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Instructions for Pelvic and/or Femoral Osteotomy Surgery Patients
These instructions are intended to provide information regarding pelvic and/or femoral osteotomy surgery and the postoperative care. They address questions most frequently asked by the parents of children who are having this surgery.
Length of Hospital Stay
You can expect to be in the hospital for 2 or 3 nights after surgery.
Equipment needed at Discharge
A reclining pediatric wheelchair with leg extensions will be needed at home. Early in the hospitalization please speak to teh hospital workers. They will help make arrangements for discharge. We will provide you with a prescription for the wheelchair, walker, or crutches. In some cases, a hospital bed will be ordered. We work closely with the hospital social workers to coordinate discharge planning and arranging for a nurse and physical therapist to make home visits.
Activity
- A hospital and/or home physical therapist will teach you how to transfer from (bed to chair) after surgery.
- Non-weight bearing - toe touch only on the affected side for transfers from bed to chair for 4 weeks after surgery.
- After 4 weeks, the physical therapist will teach you progressive weight bearing with crutches or a walker.
- No ambulation without an aid (i.e. walker, crutches) is allowed for 6 weeks after surgery.
Dressings
The dressing/bandage will be changed in the hospital before discharge. It may be left on for 7-10 days after the surgery date and only needs to be changed if it is soiled. You may shower after 7-10 days and now no longer need a bandage. The small steri-strips across the suture line will fall off on their own.
Follow Up
Follow up is usually at 6 weeks for physical exam and x-ray. Subsequent physical therapy and activity level will be discussed at this visit.
Pain Medication
Your child will likely require an intravenous analgesia system. This special pump will allow the child to self medicate or receive a continuous controlled amount of medication for the first 24-48 hours post-operatively. On discharge, a prescription will be provided for oral pain medication.
If your child requires a liquid solution for pain medication because they are unable to swallow pills, please have the discharge prescription filled at a pharmacy hear the hospital, as the solution form of the medicine may not be readily avaliable in your local pharmacy.
Please call us if you have any questions or concerns.
Division of Pediatric Orthopaedics
Morgan Stanley Children's Hospital of New York
3959 Broadway, 8th Floor
New York City 10032
phone 212-305-5475
fax 212-305-8271
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