Wednesday, 22 May 2019
POSTOPERATIVE CARE

It is extremely important that patients are provided with clear directions regarding the extent, type and progression of postoperative physical activity. The level of weight bearing should be determined for the individual patient depending on the type of procedure and components used.
Patients should be warned against unassisted activity, particularly the use of bathing and toilet facilities and other activities requiring significant non-gait motion of the hip and knee.
The patient should be warned about the potential adverse events associated with exposure to strong magnetic fields after implantation of device components made of cobalt chrome alloy. During MR imaging exposure to pulsed radio frequency fields can generate heat within tissue and metal components significant enough to cause serious burns. Metallic implants may create imaging artefacts or distortions to varying degrees in MR images. Doostan-e-Nik Medical Services Company does not recommend MR imaging for any patients implanted with metallic component(s) without prior consultation with an expert radiologist for assessment of potential adverse events such as device movement, localized burns, torsional or shear strain on the implanted device.
When manual patient handling is required, care should be taken to support the operative leg and pelvis to minimize the risk of dislocation.
The use of postoperative physiotherapy is recommended to rehabilitate the muscles affecting hip function as physical activity is increased.
Staged follow up with x-ray comparison to the immediate postoperative imaging is recommended to detect evidence of detrimental change in the implant. Any indication of structural failure of the implant, radiolucencies, or osteolysis should be monitored carefully for the potential need of early revision surgery.
The patient should be advised that prophylactic antibiotics therapy may be required for subsequent treatments, procedures, or situations which may result in bacteremia.
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