of a Patient with Severe Osteoporosis Undergoing Secondary Revision Hip Arthroplastyhttps://artdesignp.com/journal/JCNR/10/9/10.26689/JCNR.v10i9.15813DongYi,ZhangFuyu,JiangYunfei,ZhangQin,GaoShuping,YangDan20261092026-10-23To summarize the perioperative nursing experience of a patient with severe osteoporosis undergoing secondary revision hip arthroplasty. Nursing key points: multimodal analgesia management for complex pain; empowering psychological intervention and anxiety management; preventive nursing for high-risk prosthesis dislocation; prophylactic nursing for extremely high-risk thrombosis; multidisciplinary collaborative anti-infection nursing; and continuous rehabilitation nursing. After 3 weeks of systematic nursing, the patient’s Numerical Rating Scale (NRS) pain score decreased from 6 at activity to 2, anxiety improved, and no complications such as dislocation, thrombosis, or wound infection occurred. The patient was discharged on schedule. Follow-up at 4 and 12 weeks after discharge showed stable mood and good rehabilitation compliance.Hip revision arthroplasty, Severe osteoporosis, Psychological nursing, Perioperative nursing, Case nursing

[1]       Yang M, Yang J, Wang X, et al., 2026, From Bench to Bedside: A Novel Suture-Augmented Prosthesis for Greater Trochanteric Fixation in Osteoporotic Hip Arthroplasty. Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology. [2]       Serrano G, Grosso O, Romero O, et al., 2026, 15-Year Experience with Tapered Fluted Modular Titanium Stems in Revision Hip Arthroplasty and Complex Femoral Reconstruction: A Long-Term Survivorship Analysis in a Tertiary Care Centre. Hip International: The Journal of Clinical and Experimental Research on Hip Pathology and Therapy, 11207000261427712. [3]       Chen G, 2024, Analysis of Risk Factors Associated with Lower Limb Length Discrepancy After Total Hip Arthroplasty, thesis, Dalian Medical University. [4]       An S, Zheng Q, 2023, Nursing Care of a Patient Undergoing Second Revision Surgery for Prosthesis Dislocation into the Pelvis After Hip Arthroplasty. Journal of Nurses Training, 38(23): 2184–2187. [5]       Liu Y, Shi Y, Wang L, et al., 2019, Nursing Care of Patients with Repeated Revision for Prosthesis Dislocation After Total Hip Arthroplasty. Journal of Nurses Training, 34(17): 1598–1600. [6]       Du Y, Zhou X, 2025, Patient Perioperative Care After Second Revision Surgery for Obturator Dislocation After Hip Joint Replacement for Femoral Neck Fracture. Asian Journal of Surgery, 48(9): 5780–5781. [7]       Ahsan P, Rahaman M, Jahan I, et al., 2024, Two Stage Revision Total Hip Arthroplasty for Enterobacter Induced Periprosthetic Joint Infection in an Elderly Female: A Case Report. Journal of Orthopaedic Case Reports, 14(11): 103–109. [8]       Yumei F, Yixin Y, 2026, Comparison of ERAS-Based Multimodal Pain Nursing Versus Conventional Analgesic Care on Postoperative Pain and Recovery After Total Hip Arthroplasty: A Retrospective Study. Medicine, 105(1): e46508–e46508. [9]       Wu A, Liu H, Fang T, et al., 2026, The Effects of PERMA Model-Based Positive Psychological Intervention on Fear of Disease Progression and Subjective Well-Being in Patients After Coronary Artery Bypass Grafting: A Retrospective Cohort Study. Frontiers in Cardiovascular Medicine, 13: 1784517. [10]     Du Y, Zhou X, 2025, Patient Perioperative Care After Second Revision Surgery for Obturator Dislocation After Hip Joint Replacement for Femoral Neck Fracture. Asian Journal of Surgery, 48(9): 5780–5781.