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Post op (Total Shoulder)

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Complications
Although joint replacements are often extremely successful, it is important to be aware of certain post-surgical complications that can arise. Seek medical attention immediately if you are concerned about your new joint replacement or your overall health status.

Some complications that could arise are:
Infection
An infection is caused by bacteria growing in the wound. Seek medical attention if you have:

  • Increased swelling, pain or redness
  • Increased amount of drainage
  • Foul odor
  • Temperature  > 101
  • Wound breaks open

Deep Vein Thrombosis (DVT/Blood clot)
Deep Vein Thrombosis (DVT/Blood clot) is a clot that forms in a vein deep in the body. Seek medical attention if you have:

  • Severe pain or tenderness in the leg or arm
  • Increased warmth in the area of the leg/arm that is swollen or painful
  • Red or discolored skin on the leg/arm

Constipation
Constipation is hard formed stool or difficult passage of bowel movements. To prevent constipation, you can:

  • Increase fiber in your diet
  • Increase your activity
  • Drink fluids
  • Consider a bowel regimen (including medications) laxatives, suppositories, or enemas as needed

Home Safety Guidelines
At discharge, two medications will be prescribed:

  • Aspirin: prescribed as prevention for blood clots. Side effects can include:
    • Belly pain
    • Heartburn
    • Upset stomach
  • Pain Medication: prescribed based on your pain needs at discharge. Side effects can include:
    • Constipation
    • Upset stomach
    • Nausea
    • Rash/itching

Take medications only as prescribed by your physician. DO NOT take any anti-inflammatory medications while on blood thinners unless ordered by your physician.

Appointments
It is important to follow up as directed by your orthopaedic surgeon. At your follow-up appointments you can expect that x-rays will be done, your incision will be examined for signs of proper healing and staples will be removed.

To schedule your follow-up appointment, please call (859) 301-2663. Your appointment should take place between 7 and 14 days following surgery.

Some patients may be asked to follow up with their primary care physician as well as schedule their outpatient/home physician therapy sessions.

Incision Care
Please follow these guidelines regarding your incision:

  • Wash your hands often with soap and water.
  • The dressing applied to your incision is waterproof; therefore, if you go home with a dressing in place, you may shower on the day after you return home. However, avoid baths, hot tubs and swimming pools until directed by your physician.
  • The dressing should be removed the day after you get home from the hospital and left open to air; however, leave the steri-strips in place. If your incision is still draining, cover it with gauze and change twice daily until the drainage stops.
  • DO NOT apply creams, powders, lotions or medications to your incision area.

Sling Use
Please follow these instructions following surgery:

  • The sling should be on at all times when in public or sleeping.
  • You may remove the sling three times per day to move the elbow, wrist and fingers.
  • You can remove the sling for showering, but it must be put back on immediately upon completion.
  • Avoid using the operative hand for activities of daily living.


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