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Home Your Surgery Patient Schedule After Surgery

After Surgery

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Hospital Day 1

  • Blood clot prevention and pain control measures
  • Antibiotics for 24 hours
  • Get out of bed, may ambulate
  • Physical Therapy

Hospital Day 2

  • Blood clot prevention and pain control measures
  • Oral iron
  • Get out of bed, ambulate
  • Physical Therapy

Hospital Day 3 (Medicare patients stay until Day 4)

  • Blood clot prevention and pain control measures
  • Oral iron
  • Get out of bed, ambulate
  • Physical Therapy
  • Discharged to home or extended care facility (ECF)

Home or Extended Care Facility (ECF)

  • If patient is in an ECF, plan to stay 7-14 days, depending on insurance coverage, and patient’s progress and type of surgery
  • PT/INR blood testing done approximately twice a week (on Mon and Thurs)if patient is taking Coumadin
  • Blood clot prevention and oral pain control measures
  • Oral Iron continued
  • Physical Therapy daily in ECF, in the home or as an Outpatient (2-3 times a week)
  • Patients can shower with assistance one week after surgery with their incision covered
  • Dressing should be checked and changed daily until no drainage noted. If incision is dry, it does not need to be covered. Aquacel dressing is on for 1 week, then replaced with a regular dressing if drainage is still present
  • Follow hip precautions for 6 weeks after surgery for hip replacement patients

Information Regarding Handicapped Parking

Handicapped ParkingAccording to Illinois State law (625 ILCS 5/1-159.1), joint replacement surgery does not constitute a disability and therefore the doctor can not authorize handicapped parking privileges except on a temporary basis of 90 days from your surgery date.

The application specifically states “Cannot walk 200 feet without stopping to rest” is no longer a qualifying disability; and further states that physicians can be fined for making false or misleading statements on the application.

ILLINOIS BONE AND JOINT INSTITUTE PHYSICIANS WILL NOT BREAK THE LAW.

Antibiotic Pre-Medication Information After Your Surgery

Once you have an artificial joint, it is especially important to prevent bacterial infection from settling in your joint implant. You should take antibiotics 1 hour before an invasive procedure whenever there is the possibility of bacteria entering your blood, such as when you have dental work and/or cleaning or have an invasive procedure that might spread bacteria into your blood stream.

Healthy patients should follow this guideline for 2 years after their total joint replacement. Patients at risk as described below should likely follow this for life. We recommend you consult your primary care physician if you are in doubt about your immune status.  

Be sure to notify your dentist or physician that you have a joint implant and contact Dr. Goldstein at 847-324-3913 for your first prescription for antibiotics to take 1 hour prior to the procedure.  You should contact your dentist or physician performing the procedure for subsequent prescriptions.

You are considered at risk for an infection if you have any of the following:

  • Immunosuppression
  • Inflammatory diseases such as Lupus or Rheumatoid Arthritis
  • Diabetes
  • HIV
  • Smoking
  • Obesity

Antibiotic Pre-Medication Information SheetFor complete antibiotic recommendations for your dentist/physician, please download and print the Antibiotic Pre-Medication Information Sheet. (PDF)


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