You may resume your normal diet. It is important to maintain a healthy, balanced diet. Include plenty of fluids and fiber, as pain medicines tend to cause constipation.
- Pain Medications: A written prescription for pain medicine has been provided to you upon hospital discharge. Your goal should be to gradually decrease the use of pain medicine over the next 4-6 weeks. Take your pain medicine with food to avoid stomach discomfort andonly as needed.
- Constipation: To avoid constipation, taken over-the-counter stool softeners such as docusate sodium or Senna S twice daily and Miralax laxative once daily while on pain medication. If the combination does not alleviate your symptoms after 3 days, use a rectal suppository such as Dulcolax.
- Blood Clot Prevention: You will be prescribed a medication to prevent blood clot formation after surgery. Usually, this is a baby Aspirin 81 mg twice a day but will vary depending on risk factors. You must take this medication for at least 30 days.
- In some cases, an antibiotic will be prescribed to you for a period of 7-10 days, take as directed. You may also receive a prescription for a short course of oral steroids (dexamethasone) for pain and inflammation, and/or celebrex 200 mg daily.
- DO NOT TAKE ANY ADDITIONAL ANTI-INFLAMMATORIES LIKE ALEVE, ADVIL, MOTRIN, ETC UNLESS DIRECTED OR APPROVED BY YOUR PHYSICIAN
Please refer to your Joint Class Workbook for General Instructions and Exercises
- Rest periods: Gradually increase activity on a daily basis. The amount of time you spend out of bed and the number and distance of your walks should gradually increase each day.
- Exercises: Performing your exercise program as directed by the Joint Center and as instructed in the joint class, following the instructions given to you by your Hospital physical therapist. To gain full extension (straightening) of the leg, it is important to continue elevating her heel on a pillow, coffee table, or chair 2 times per day for at least 30 minutes.
- Weightbearing: You may put as much weight as is comfortable on your operative leg with activity. Use a walker or crutches while walking until you are comfortable and confident in your balance. Your therapist will help guide this process. It is advised to use a cane until you're able to comfortably apply full weight to the operated leg.
- Home physical therapy (PT): Therapy has already been set up for you at home or at an outpatient setting prior to your discharge. If therapy is not initiated within 2-3 days upon discharge, please call the office.
- Impact loading: Low impact activities such as golf, stationary bicycling, and slow dancing may begin in 6 weeks, while swimming is allowed at 4 weeks after surgery. All activities involving quick starts and stops, or impact loading, should be avoided to lower your risk of early loosening of the prosthesis.
- Bathing: Because it is difficult to get in and out of a bathtub, we recommend using a shower for bathing. A shower stall with a low entry step is recommended. You may use a high stool in the shower if there is space. You do nothave to cover your incision if Dermabond is used or if you have a waterproof Aquacel dressing. Simply shower and cleanse/dry the incision. No creams or ointmentson the incision for 4 weeks. If your incision was closed with staples, please keep it covered for the first week after surgery for showering.
- Wound care:Your incision may be warm, itchy, and slightly red for several weeks after surgery. Excessive redness, soreness, or drainage from the incision area should be reported to our office. If an Aquacel or special waterproof dressing is used, it will remain on for 7 days and then can be removed at home and then left open to air.
If you have a Prevena incisional wound vac:
Prevena Wound Vac Instructions:
- Leave wound vac on until 7 days after surgery, then remove.
- After removal, throw the entire system away, including pump.
- Be sure to plug in your wound vac at night (if you have the Prevena Plus 125 Pump).
- You may shower with wound vac in place; keep pump outside the shower and dry
- After removal of wound vac, keep incision covered with clean/dry dressing, replace as needed; IF SHOWERING, cover incision with waterproof dressing until sutures/staples are removed 2-3 weeks post-op
* Please call our Prevena representative with any questions or concerns about your wound vac (317-225-9859)
- Driving: You should not drive until you are given permission, approximately 3-4 weeks after surgery. While you are traveling as a passenger for the first 3-4 weeks following surgery, it is advised that you get out of the car at least hourly and take a short walk.
- Returning to work: The decision to return to work will be based on the type of work he do, your physical stamina, and whether you have other medical conditions. Recommend that you avoid making any major changes in her work or retirement plans until you recovery is complete.
Hip Precautions/Restrictions: For most standard total hip replacements, we ask that you do not cross your legs in front of you for the first three months and observe the precautions you learned while in the hospital. You may climb stairs and bend at the waist, but should avoid twisting and bending simultaneously.
If you had a revision surgery, your hip precautions may be different than above.
- Leg and ankle swelling: You may have some swelling in your operated leg that should gradually decrease. If swelling occurs, lie down, elevating your legs, and rest.
- Pain: Pain may be a result of overactivity. When you are in pain, sit or lie down, elevating your legs, and rest. If the pain does not subside, take the pain medication prescribed for you. Pain is a protective mechanism that helps to prevent over-usage and should not be ignored.
You are scheduled to see Dr. Huang for a follow-up appointment in 3-4 weeks, if any questions, please call the office to confirm.
Call our office at 765-776-3100 If you have:
- Temperature of 101° or higher
- Drainage from your incision
- Increasing redness around her incision
- Increasing pain around the incision, and relieved by pain medication
- Excessive calf or thigh pain and swelling that does not go away with elevation and rest
Your primary physician should be called for non-orthopedic medical conditions, such as diabetes, heart, and lung conditions.
ANTIBIOTIC PROPHYLAXIS AFTER TOTAL JOINT REPLACEMENT
For protection against the remote possibility of blood borne bacteria, carried from the mouth during a dental procedure, creating an infection in a total joint replacement, a combined task force of American Academy of Orthopedic Surgeons and the American Dental Association has made the following guideline recommendations:
Following total joint replacement, all patients are advised to take and antibiotic regimen for the following dental procedures FOR LIFETIME THERAPY:
- Prophylactic cleaning of teeth or implants
- Intraligamentous local anesthetic injections
- Periodontal procedures
- Root canal procedures
- Dental extractions
- Dental implant procedures
- Implementation of avulsed teeth
- Initial placement of orthodontic bands
The recommended antibiotic regimen (if not allergic to penicillin) is amoxicillin, cephalexin (e.g. Keflex), or cephradine two (2.0) grams orally 1 hour prior to the dental procedure.
For patients with a penicillin allergy, the recommended antibiotic is clindamycin (Cleocin) 600 mg orally 1 hour prior to the dental procedure
Antibiotic prophylaxis is not warranted for dental procedures for patients with previously placed orthopedic pins, plates or screws.
The above recommendations are considered minimum guidelines. Your doctor and/or dentist are responsible for making individual treatment recommendations to you based on their clinical judgment.