Compression stockings, often called TED hose, are standard garments used during recovery following total hip replacement surgery. These specialized items apply mechanical pressure to the lower extremities to support circulatory function during reduced mobility. Because the post-operative hip joint is highly vulnerable, removing these tight-fitting socks requires a cautious approach to prevent strain or injury. All actions during this process must prioritize the new joint’s stability.
Purpose and Duration of Compression Socks
The primary function of graduated compression socks after orthopedic surgery is preventing deep vein thrombosis (DVT). Immobility increases the risk of blood pooling in the deep veins, which can lead to blood clots. The socks counteract this by applying firm pressure, greatest at the ankle and gradually lessening up the leg, encouraging venous return toward the heart.
This external pressure also reduces post-operative swelling (edema) in the lower leg and foot, which is common after major surgery. Managing swelling helps maintain comfort. The duration for wearing these garments is highly individualized, but many surgeons advise continuous wear for the first two weeks following the procedure.
After the initial two weeks, the requirement often shifts to wearing them only during the day or when active. A total duration of four to six weeks is common, especially if swelling persists. The specific timeline for discontinuing use must be confirmed by the surgical team, as it depends on the patient’s risk factors and recovery progress.
Step-by-Step Safe Removal Technique
The removal method must prioritize maintaining hip precautions, specifically avoiding excessive bending, twisting, or rotation of the operated leg. Perform the removal while lying flat in bed or sitting securely in a chair with the leg elevated. Having a caregiver or assistant present is helpful, especially early in recovery, to avoid reaching motions that compromise the hip joint.
To begin, grasp the upper band of the stocking with both hands and gently pull down a small section to start the rolling motion. The safest technique involves gradually rolling the material down toward the ankle, turning the sock inside out as it progresses. Resist pulling the entire sock off in a single motion, as this risks straining the hip.
Continue rolling the sock down past the heel and foot until it is completely off. Avoid inserting fingers or thumbs into the fabric and pushing, which concentrates pressure and can cause discomfort or skin trauma.
If the sock is difficult to slide off due to dry skin, a small amount of cornstarch or powder may be applied to the leg. Lotion or moisturizer should only be applied after the sock is fully removed and the skin has been checked. If reaching the foot is challenging, an assistive device like a long-handled reacher or specialized sock removal aid can be used to hook the heel area and gently push the material off.
Essential Skin Checks and Reapplication Guidelines
Immediately following removal, thoroughly inspect the skin on the entire leg. Look closely for signs of skin compromise, such as persistent redness, blistering, or indentations that do not quickly fade, especially around the ankle or knee. Check the skin for excessive dryness, irritation, or open sores that might have developed beneath the fabric.
Assess the limb for changes in sensation, such as numbness, tingling, or unusual coolness, which could indicate restricted circulation from a poorly fitting sock. Report any concerning skin changes or sensory disturbances to the healthcare provider before the sock is reapplied. This brief removal period is an ideal time to practice hygiene by gently washing and thoroughly drying the leg.
When reapplying the compression sock, the leg must be completely dry to minimize friction and simplify the donning process. Pull the sock up slowly and deliberately, ensuring the heel pocket is correctly positioned and the material is evenly distributed. Smooth out any wrinkles or bunched areas, as creases create localized high pressure that can restrict blood flow and irritate the skin.