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| Total
Hip Replacement |
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| Things to take
care after Surgery |
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Your Stay
in the Hospital
You will stay in the hospital for a few days. After surgery, you will feel
pain in your hip. Pain medication will be given to make you as comfortable
as possible.
To avoid lung congestion after surgery, you will be asked to breathe deeply
and cough frequently.
To protect your hip during early recovery, a positioning splint, such as
a V-shaped pillow placed between your legs, may be used.
Walking and light activity are important to your recovery and will begin
the day after your surgery. Most hip replacement patients begin standing
and walking with the help of a walking support and a physical therapist
the day after surgery. The physical therapist will teach you specific exercises
to strengthen your hip and restore movement for walking and other normal
daily activities.
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Possible
Complications After Surgery
The complication rate following hip replacement surgery is low. Serious
complications, such as joint infection, occur in less than 2 percent of
patients. Major medical complications, such as heart attack or stroke,
occur even less frequently. However, chronic illnesses may increase the
potential for complications. Although uncommon, when these complications
occur they can prolong or limit your full recovery.
Blood clots in the leg veins or pelvis are the most common complication
of hip replacement surgery. Your orthopaedic surgeon may prescribe one
or more measures to prevent blood clots from forming in your leg veins,
such as special support hose, inflatable leg coverings, and blood thinners.
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Your
Recovery at Home
The success of your surgery will depend in large measure on how well you
follow your orthopaedic surgeon's instructions regarding home care during
the first few weeks after surgery.
Wound Care: You will have stitches or staples running along
your wound or a suture beneath your skin. The stitches or staples will
be removed about two weeks after surgery.
Avoid getting the wound wet until it has thoroughly sealed and dried. A
bandage may be placed over the wound to prevent irritation from clothing
or support stockings.
Diet : Some
loss of appetite is common for several weeks after surgery.
A balanced diet, often with an iron supplement, is important
to promote proper tissue healing and restore muscle strength.
Be sure to drink plenty of fluids.
Activity : Exercise
is a critical component of home care, particularly during
the first few weeks after surgery. You should be able to
resume most normal light activities of daily living within
three to six weeks following surgery. Some discomfort with
activity, and at night, is common for several weeks.
Your activity program should include:
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A graduated walking program initially
in your home and later outside. |
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Walking program to slowly increase your mobility
and endurance. |
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Resuming other normal household activities. |
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Resuming sitting, standing, walking up and down stairs. |
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Specific exercises several times a day to restore
movement. |
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Specific exercises several times a day to strength
your hip joint. |
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May wish to have a physical therapist help you at
home. |
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Avoiding
Problems After Surgery
Blood Clot Prevention Follow your orthopaedic surgeon's instructions carefully
to minimize the potential risk of blood clots which can occur during the
first several weeks of your recovery.
Warning signs of possible blood clots include: Pain in your calf and leg,
unrelated to your incision. Tenderness or redness of your calf. Swelling
of your thigh, calf, ankle or foot.
Warning signs that a blood clot has traveled to your lung include: Shortness
of breath.
Chest pain, particularly with breathing.
Notify your doctor immediately if you develop any of these signs.
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Preventing
Infection
The most common causes of infection following hip replacement surgery are
from bacteria that enter the bloodstream during dental procedures, urinary
tract infections, or skin infections. These bacteria can lodge around your
prosthesis.
Following your surgery, you should take antibiotics
prior to dental work, including dental cleanings, or any
surgical procedure that could allow bacteria to enter your
bloodstream.
Warning signs of a possible hip replacement infection are: Persistent fever
(higher than 100 degrees orally). Shaking chills. Increasing redness, tenderness,
or swelling of the hip wound. Drainage from the hip wound. Increasing hip
pain with both activity and rest.
Notify your doctor immediately if you develop any of these signs.
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Avoiding
Falls
A fall during the first few weeks after surgery can damage your new hip
and may result in a need for more surgery. Stairs are a particular hazard
until your hip is strong and mobile. You should use a cane, crutches, a
walker, or handrails, or have someone help you until you improve your balance,
flexibility and strength.
Your surgeon and physical therapist will help you decide what assistive
aides will be required following surgery, and when those aides can safely
be discontinued.
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Other
Precautions
To assure proper recovery and prevent dislocation of the prosthesis, you
must take special precautions. Do not cross your legs. Do not bend your
hips more than a right angle (90 degrees). Do not turn your feet excessively
inward or outward. Use a pillow between your legs at night when sleeping
until you are advised by your orthopaedic surgeon that you can remove it.
Your surgeon and physical therapist will give you more instructions prior
to your discharge from the hospital.
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