POSTOPERATIVE INSTRUCTIONS – Abductor Repair
October 1, 2018
- WB as tolerated
- Brace 6 weeks limiting adduction
- PROM at week 1
- No CPM
Begin strength: hip flexion, adduction, Knee open chain flexion/extension
Avoid strength with ER, Extension, and Abduction
MOVEMENT AND BRACING
After your surgery you will be placed in a hinged hip brace that is worn around your waist and your thigh. You are to wear this at all times except when bathing.
The hinged hip brace will be preset to limit flexion of your hip to protect the repair. This will be based on the amount of required repair. You may only move within this preset range of motion. The limits of your brace will be adjusted at your post-operative visits.
For the first two weeks you will be partial weight bearing. You will progress to full weight bearing after your first post-operative visit.
An ice machine will be provided to you prior to your surgery. This will help decrease swelling and pain after your surgery. Use the ice machine as much as possible when you get home at intervals of 20 minutes on and off. You should keep the ice machine for approximately two weeks. Do not use the ice machine while you are sleeping.
If you were not provided an ice machine, regular ice will suffice.
If you were given a nerve block for anesthesia, it will wear off over 18-24 hours. During this time you will have little to no feeling in the body part where you had surgery (i.e. leg). Please be careful and use your brace or crutches during this time to avoid any falls after your surgery. Also, an injection of local anesthesia was injected into your hip after the completion of the operation. This medication will wear off in 5 to 6 hours. To control your pain during this transition while the nerve block is wearing off, you are to eat first and then begin taking the pain medication (e.g. Vicodin, Percocet, etc) immediately when you get home from surgery. This will prevent you from having severe pain. Take the pain medication every 4 hours until you go to bed.
You have also been given an anti-inflammatory prescription called Naprosyn. You should begin taking this medicine the night of the surgery. You are to take 500mg (1 tab) two times daily. This medicine serves two purposes: 1. It will help cut down on the use of the narcotic medicine, and 2. Prevent bone from re-growing around the hip joint. You are to take this medication for an entire month.
A sleeping medication (e.g. Ambien) is also provided to help you sleep at night. Take one tablet 30 minutes before you plan to sleep.
Your hip dressing is waterproof. You may shower the next day after surgery and pat the dressing dry. Do not remove the dressing at any time. Your dressing will be removed once your incisions are checked at your first post-op visit.
You may drive 3 to 5 days after surgery if you are not taking pain medication. If your right leg is the operative side, then you must have good control of your leg in the brace prior to driving.
It is normal to have an elevated temperature during the first 2-3 days post-operatively. Please call our office if your temperature is above 101oF, if there is increased redness around the incision site, or if there is increased drainage from the incision site.
Please call the office prior to, or immediately following, your surgery in order to schedule a post-operative appointment. This should be scheduled 7-10 days after surgery. At that visit your stitches will be removed and you will be given a prescription for physical therapy.