Open Reduction And Internal Fixation Of A Hip Fracture

WHAT YOU SHOULD KNOW:

Open Reduction And Internal Fixation Of A Hip Fracture (Discharge Care) Care Guide

Open reduction and internal fixation (ORIF) is surgery to fix a broken bone in your hip. A hip fracture is a break in the top of the femur or in the hip socket. The femur is the long bone in your thigh that attaches to your pelvis at the hip joint. During ORIF, the broken parts of your femur will be put back together using metal hardware. You may also need an implant to replace your hip socket.

AFTER YOU LEAVE:

Medicines:

  • Acetaminophen: This medicine decreases pain and fever. You can buy acetaminophen without a doctor's order. Ask how much to take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.

  • NSAIDs help decrease swelling and pain or fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your primary healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.

  • Pain medicine: You may be given a prescription medicine to decrease pain. Do not wait until the pain is severe before you take this medicine.

  • Blood thinners: Blood thinners are medicines that help prevent blood clots from forming. Clots can cause strokes, heart attacks, and death. Blood thinners make it more likely for you to bleed or bruise. Do the following if you are taking a blood thinner:

    • Watch for bleeding from your gums or nose. Watch for blood in your urine and bowel movements. Use a soft washcloth on your skin and a soft toothbrush on your teeth. This can keep your skin and gums from bleeding. If you shave, use an electric shaver.

    • Be aware of what medicines you take. Many medicines cannot be used when you take medicine to thin your blood. Tell your dentist and other caregivers that you take blood-thinning medicine. Wear or carry medical alert information that says you are taking this medicine.

    • Take this medicine exactly as your primary healthcare provider tells you. Tell him right away if you forget to take the medicine or if you take too much. You may need to have regular blood tests while you use this medicine.

    • Talk to your primary healthcare provider about your diet. This medicine works best when you eat about the same amount of vitamin K every day. Vitamin K is found in green leafy vegetables and other foods, such as cooked peas and kiwifruit.

  • Take your medicine as directed. Call your primary healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your primary healthcare provider as directed:

You may need to return to have your wound checked and stitches removed. Write down your questions so you remember to ask them during your visits.

Bathing with stitches:

Follow your primary healthcare provider's instructions on when you can bathe. Gently wash the part of your body that has the stitches. Do not rub on the stitches to dry your skin. Pat the area gently with a towel. When the area is dry, put on a clean, new bandage as directed.

Pressure stockings:

Your primary healthcare provider may have you wear pressure stockings after your surgery. These are long, tight stockings that put pressure on your legs to promote blood flow and prevent clots. You will be told how long to wear these stockings. Ask your primary healthcare provider for more information.


Nutrition:

You will need to eat foods that are good sources of calcium and vitamin D to help your bone heal. These include milk, yogurt, other dairy products, and tofu. You should also eat foods to help your surgical wound heal. These include high-protein foods such as chicken, beef, fish, and pork. You should also eat plenty of fruits and vegetables, such as citrus fruits and juice. If you take a blood-thinning medicine, there may be some vegetables you should not eat. Ask for more information about your diet when you leave the hospital.

Physical therapy:

You may need to see a physical therapist to teach you special exercises. These exercises help improve movement and decrease pain. Physical therapy can also help improve strength and decrease your risk for loss of function.

Occupational therapy:

Occupational therapy (OT) uses work, self-care, and other normal daily activities to help you function better in your daily life. OT helps you develop skills to improve your ability to bathe, dress, cook, eat, and drive. You may learn to use special tools to help you with your daily activities. You may also learn new ways to keep your home or workplace safe.

Contact your primary healthcare provider if:

  • You have a fever.

  • You feel very confused and have trouble thinking clearly or remembering things.

  • You have pain when you urinate or you cannot urinate.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You fall down and hurt yourself.

  • You are vomiting blood or your bowel movements are red or black.

  • You become weak on one side of your body, get a very bad headache, or have trouble talking or walking.

  • You have a seizure or lose consciousness.

  • Blood soaks through your bandage.

  • Your stitches are swollen, red, or have pus coming out of them.

  • Your stitches come apart.

  • Your leg feels warm, tender, and painful. It may look swollen and red.

  • You suddenly feel lightheaded and short of breath.

  • You have chest pain when you take a deep breath or cough. You may cough up blood.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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