Walking and moving as much as you can is also preventative. Once discharged home take one baby aspirin(81mg) a day for 2 weeks. In the hospital you are given shots in the belly called Lovenox and have pneumatic compression devices on your legs. There are several ways to decrease the risk of this complication. Patients with pelvis and leg fractures are at risk to get blood clots in the legs that can dislodge and travel in the bloodstream to the lungs causing disability or death. Move your hip, knee, and ankle as much as possible to avoid getting stiff. You will have pain in your leg while it heals but it is safe to walk on it. You can be weightbearing as tolerated immediately after surgery. They will be removed at your first postoperative follow up appointment 10-14 days after surgery. Your wound has been closed with sutures or staples depending on your surgeon’s preference. High blood sugar can put you at risk for infection, wound complications and the bone not healing (nonunion). If you are diabetic keep your blood sugars well controlled. Edible use avoids the other risks associated with smoke inhalation and has more controllable dosing. THC use avoids the constipation and addiction potential associated with narcotic use. In Nevada, marijuana is legal, and you do not need a doctor’s prescription to get it. THC and CBD products can be helpful for postoperative pain and decrease the amount of narcotics you need. If these rules are bent, the orthopedic surgeon can lose his medical license, insurance contracts and be unable to care for other patients like you. If you need prolonged narcotics, we can refer you to a pain management specialist. If you already get narcotics from your primary care doctor or pain management doctor the orthopedic surgeon cannot write you a separate prescription. This must be prescribed in only a 5 day supply each time. The orthopedic surgeon by law can only give you narcotic pain medicine for 2 weeks after surgery. Do not take more than 4 grams of Tylenol a day or it can hurt your internal organs. It is ok to take anti-inflammatory medicine like Motrin (ibuprofen) or Tylenol (acetaminophen) as well. You have been given a prescription for narcotic pain medication. Do not immerse your wound in a bath or hot tub until your stiches or staples are removed Pain Control If it gets wet, remove the bandage, and place a new one. Your dressing from surgery is waterproof. You may shower immediately after surgery. If it is leaking, replace dressing with a clean gauze pad and tape. If the wound is dry, you do not need to cover it with a new bandage. After 2 days you can take off the dressing. Your wound was closed with either sutures or staples. You will be seen at 2 weeks, 6 weeks and 3 months from surgery where the provider will examine you and x-rays will be taken to follow bone healing. If you do not have one, please call the office to schedule at 77 as soon as you can. Usually, this appointment is made when you schedule surgery. You should see your surgeon or his physician assistant 10-14 days after surgery. In the hospital you will meet with physical therapists, occupational therapists, social workers and physical medicine and rehabilitation doctors who will help find which solution is best. If a patient is unsafe on their own, they will need to go to a skilled nursing facility or rehabilitation hospital. Others can go home with a Home Health Agency checking in on them to help with bathing and therapy. Most patients stay in the hospital after hip surgery for 1-2 days. Home Health vs Skilled Nursing Facility vs Rehabilitation Hospital Postoperative x-ray of an intramedullary nail. John Zebrack, MD General Orthopedic Surgery Jeffrey Webster, MD General Orthopedic Surgery Nichole Joslyn, MD Hand & Upper Extremity Thomas Christensen, MD Hand & Upper Extremity James Christensen, MD Hand & Upper Extremity Nikola Babovic, MD Hand & Upper Extremity
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