Frequently Asked Questions: General Orthopaedic Post Surgery

Antibiotics and Dental Work

Do I need to take antibiotics before dental work if I have a screw, plate or allograft placed inside a bone or joint during orthopaedic surgery?

NO. If you have a screw, plate or allograft in place.
YES. If you have a total joint replacement.

Stitch “Spitting”

Is it normal to have a stitch or two come out of my incision or scar?

YES. This is quite common. Warm soaks and massage will help. If you are experiencing this, call the Orthopaedic Department at 860-679-6600 or 800-535-6232.

Driving

When can I drive?

Your ability to drive after surgery will depend on several things. These include:

• When you are no longer taking narcotic pain medications during the day.
• Having adequate strength to operate your vehicle, including braking , shifting and steering.
• No immobilization (sling, cast, brace).

Showering

When can I shower?

Keep your incisions dry until your sutures are removed. You may bathe or shower by covering your incisions with plastic wrap or a plastic bag until that time. You may take a shower the day after your sutures are removed, and a bath three days after your sutures are removed.

Drainage from Incisions

Is drainage normal on my bandages?

You may see slight drainage from your incisions after surgery. There is a lot of water used for irrigation during arthroscopic and open surgery. The drainage you may typically see is thin and watery, and should be clear to reddish or pink in color. This is normal, and simple reinforcement of the drainage should be adequate treatment. If you experience any significant drainage, or bright red bleeding, call the Orthopaedic Department at 860-679-6600 or 800-535-6232.

Signs of Infection

What are the signs of infection?

Signs of a postoperative infection can typically include a fever (an oral temperature of greater than 101.5 taken at least two times, one hour apart), increased fatigue, or chills. It is normal to experience a slight increase in temperature after surgery. You may see increased drainage, redness, and increased pain.

Constipation

I am experiencing constipation, what can I do?

Constipation after surgery is not uncommon. This is generally a self limiting process, and resolves within a few days. There are several factors that can contribute to a slowed bowel function. Anesthesia, dietary changes, decreased activity, and narcotic medications, all work against normal bowel function. You should increase your intake of fluids and fiber. Use narcotic medications sparingly, and only as necessary. You may use an over the counter stool softener (docusate sodium, colace) or laxative as necessary.

Itching

I have a lot of itching, am I allergic to something?

Allergic reactions usually include the presence of hives or shortness of breath. Narcotic medications given during and after surgery can cause the release of histamines, and this can cause itching. Using an over the counter anti-histamine, such as Benadryl, can help.