After Hip Replacement Surgery
The time between the patient being taken to the operating room and returning to bed is longer than expected. This period includes preparing the patient before the surgery and keeping the patient under control until the patient regains consciousness after the surgery. Patients with general condition problems are kept in intensive care for a while. The patient whose vital functions are stable is taken to bed.
First day; There is a painful situation caused by having surgery for 4-6 hours. Painkillers and morphine-like drugs are used to ensure that the patient feels minimal pain. If necessary, pain is kept under control with a patient-controlled pain pump. After the patient regains consciousness, foot-leg pump exercises are started to ensure regular blood flow in the leg veins. At the end of 4-6 hours, it is ensured that the patient starts taking liquid and solid foods in a controlled manner.
The urinary catheter placed on the patient in the operating room is kept until the patient goes to the toilet on his own.
The drain placed in the operating field is removed at the end of 24-36 hours. is removed.
Except for special problems related to the patient's health status, patients; Painkillers, blood thinners and antibiotics are given to prevent infection.
Painkillers are given according to the condition of the pain. If there is no pain, it may not be used. Antibiotics are usually used for 2 or 3 days. In risky situations, this period may be extended. However, blood thinners are generally used for 35-40 days.
Day 1
The day after the surgery, the patient is examined for hip, knee and ankle joint surgery accompanied by a physiotherapist. exercises are given. According to the general condition of the patient; Sitting and standing are taught. First walking is achieved with the help of a walker. An x-ray is taken to evaluate the surgery.
What is the course after the surgery
2. From day one onwards, the amount and duration of walking are increased. Initially, the patient is allowed to walk with a walker, then with single or double crutches. This; It varies depending on the patient's health status, muscle strength and age. The patient is taught to sit, get out of bed, stand up and go to the toilet. Going up and down stairs and exercises to do at home before leaving the hospital is shown. Patients are generally kept in the hospital for 3-5 days.
After the patient is discharged, it is recommended to dress the wound every 2 days and remove the stitches after 2 weeks. The amount of sitting, standing, and walking is increased according to the patient's condition. Generally, in 7-14 days, walking can be achieved from double crutches to walking with a single crutch with elbow support.
Walking without support is recommended after 3 or 4 weeks.
Hip prosthesis. Patients who undergo surgery do not have any food restrictions. taking a bath; It is possible to start walking, provided that the surgery area is protected.
The movements that patients should not do after total hip arthroplasty surgery may vary depending on each patient's intraoperative findings. However, as a general rule, crossing one's legs, sitting cross-legged, and squatting on the ground are prohibited. Lying sideways on the operated side is generally not allowed for 4-6 months. While sleeping on the side, a pillow is placed between the legs for 6-8 weeks.
Advanced period
After these surgeries, usually; A painless hip joint is obtained. Although it varies depending on the time before surgery and hip movement rates, limping and gait impairment are negligible compared to before surgery. It generally provides a more comfortable daily life without pain or limping.
Check in the 1st month,3-6. If there are no problems after the check-up in months, the patient is usually called for a check-up once a year. Patients are warned against pain, infection or other problems. When symptoms suggestive of these problems are observed, it is recommended to come for a check-up without waiting.
Today, hip prostheses last 20-30 years. The patient's weight and daily lifestyle affect the durability of the prosthesis. For this reason, a quiet life is recommended.
By explaining what will happen after the surgery and comparing it with what he is experiencing now, the patient is helped to decide on surgery. However, the decision for surgery belongs to the patient. Family and relatives help the patient in this decision. According to the patient's expectations from the surgery, surgery is not performed until the patient is convinced for the surgery.
Some special procedures such as hip prosthesis surgeries due to hip fractures and hip joint deteriorations due to hip dislocation are performed. Hip prosthesis surgeries due to problems may differ from those described above.
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