How to prevent problems after THR

Prevention of Blood Clots in the Leg

The risk is high in the first several weeks after surgery as mobility is reduced. If these clots break off they may migrate to the lungs and cause a highly fatal condition called pulmonary embolism. Compression stockings and blood thinners will be advised at discharge for several weeks. 

Warning Signs of Blood Clots in the Leg Include: 

  • Increasing pain in the calf
  • Tenderness or redness above or below the knee
  • New or increasing swelling in the calf, ankle or foot

Warning Signs of Pulmonary Embolism Include:

  • Sudden onset, shortness of breath
  • Sudden onset chest pain
  • Localized chest pain with cough
  • Sputum which is blood tinged

Preventing Infection

Infection of the implant can occur from bacteria in the blood stream. The bacteria may come from dental procedures, urinary tract infections or skin infections. After THR patients may need to take a course of antibiotics for dental work or other surgeries however small. 

Warning Signs of Infection

  • Persistent fever (higher than 1000 degree)
  • Chills and rigors
  • Increasing redness, tenderness or swelling at the operation site
  • Drainage from operation site
  • Pain both at rest and on movement

Avoiding Falls 

Falls can damage the hip and a redo surgery may be needed. Stairs are to be avoided until the strength in the hip returns with improved flexibility and balance.

Prior to discharge you will receive details of special precautions to follow.

 

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