Day of the Surgery

Off we go to the Stanford Surgical Center in Redwood City. This surgy center is far different than the last one I was at in Menlo Park as this was definitely a hospital setting as I was behind a curtain in pre-op. The nurses were friendly but busy. The rep for the equipment I was going to use came in and walked me through the possible rehab tools I would need depending on the outcome of the surgery. This included, a CPM machine which passively moves your leg through about 70 degrees of flexion as well as a bunny boot which keeps your leg inverted while resting or laying down. Also, there was a game-ready icing device as well as a hip brace to limit mobility allowing the joint to heal properly.

The doctor came in and realized that the pre-op physician didn't have me sign the waiver during my pre-op visit. Therefore, he had to tell me all the risks involved with this surgery :( After approx 3 min of freight I agreed and off we went.

I was placed on a special hip table and sent in to sleepy land...

I awakened to the docs around me saying "everything went well" I remember saying "I'm alive"
Next, I was in recovery where the nurse asked about pain levels and gave me pain killers in my IV. The pain was still there - I think she gave me 3 doses. Furthermore, she gave me a percocet for the road.

The doc came in and told me everything went well and that he would explain it all later when I was off medication. I asked "cruches - two weeks or eight?" He said two - YES!

My surgery was approx 2hrs and started on time at 9:45am. I left the hospital around 3:30pm. l had a hip brace on which is fairly bulky and i was quite immobile. The nurses wheeled me out to the car and off I went. My orders were to place no more than 20lbs on that leg and to wear the brace for 2wks with crutches. First post op visit with Dr. Safran's assistant in 3 days as well as Physical therapy same day.

In the meantime, I have to use the CPM machine 6-8hrs per day and do some light mobility exercises. Medication was 2 vicodin every 4hrs as needed for pain and 2 naproxin per day for 6 weeks.
Pain was minimal throughout the evening and I got good sleep. I needed a lot of help from my wife, mom and the kids :) Everyone chipped in and I was a happy camper!

Preop Diagnosis:

1. left hip combined type femoral actetabular impingement
2. left hip labrel tear

Postop Diagnosis:

1. left hip combined type femoral actetabular impingement
2. labrel tear
3. left hip chonromalacia of the stem
4. synovitus
5. ligamentum teres hypertrophy
6. capsular tightness

Surgical Procedures Performed:

1. left hip athroscopic partial synovectomy
2. left hip arthroscopic debridement of ligament teres
3. left hip arthroscopic labrel repair using 3 anchors
4. left hip arthroscopic cheilectomy
5. left hip arthroscopic acetabuloplasty
6. left hip arthroscopic capsulotomy with partial capsulectomy
7. left hip arthroscopic chondroplasty of the acetabulum
8. fluroscopy with physician inerpretation greater than 1 hr

Equipment:

• crutches
• hip brace
• CPM Machine
• bunny boot (keeps foot inverted allowing hip to heal/ set properly)

Standing Orders:

• 20lbs flat foot weaight bearing / crutches 2weeks
• bunny boot 2-3 weeks
• CPM 0-70 degrees 6-8hrs / day for 2 weeks
• wear brace at all times
• caretaker to rotate leg - mini circles 6x day (1min)