Total arthroscopic hip replacement---through one or two small incisions---is now commonplace. This minimally invasive procedure, during which the head of the thighbone and the hip's ball and socket are replaced, has a significantly shorter recovery time. If you have arthroscopic hip surgery, you will need to follow these post-operative instructions.
Immediately After Surgery
Eat and drink conservatively immediately following surgery, as the anesthetic may affect your digestion. You may wish to drink only clear liquids, such as ginger ale or Sprite for the first 24 hours. Also during that time period, eat only dry crackers or toast. If vomiting or nausea is severe or if you have a temperature above 101 degrees, call your doctor or the hospital. A slight fever, however, is not uncommon.
Minimize Swelling
To minimize swelling in the first 72 hours, you should elevate the affected limb. Frequently apply ice, as well, especially in the first 48 hours. Use a large zip-lock bag with ice or a large ice pack.
Care for Bandages
Your incision will have been stitched closed, then covered with bandages. These bandages should remain in place for 24 hours. It is normal for these to be tinged with blood or fluids, but if bright red blood continues despite elevation and ice, call your doctor. On the second or third day following surgery, remove the outer bandages (not any strips or stitches) and replace them with adhesive ones.
Keep Wound Dry
Keep your wound dry and clean for 48 hours following surgery. Shower by covering your wounds with plastic or take a sponge bath. On the second day you may shower with the wound exposed, but don't scrub it or submerse it in water. Avoid taking a bath or swimming in a pool for the first one to three weeks following surgery, depending on your doctor's instructions.
Follow Medication Instructions
Patients often report increased pain the second or third day after surgery. Be sure to use pain medication as directed. If it is a narcotic, be wary of driving or operating machinery when you are under its influence. In addition, ask your doctor about taking a baby aspirin daily to lower the risk of blood clotting.
Exercise
Exercise is important to post-operative care. Unless your doctor states otherwise, full weight bearing exercises are not recommended. You may use crutches, a walker or cane for balance but not to support you. For the first week, range-of-motion exercises, as well as straight leg lifts and foot extensions, are encouraged and may be started the evening of surgery. However, you are advised not to overexert yourself.
