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Taylor Brown, MD

Surgery Instructions

1.                  Make sure you understand the planned surgery and the postoperative limitations. Please ask me all your questions and seek out further information at www.bjc-houston.com and orthodoc.aaos.org/taylorbrown/

2.                  Many people will require preoperative medical evaluation and clearance with their primary care physician. Have your physician fax your medical clearance letter to my office at 713-790-7500.

3.                  Stop any blood thinners 10-14 days before your surgery. You may resume these as soon as the same evening as surgery.

a.       Aspirin = Excedrin = Bayer and others

b.      Coumadin = warfarin

c.       Plavix = clopidigrel

4.                  Stop anti-inflammatories 10-14 days before your surgery. Do not resume their use for 1 month after surgery if you undergo rotator cuff repair, labral repair, ACL reconstruction, meniscal repair, or fracture fixation. They impede tendon to bone and bone to bone healing. You can resume them immediately after a meniscectomy or decompression, i.e. no repair or reconstruction.

a.       Advil = Ibuprofen

b.      Aleve = Naproxen

c.       Celebrex and Mobic

5.                  Nothing to eat or drink after midnight before your surgery. You can take your usual morning medicines with a sip of water, except your diabetes medicines.

6.                  You will have a preoperative appointment with both me and the anesthesia service prior to your surgery

7.                  Many of you will benefit from a nerve block to your shoulder or leg which will give you 12-24 hours of pain relief after your surgery. You and the anesthesiologist will discuss this option immediately before your surgery.

8.                  You will go to sleep with general anesthesia for your surgery

9.                  Your first follow up visit with me will likely be 2 days after surgery. I will remove your stitches at that time. DO NOT GET YOUR INCISION WET UNTIL YOUR STITCHES ARE OUT. Shower as usual after your stitches are out. 

10.              Following all arthroscopic shoulder surgeries; remove your wet, bloody dressings the morning after surgery and place band-aids over each suture.

11.              You will wake up with a brace on your shoulder after a rotator cuff repair or a labral repair which will help protect the repair. For most people, they will wear the brace for the first month after surgery during day and night, removing it only for showers, clothes changes, and shoulder exercises. Patients with large or massive rotator cuff tears, graft augmentation procedures, or large stabilization surgeries will likely be directed by me to stay in their braces around the clock.

12.              Following ACL reconstruction and meniscal repair, you will wake up with a brace on your knee to protect the repair. Initially, use crutches to place no weight on your operative leg. You will likely use the brace for 1 month after surgery.

13.              Use your TED hose (support hose) for 2 weeks after knee surgery to prevent deep venous thrombosis (DVT) in both legs. Some of you with certain risk factors will have blood thinner injections for a brief period after knee surgery.

14.              ICE AND COLD THERAPY ARE YOUR BEST PAIN RELIEVERS for 3 months after surgery. 30 minutes at a time 4 times per day.

15.              You will receive prescriptions for postoperative pain medications with one refill and prophylactic antibiotic. These are both intended for use after surgery only.

16.              You cannot drive until you are off narcotics, out of your brace, off your crutches, and have the strength to control your vehicle. You can return to work or school when you can do so safely.

17.              Please call us with your questions at 713-790-1818 x130.