Pre & Post Operative Instructions
Dr. Kolisek requires each patient to have a body mass index (BMI) of less than 36 prior to surgery, to decrease the risk of complications and infection.
Before surgery, avoid taking narcotic pain pills. If you develop a tolerance to pain pills before surgery, then it will be more difficult to control your pain after surgery and your outcome could be compromised due to your inability to perform therapy afterward.
After Surgery:
You will be discharged from the hospital when you are able to get in and out of bed and walk with crutches or a walker. You can expect to be in the hospital after hip or knee surgery for approximately 2-3 days. For revision, complex hip or knee surgery, you can expect to be in the hospital for 4-5 days. Most patients will return home upon discharge. If you live alone, you will need someone to stop by every day to check on you. You will not have to be transported to therapy.
Discharge Instructions
Post-operative Activities:
- Change your dressing daily.
- Apply ice to the incision 3 to 4 times daily.
- Use a walker or crutches at all times.
- Wear both TED stockings except during bathing.
- Shower only if you feel safe; the incision may get wet.
- Bear weight as tolerated on leg(s).
- Elevate leg(s) 3 times daily.
- Do not reach below your knees after hip surgery.
- Do not drive for one month.
Medications
Take pain medicine as ordered.
Take Coumadin, if ordered, for one month (blood will be drawn to monitor). Do not take aspirin.
Take coated aspirin (Ecotrin 325 mg) one tablet twice each day with food for 1 month if not on Coumadin.
Take your usual medicine at home. (Do not take aspirin or arthritis medicine if on Coumadin.)
What to Expect
While some pain is to be expected, we'll help you manage it.
Swelling at the incision and ankle.
Bruising (sometimes, all the way to the foot).
Follow-up Appointment
Usually 8 to 12 days after surgery, your doctor will give you follow-up instructions and directions.
When to Call a Doctor
Fever: If your temperature goes over 101 degrees. It is common to run a low-grade temperature less than 101 degrees. Be sure to breathe deeply and ambulate.
Redness: If skin around the wound becomes more red or swollen. Expect some redness along the incision line.
Drainage: If there is increasing drainage coming from the wound. It may be clear or creamy.
Odor: If there is a foul smell that seems to come from the wound.
Swelling: If you experience excessive leg swelling not relieved with ice and elevation.
Pain: If you have severe pain and swelling in the calf of the leg.
Breathing: If you have shortness of breath or trouble breathing.
Chest Pain: If you experience chest pain, severe indigestion or a feeling of heaviness in the chest.
