KNEE & TOTAL HIP REPLACEMENT DISCHARGE INSTRUCTIONS
follow-up schedule for patients having had a total joint
replacement is: six weeks, three months, six months, one
year, and once a year thereafter. While some patients
may feel that it is difficult to visit the doctor so often,
it is important that these appointments are made and kept.
If for any reason an appointment must be canceled, please
call your doctors office. A new appointment will
be made at that time, in keeping with the follow-up program.
is the responsibility of the patient to make all follow-up
appointments. Please call for your first check-up within
1 week of discharge. This helps us to schedule appointments
within the correct time period following surgery. If you
wish, you may call you doctors extension directly
and make your first appointment before you leave the hospital.
Please note: Following your surgery,
it is extremely important that
you check with your physician about taking antibiotics,
before any dental check-ups, or other surgical procedures.
Once home, please continue the exercise program you were
prescribed in the hospital. If your weight-bearing status
is slowed, keep those precautions until your 6-week follow-up
appointment with your physician. Wound care is a dry gauze
dressing change once a day until your staples are removed,
usually within 10 to 14 days after surgery, either at
home or in your doctors office. When you return
home, you may require assistance by home health services
caregivers, such as a physical or occupational therapist,
nurse, or house aide, or you may be asked to follow-up
with outpatient services. Continue to wear the stockings
(TEDS) that were given to you while in the hospital. These
may be removed before going to bed at night or for short
periods during the day. Otherwise, they should be worn
until you see your physician at the 6-week follow-up appointment.
you notice or suspect any infections developing, or if
you develop chills or a fever higher than 101,
please call your physician. While some swelling, warmth,
or decreased sensation is expected after surgery, any
SUDDEN increase in swelling, redness, warmth, or pain
should be reported to the office. In addition, any new
wound drainage or change in type of drainage than seen
before should be reported. This information can also be
reported to the nurse case manager during regular working
hours. If this should occur when the office is not open
(weekends or evenings), call
Good Samaritan at 410-532-8000 and have the Orthopedic
Resident or the Surgical Officer of the Day paged by the
operator. For increased swelling and discomfort, you may
use ice and elevation. Avoid any direct contact with the
you are discharged from the hospital, you will receive
a follow-up telephone call from your nurse case manager,
within one to two days of your discharge from the hospital.
This is an important way to ensure that your home care
and recovery is going well. It also provides your physician
with a report of your progress and allows you to ask any
questions that you may have.
you for your assistance.
Orthopaedic Case Manager
Orthopedic Case Manager