After surgery, the patient is at risk for impaired circulation. Neurovascular checks should be performed frequently to assess for adequate color, temperature, sensation, capillary refill, and distal pulses in the affected extremity.
For at least six weeks after surgery, the patient must avoid activities that cause more than 90 degree flexion of the hip, as this could result in dislocation. Activities that should be avoided include crossing the legs or ankles, putting on socks or shoes, or sitting on low seats. An elevated toilet seat should be used for at least 6 weeks after surgery.
Legs should be maintained in an abducted position to prevent dislocation of the affected hip. An abductor pillow may be used for this purpose. Patients should be reminded not to cross their legs or ankles.
Trochanter rolls can be used to keep the leg in a neutral position. Patients should avoid internal or external rotation of the affected extremity.
Patients should avoid turning or rolling over onto the affected side until healing is complete.
After surgery, patients are typically encouraged to ambulate on post-op day one. Early ambulation can help prevent thromboembolism development.
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