Post-Surgery Hip Joint Care: Essential Tips for Recovery and Healing

Postoperative hip joint care

Hello, doctor.
About a month ago, my family member suffered a closed fracture of the left acetabulum and dislocation of the left hip due to a car accident.
They underwent surgery and had two plates inserted, but during a recent follow-up, the attending physician mentioned that the bones have shifted a bit.
He advised my family member to be careful and avoid putting weight on the operated leg to prevent the need for a hip replacement in the future.

1.
The attending physician advised against climbing stairs, but my family member insists on going upstairs to sleep in their room.
Currently, they are using their hands to support themselves against the wall, allowing their healthy right leg to step lightly as they slowly ascend the stairs.
Is it indeed safest for them to avoid climbing stairs altogether?
2.
The doctor has advised against smoking, but my family member has been unable to quit and has only reduced the amount.
Would it be better for bone healing if they refrain from smoking entirely during the fracture recovery period?
3.
Since the injury is in the hip area, should my family member avoid sitting and instead lie down as much as possible, or is sitting not a significant issue?
4.
My family member's mattress is quite soft, causing their body to sink in more than a standard mattress would.
Would it be beneficial to switch to a medium-firm mattress for their injured hip?
5.
The attending physician has recommended leg elevation exercises to prevent muscle atrophy.
Would doing these exercises more frequently be beneficial, or should they rest when they feel tired?
I apologize for not asking these questions during the appointment, as my family member was quite shocked upon hearing about their condition.
Thank you for your assistance!

Kris, 20~29 year old female. Ask Date: 2020/12/09

Dr. Shi Guozheng reply Orthopedics

1.
It is best to avoid climbing stairs.

2.
Smoking can affect the healing of fractures.

3.
Sitting does not have a significant impact.

4.
A moderate balance between soft and hard is more appropriate.

5.
Appropriate exercise is beneficial, but excessive exercise can lead to muscle soreness.

Reply Date: 2020/12/09

More Info

Post-surgery care for hip joint injuries, especially after a significant event like a car accident, is crucial for optimal recovery and healing. Here are some essential tips and insights based on your questions:
1. Stair Climbing: It is generally advisable to avoid climbing stairs after hip surgery, especially in the early stages of recovery. The risk of falling or putting undue stress on the healing hip joint is significant. If your family member insists on going upstairs, it is essential to ensure that they do so safely, using handrails and taking it very slowly. However, the safest option is to avoid stairs altogether until cleared by the physician. It’s important to follow the doctor's advice to prevent complications, such as misalignment or the need for further surgical interventions.

2. Smoking and Bone Healing: Smoking has been shown to negatively impact bone healing. Nicotine can interfere with blood flow and reduce the oxygen supply to the healing tissues, which can delay recovery and increase the risk of complications. Therefore, it is highly recommended that your family member refrain from smoking, especially during the healing period. Even reducing the amount smoked is better than continuing to smoke regularly, but complete cessation is ideal for optimal healing.

3. Sitting vs. Lying Down: While it may seem that lying down is better for recovery, it is essential to maintain a balance. Prolonged lying down can lead to stiffness and muscle atrophy. Sitting in a supportive chair for short periods can be beneficial, as it allows for gentle movement and helps maintain muscle strength. However, it is crucial to ensure that the sitting position does not put excessive strain on the hip joint. Your family member should listen to their body and adjust their position as needed.

4. Mattress Firmness: A mattress that is too soft can cause the body to sink in, potentially putting the hip joint in an awkward position and leading to discomfort or complications. A medium-firm mattress is generally recommended, as it provides adequate support while allowing for some comfort. If the current mattress is too soft, it may be beneficial to consider a firmer option to support proper alignment during sleep.

5. Leg Exercises: Engaging in prescribed leg exercises is crucial to prevent muscle atrophy and promote circulation. However, it is essential to follow the guidance of the healthcare provider regarding the frequency and intensity of these exercises. If your family member feels fatigued, it is important to rest and not overexert themselves. Gradually increasing the intensity and duration of exercises as tolerated is key to recovery.

In summary, post-surgery care for hip injuries involves a combination of avoiding risky activities (like stair climbing), refraining from smoking, balancing rest with gentle movement, ensuring proper sleeping arrangements, and adhering to exercise recommendations. It is vital to maintain open communication with the healthcare provider and follow their advice closely to ensure a smooth recovery process. Regular follow-ups will help monitor the healing progress and make necessary adjustments to the rehabilitation plan.

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