General Post-Operative Information

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What to Expect

After surgery, there is a variable amount of pain and swelling, often depending on how much surgery was done. This usually diminishes after several days. It is helpful to keep the leg or arm elevated above your heart and to apply ice regularly.

What to Report Immediately

Signs and symptoms to report:

  • Persistent fever

  • Sudden increase in pain or swelling

  • Wound redness, drainage, or increased skin temperature around the incision

  • Increasing numbness

  • Deep calf pain and/or swelling

  • Shortness of breath


Wound Care

  • You may de-bulk the dressings (if there is a bandage) by taking off the bandages and leaving the waterproof dressings underneath intact at 3 days. 

  • Keep dressings intact for two weeks till review unless there is strikethrough of considerable amount of blood or ooze. 

  • You may shower in 3 days with the incision covered. Keep it clean and dry. 

  • Do not get into a tub or pool until after your post op review with your specialist.

Icing

  • It is recommended that you ice your surgery site. Ice in a bag with cloth covering can be used fairly consistently for the first 24 to 48 hours to help diminish the swelling.

  • After the 48 hour period, if it is comfortable for you, you may apply ice packs to the hip 3-4 times per day for 30 minutes until swelling is resolved.

Crutches and Mobility

  • You may require crutches or upper limb immobilization such as a sling

  • Non weight bearing is no weight at all through you affected leg

  • Touch weight bearing, is toe touching the ground only (imagine you are walking on an egg shell)

  • Partial weight bearing is usually 1/6 of your body weight

  • Full weight bearing is usually with or without crutches.

Physiotherapy

  • This is highly variable and depends upon the surgery undertaken and the rehabilitation protocol we would like you to follow

  • You may wish to set up an appointment with physiotherapy in advance (2-3 sessions/wk)

  • For the first two weeks until formal physical therapy, you may do the exercises advised by your specialist and your physiotherapist:

    • No weight lifting or water therapy during first two weeks.

    • If an exercise is painful, stop doing it or do it within the limits of motion that is not painful. 

    • Major therapy gains are not achieved during the first two weeks. This is mainly a recuperative period. 

Pain Control

  • You will be prescribed a specific pain control regime by your surgeon and your anaesthetist depending upon the operation performed.

  • Use the medicine as prescribed and do not drive, drink alcohol, or perform duties that require concentration (i.e. School or work) while on the narcotic medication. 

  • If the pain control is ineffective or causing side effects please contact your surgeon or your anaesthetist to discuss.

Driving

  • You may not drive at least until your post-op visit, or as directed

When Can I Return to Work?

  • This depends upon the type of work that you do and the surgery that you are having.

  • Most surgeries will require at least 2 weeks leave from work or school.

  • Please discuss this in further depth with your surgeon during your consultation

Who to Call

If you have any problems please call our office on 03 57525020 or 1300 bone joint (1300 266 366)

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