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Location

1675 E. Melrose St.
Gilbert, AZ 85297

Contact

480.964.2908

Residency

Hospital for Special Surgery

Medical School

University of Utah

Fellowship Training

Kerlan-Jobe Orthopaedic Clinic

Hospital Affiliations

Arizona Spine & Joint Hospital
Banner Baywood Medical Center
Banner Ironwood Medical Center
Banner Gateway Medical Center
Gateway Surgery Center
Mercy Gilbert Medical Center
Phoenix Children’s Hospital
Arizona General Hospital–Mesa

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POST-OPERATIVE EDUCATION: HIP ARTHROSCOPY

WEIGHT BEARING & BRACE: This is dependent on the procedure performed:

Labrum Debridement, Psoas Lengthening and/or Chondroplasty: Crutches may be used for up to 6 weeks following surgery. During this time you will put up to 50% of your weight on your operative leg. Do NOT hold your foot in the air while you walk with crutches; rather put up to half of your weight as tolerated on your leg with your foot flat on the ground. Your surgeon will discuss further advancement of weight-bearing status at your follow-up visits. If you were dispensed a brace, this should be worn at all times for walking, even at home. We DO want you to be up and around at home as much as possible after surgery.

Labrum Repair or Reconstruction and/or Osteoplasty: Restrictions as above.

Microfracture: You may NOT put your weight on your operative leg. That means that you MUST use crutches or a walker EVERY TIME you walk for 6 weeks. We DO want you to be up and around at home as much as possible after surgery. You will be “toe-touch” weight-bearing, which means you will place your foot flat on the ground to “hold your place,” but will not put any weight on the foot. Do NOT hold your foot in the air while you walk with crutches; if you are doing this correctly, all muscles in your hip and leg will be relaxed.

MOVING YOUR HIP:

It is OK for you to start moving your hip right away. You should not push past the points of pain, bend at the waist past 90⁰, or extend your leg behind you. The brace will help protect from undesired motion. You should begin using the continuous passive motion machine (CPM) the day of surgery as directed. If you have learned how to do circumduction exercises prior to surgery, you may begin these immediately as tolerated. You will learn to do them at your first therapy visit or postoperative clinic visit. Use the wedge pillow, a strap around your feet, or the brace when sleeping to prevent your foot (and hip/leg) from rotating out following surgery. You may also sleep in the CPM if this is more comfortable.

LEG EXERCISES:

You will learn exercises in Physical Therapy, which should start within 3 days of surgery.

ICE:

Please note that with the dressings placed during surgery, you may notice decreased benefit from the ice. Use as needed and if you notice benefit. Ice is most helpful in the first 3 days after surgery, but can help up to 2 weeks after surgery. We do not recommend that you use heat, as this can increase swelling.

If you chose to purchase a commercial ice machine, please use it according to manufacturer’s recommendations.

If you chose not to purchase an ice machine, you may use a commercially available ice bag or fill a large plastic bag with ice and water. (Do not place a plastic bag directly on your skin, rather place a towel on your hip in between your skin and the ice bag.) You can ice your hip 20 minutes on and 20 minutes off throughout the day. Do not ice an area longer than 30 minutes at a time, as this can cause frost bite.

BANDAGES:

You may remove tape and WHITE gauze the morning after surgery. Please leave the YELLOW gauze on your skin and cover with Band-Aids. You may remove the Band-Aids and gauze to shower THREE DAYS after surgery. If you have white Steri Strips, DO NOT remove them. It is OK to get your incisions wet after the bandage is removed, but it is very important not to soak the incision underwater (no bath, pool, hot tub etc.) for 3 weeks. It is OK to wash the incisions gently with soap and gently pat dry with a towel. Do not place any lotion or other ointment on your incisions. You may cover them with Band-Aids for comfort if they catch on your clothing.

MEDICATIONS:

Required Medications:

Diclofenac: This anti-inflammatory may assist in pain control, but more importantly prevents your body from forming abnormal bone around the hip as a result of the surgery and helps prevent blood clots.

Ecotrin (stomach-protective aspirin): To be taken for 4 weeks upon completion of diclofenac (day 15 after surgery) for ongoing prevention of blood clots.

Doxycycline: An antibiotic that improves healing of the hip joint.

Losartan: Often used for blood pressure; it has also been shown to help healing of the hip joint.

Omegapure, Synovx, Xcellent C: These medications aide in joint and cartilage health and recovery. Please refer to

your surgeon’s recommendations for pharmacy locations.

Additional medications:

Narcotic pain medicine (such as Percocet – oxycodone or Norco – hydrocodone): Take this AS NEEDED only. Start with Percocet (stronger) if given a prescription for multiple narcotics. Transition to Norco (less potent) as your pain improves. You may stop narcotics whenever you can tolerate the pain. Do not take additional Tylenol (also called acetaminophen) with these medicines, as they already have Tylenol in them. You may SUBSTITUTE Tylenol for a narcotic pill if you choose to. Be certain that you do not exceed the maximum Tylenol dose on the Tylenol bottle.

Stool softener: Pain medicines often cause constipation. It is best to take this medicine when you start taking narcotics and before you have a problem.

Zofran (ondansetron): You may take this medication if you are having nausea or vomiting.

Robaxin (methocarbamol): This muscle relaxer may help with spasms experienced commonly after hip arthroscopy.

You may also use SCDs (sequential compression devices) following surgery. These squeeze your legs, and are further protection against blood clots. Compression stockings should be worn for 3 days, with short breaks.

FOLLOW-UP APPOINTMENTS:

You should have a follow-up appointment with your surgeon in about 2 weeks. You may also have an additional visit with the Physician’s Assistant within a few days of your surgery. Call (480) 964-2908 right away if you do not have an appointment already scheduled. We will check your incisions and remove any sutures at the 2-week visit. We will also answer any specific questions you may have about your surgery. You should start Physical Therapy as directed (commonly within 1-3 days of surgery), unless other instructions were given.

CALL OUR OFFICE at (480) 964-2908 with any urgent or emergent questions or concerns that you may have, or if you develop swelling in your leg with calf pain, swelling that will not go away when you elevate your leg, a temperature above 101.4, or drainage from your incisions.

If you experience high fever (above 102.5), chest pain, difficulty breathing, fainting: go to an Emergency Department close to your house.

Schedule your appointment today!