HIP ARTHROPLASTY
Be careful with dislocation (full flexion, adduction and internal rotation)
Should be: supine, affected leg on neutral position, pillow to prevent adduction. KEEP LEG ABDUCTED and do not turn to operative site
Never flex >90
High seat chairs, semi reclining chairs and elevated toilet seats
Promote ambulation day after surgery
Monitor drainage (200-500 ml/24h is normal- 48h <30ml)
Monitor for infection. At risk: older, obese, poor nourished, smoking, corticosteroids, diabetes, RA, infections, MRSA, hematomas
SIGNS OF DISLOCATION:
Increased pain at surgical site, swelling and immobilization
Acute groin pain
Shortening of extremity
abnormal external rotating
inability to move the leg
Popping sound
Avoid: traveling long distances unless frequent repositioning is an option, tub baths, jogging, lifting heavy, excessive bending and twisting