Tuesday, October 30, 2012

Diagnosis / Equip Needed / Recommendations


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 2wks
  • hip brace 2wks
  • CPM Machine 2wks
  • bunny boot (keeps foot inverted allowing hip to heal/ set properly) 2-3 wks while resting
Standing Orders:
  • 20lbs flat foot weight 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)
  • wear stockings for 2-3 days
  • take naproxin 2xdaily for 6wks
My Recommendations:
  • strengthen other leg before surgery (hip / knee) as it will take the load while on crutches
  • strengthen shoulders / triceps before surgery - will prevent injury from crutches 
  • 4 bags of frozen peas (2 on rotation) ice 20 on/off unless no brace, then game ready device
  • shim bunny boot with cloths - mine was way too big preventing proper foot alignment 
  • have really baggy sweats / shorts to wear over brace (much more comfy)
  • have plenty of veggies n fruits - blend them, make salads, etc... since you will be pretty heavily medicated for the first few days, this will help with constipation and toxicity
  • drink plenty of water
  • prepare you environment for life on crutches
  • figure out what side of the bed you will be on - I went on the opposite side (left hip / right side of bed looking up) so that I wouldn't have to climb over the CPM every time I entered or left the bed even-though the Doc recommended otherwise... However, I think either side would work as my leg was strong enough to carry itself within a few days.
  • get an exercise bike, selection of resistance bands, swedish ball, smaller compressable balls, foam roller and tennis ball for rolling out muscles / self massage (mp3 player for time on bike)
  • be positive
  • be nice to your caretaker :)

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