Post-Surgery
Physical therapy begins quite soon after hip replacement surgery. At
first you will need a walker to walk, then crutches.
You will return to the doctor two weeks after surgery to have the
sutures [staples] removed. After about a month, you will have another
visit with the doctor for x-rays to check on the hip's healing. By six
months, you should be able to walk, climb stairs, and even ride a
stationary bicycle for exercise.
But the successful recovery of your hip is dependent mainly on how
committed you are to your required physical therapy program and
strengthening exercises.
There are a number of things to watch for after any form of surgery:
call your doctor if you notice any drainage or foul odor from your
incision, or if your temperature rises to over 100.4 degrees. Your
doctor should also be notified of any increased tenderness, redness, or
swelling. The incision can be cleaned once a day with regular soap and
water, and then dried carefully. If redness or drainage from the wound
is noted, please notify your physician immediately.
Major surgery, like hip joint replacement, requires a period of
adjustment. Take it easy during this time, trying to focus on the
healing process and in gradual, practical improvements to your general
condition. Remember, your muscles are weak because it hurt too much to
exercise them. Now is the time to get your strength back. It is
important to exercise your legs, as this reduces swelling. Elevate your
legs above your heart whenever you are at rest.
Hip replacement surgery is an elective procedure that is nearly
always successful in improving the strength and decreasing pain in a
disabled hip joint. Although this surgery is usually without any
significant problems, there may occasionally be unforeseen complications
associated with anesthesia, including respiratory or cardiac
malfunction. The procedure itself may be complicated by infection,
injury to nerves and blood vessels, fracture, weakness, stiffness or
instability of the joint, pain, or the need for additional surgeries.
Another complication that can occur is a dislocation. This usually
occurs within a few weeks of surgery. Moving the hip in certain ways can
cause this and you should be aware of proper precautions to prevent
this. If your hip does dislocate, you will have immediate pain and be
unable to bear weight. Go to the hospital emergency room for treatment.
Patients who may be at increased risk for complications include those
who are immuno-compromised in some way, such as patients with severe
rheumatoid arthritis or systemic lupus. Those with disease, drug, or
radiation-induced immuno-suppression are also at increased risk, as are
patients with insulin-dependent (Type 1) diabetes, malnourishment,
hemophilia, or those who have had previous prosthetic joint infections.
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