How should my sister rehabilitate after hip fracture surgery?
Your sister suffered a fractured hip joint in a car accident on May 8 and underwent a second surgery the day before yesterday.
She is currently able to get out of bed and walk, but she is still experiencing severe pain and significant abdominal bloating, which is affecting her appetite.
Today, the doctor mentioned that she could be discharged on May 16.
What should we pay attention to when she returns home? There are many rehabilitation suggestions for fractures shared online; is it advisable for her to start rehabilitation given her condition, or should she avoid moving too much in the short term?
Ms. Tsai, 20~29 year old female. Ask Date: 2022/05/12
Dr. Shi Guozheng reply Orthopedics
If the fracture has been successfully realigned and securely fixed after surgery, the physician will allow the patient to perform some hip joint exercises, such as lifting the thigh forward, extending it backward, and moving it laterally or medially.
However, walking will still require the support of a walker or crutches, and they can only be discontinued once the fracture has sufficiently healed.
Reply Date: 2022/05/12
More Info
Post-surgery rehabilitation after a hip fracture is crucial for recovery, especially after a traumatic event like a car accident. Your sister's situation, having undergone two surgeries for a fractured hip, requires careful management to ensure proper healing and regain mobility. Here are some important considerations and tips for her rehabilitation process:
1. Follow Medical Advice
First and foremost, it is essential that your sister follows the instructions provided by her orthopedic surgeon and rehabilitation team. They will have specific guidelines based on her individual condition, the type of surgery performed, and her overall health status.
2. Pain Management
Post-operative pain can be significant, and it’s important to manage it effectively. Pain can hinder rehabilitation efforts, so she should communicate with her healthcare provider about her pain levels and any medications she may need. If she is experiencing severe abdominal bloating and difficulty eating, this should also be reported to her doctor, as it may require further evaluation.
3. Gradual Weight Bearing
Depending on the type of fracture and surgical intervention, weight-bearing status may vary. Initially, she may need to use crutches or a walker to assist with mobility. Gradually increasing weight-bearing as tolerated is important, but this should be done under the guidance of her healthcare provider.
4. Physical Therapy
Engaging in physical therapy is crucial for recovery. A physical therapist can provide tailored exercises that focus on improving strength, flexibility, and balance. Early rehabilitation may include gentle range-of-motion exercises to prevent stiffness, followed by progressive strengthening exercises as her condition improves.
5. Avoid Certain Movements
After hip surgery, there are specific movements that should be avoided to prevent dislocation or further injury. These typically include excessive bending at the hip (beyond 90 degrees), crossing the legs, or twisting the hip. Using pillows to keep the legs apart while sleeping can help maintain proper alignment.
6. Home Modifications
When returning home, it’s important to create a safe environment. This may include removing tripping hazards, using non-slip mats, and ensuring that frequently used items are within easy reach. Installing grab bars in the bathroom and using a shower chair can also enhance safety.
7. Nutrition and Hydration
Proper nutrition is vital for healing. Encourage her to eat a balanced diet rich in protein, vitamins, and minerals, particularly calcium and vitamin D, which are essential for bone health. Staying hydrated is equally important, especially if she is experiencing abdominal bloating.
8. Monitor for Complications
Keep an eye out for any signs of complications, such as increased pain, swelling, redness, or fever, which could indicate infection or other issues. If she experiences any concerning symptoms, it’s important to contact her healthcare provider promptly.
9. Emotional Support
Recovery from a significant injury can be emotionally challenging. Providing emotional support and encouraging her to engage in light activities that she enjoys can help improve her mood and overall outlook during recovery.
10. Patience and Persistence
Finally, remind her that recovery takes time. It’s important to be patient and persistent with rehabilitation efforts. Progress may be slow initially, but with consistent effort and adherence to her rehabilitation plan, she can regain her strength and mobility.
In summary, your sister's recovery from a hip fracture will require a comprehensive approach that includes medical management, physical therapy, home safety modifications, and emotional support. By following these guidelines and maintaining open communication with her healthcare team, she can work towards a successful recovery.
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