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Dr. McComis specializes in problems affecting bones and joints. He will ask you many questions about your hip symptoms, as well as your general health to determine if hip surgery is safe and appropriate for you. The evaluation will include a careful examination and review of your X-rays and other tests. This will help him understand your pain and limitations in activity and the progression of your hip problem.
After your history is taken, a physical exam is performed. The range of motion of your hips and knees is measured and your muscle strength is evaluated. The he will observe how you walk, sit, bend and move.
X-rays are taken of your knee joint with you standing. Bring any previous knee X-rays with you to your appointment.
You will likely be asked to see your family physician or an internal medicine doctor for a thorough medical evaluation. It is essential that you tell your surgeon about any medications or supplements you are taking. Bring a list of all medications and dosages. If you are taking aspirin or certain arthritis medications, inform your surgeon; you may need to stop taking these 10 days before surgery.
If you are taking Aspirin, Plavix, Coumadin or any other blood thinning medications under the direction of a physician for vascular or cardiac reasons, your doctor may advise you to discontinue taking it as directed.
You may be asked to donate your own blood ahead of time for a possible transfusion during surgery. This is done at Heartland Blood Center in Griffith, IN. They can be reached at 219-922-1942. You will need to call and schedule these appointments prior to surgery.
The hospital at which you are scheduled for your procedure will contact you for a pre-admission testing appointment. This is a time to make sure all necessary medical tests have been done and allows an Anesthesia professional to evaluate you and answer your questions about undergoing anesthesia.
Usually patients are admitted to the hospital the morning of surgery. You cannot eat or drink anything after midnight the day of surgery.
You will awaken after your surgery in the Post-Anesthesia Recovery Room. You will remain there until you have recovered from the anesthesia, you are breathing well, and your blood pressure and pulse are stable. You may feel as though you only left your room for a few minutes. If you experience pain, medication will be available. Post-operative pain control is started immediately in the recovery room.
You may move both legs as soon as you awaken. The nurse will help you find comfortable positions. The nurse will encourage you to do ankle pumping exercises every hour to help protect against blood clots.
An IV is seldom used for more than 24 hours. You will quickly begin regular fluid and food intake in the hospital under the direction and advice of your surgeon.
You may have a tube or drain coming through the surgical dressing that is attached to a drainage apparatus. This system provides gentle, continuous suction to remove any blood that may accumulate in the surgical area. The drain will probably be removed soon after surgery. Your dressing will be changed and a smaller one applied.
To prevent problems in your lungs, you may receive a device called an incentive spirometer after surgery to encourage you to cough and breathe deeply. This is used every hour while you are awake.
It is normal to feel discomfort after surgery, but severe post-op pain resolves very quickly. With modern pain management techniques, there is no reason to suffer. Inform the nurse of your pain, and medication will be ordered.