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Patient Resources Patient Education Post-Operative Hip Instructions

Post-Operative Hip Instructions

We appreciate you taking the time to acquaint yourself with the current protocol for Dr. Christoforetti's hip arthroscopy patients. Your support as a friend or family member during the recovery journey is invaluable. Thank you for your kindness and dedication! Please note that while these are general guidelines, they do not replace the skilled instruction and personalized adjustments necessary for a typical post-surgical recovery process.

 

General Instructions

Patients come back to Dr. Christoforetti’s clinic the day following their surgery for a follow-up, and on the same day, physical therapy is commenced (the first day after surgery).

In hip arthroscopy, small incisions are made in the skin, and slightly larger ones in the ligament capsule surrounding the hip joint. The postoperative leg positioners, hip brace, and Continuous Passive Motion machine (CPM) are intended to initiate proper healing of the deep incisions.

Dr. Christoforetti emphasizes the importance of early and expert physical therapy, coupled with the personalized involvement of a caregiver, to achieve optimal recovery.

Your dedication to assisting the patient with therapy and ensuring proper leg positioning will significantly enhance their recovery outcome in a positive manner!

Patient Position

For the first night after hip arthroscopy, all patients are required to remain on their backs in bed; no prone (stomach) or side-lying sleeping is permitted during the initial postoperative period.

The unaffected leg should always be equipped with thigh-high TED hose.

Following hip arthroscopy, patients should spend 20 consecutive minutes lying on their bellies with their legs flat on the bed three times daily for the first two weeks after surgery.

Hip Brace Use

All hip arthroscopy patients undergo pre-fitting for a hip brace by a representative in the office. The brace is configured to permit full hip extension and 90 degrees of hip flexion. It should be worn whenever the patient is not in the CPM device or during formal physical therapy sessions.

To apply the brace, wrap the padded waist strap around the torso just above the level of the pelvic brim. Attach the thigh straps to the surgical thigh loosely, ensuring the strap maintains contact around the entire thigh but with enough slack to comfortably slide one finger between the strap and the thigh.

CPM Use

The Continuous Passive Motion Machine (CPM) is crucial for preventing adhesion formation within the joint. Patients are required to use the CPM machine for six hours daily for the first two weeks postoperatively, although this duration may be extended at Dr. Christoforetti’s discretion.

During CPM use, the foot should be positioned in a toes-up orientation. The machine's settings should range from 0 to 90 degrees.

 All patients receive a Continuous Passive Motion Machine (CPM) delivered to their home prior to surgery.

Pendulums

The home caregiver will receive instructions on performing pendulums during a visit to Dr. Christoforetti’s office. This gentle passive circular exercise involves positioning the hip flexion between 30° to 70°. Both the patient and caregiver will be taught how to prevent hip flexor muscle firing and guarding. Pendulums should be carried out for 20 minutes continuously three times daily for the initial two weeks following surgery.

Ambulation Status

Hip arthroscopy patients are limited to 20 lbs. of foot-flat weight bearing with crutches during the initial two weeks following surgery.

Medications

Postoperative medications are prescribed and dispensed before surgery for hip arthroscopy patients. The typical regimen comprises a pain medication, a sleep aid, a nausea medication, and a nonsteroidal anti-inflammatory drug (NSAID) such as Indocin, naproxen, or Celebrex to prevent the bone formation in the soft tissues of the hip post-surgery. While in the hospital, medication specifics may vary, but it is essential to include an NSAID.

Patients are advised to take all medications as prescribed on an as-needed basis, EXCEPT for the NSAID pill, which must be taken as prescribed on a scheduled dose with food.

Dressing Change

On the first night after surgery, the bulky postoperative dressing may show signs of drainage. Simply reinforce the dressing as necessary.

The following morning, the bulky dressing will be removed, and the skin will be cleansed. A small adhesive OpSite Dressing will then be applied. For the first week, whenever the dressing becomes wet or soiled, it is important to remove the dressing, clean the skin gently with a soft cloth and water, and reapply a fresh OpSite Dressing.

Leaving the Hospital

Typically, for outpatient procedures, patients will follow up with Dr. Christoforetti or his staff the DAY after surgery and then proceed to physical therapy on the same day. It is essential to preschedule this visit before the surgery.

If the patient is staying overnight, they will undergo a session of physical therapy that must involve the primary caregiver's participation. Additionally, they will have a follow-up session scheduled with a preselected outpatient therapist, as well as a 2-week postoperative visit scheduled with Dr. Christoforetti.

Showering

Patients are permitted to shower 48 hours after surgery. However, bathing, hot tubs, or swimming pools are not allowed. Additionally, patients should refrain from scrubbing or vigorously drying the incisions.

Driving

Patients are prohibited from driving until they have ceased all sedating medications and are no longer dependent on crutches. For surgeries on the right hip or standard transmission driving, the earliest allowable driving time is 6 weeks postoperatively. For surgeries on the left hip, driving may resume as early as 2 weeks postoperatively.

School or Work

Return to school or work will differ for each patient, but typically, the first two weeks postoperatively are dedicated solely to recovery. It is advisable to make arrangements in advance so that students can receive school assignments during this period.

Post-Operative Hip Instructions for Patients of Dr. Christoforetti in Montgomery County, Maryland

For any questions regarding post-op instructions, reach out to Dr. Christoforetti by contacting The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division at (301) 515-0900.

Doctor in a white coat explaining post-operative hip instructions to his female patient.
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Bethesda, MD 20817

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19847 Century Boulevard, Suite 205
Germantown, MD 20874

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1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.