by campinwi » Fri Jul 09, 2010 11:33 pm
I'm a nurse and have been working with post op knees and hips for 21 years now.
Not to scare you, but it has been my observation that knees are more painful than hips. Also, it seems the younger people are the more pain they have.
That being said, we have made tremendous strides in pain control. Our patients take oxycontin pre-op and for the first 24 hours. We also give them toradol which is like an IV form of ibuprofen. We also use acetaminophen scheduled around the clock, and oxycodone for breakthrough pain. Our patients also get femoral nerve blocks which are like a novacine that is infused into the leg for about 18 hours. This numbs up the front part of the leg.
Our patients are stood at the bedside the night of surgery, up walking the next day and home after afternoon therapy on day 2 (about 48 hours after surgery)
One really good piece of advice- do every thong you can to prevent infection. The surgeons are usually meticulous with they do, you need to also be careful. Shower with hibiclens the night before and the morning of surgery. Make sure all your bedding and clothing are clean when you go home. I had tendon surgery in December, I also made sure my husband kept everything very clean and showered every night before coming to bed until my incision was healed. Make sure everyone who comes to visit washes their hands or uses hand sanitizer. Make sure you do also.
This may sound a little fanatical to some, but I have seen what happens to people if they get infections in their new joints, and its not fun!
As far as parts, most surgeons have certain brands that they use, you want to go with the ones the surgeon is most familiar with. Most use a combination of metal and plastic.
There are some surgeons who do a procedure that have the patients out of the hospital the same day. We have a surgeon around here who does that, since his patients leave right away, not sure how their outcomes are.
Good luck with whatever you choose!