(Hip Arthroplasty; Arthroplasty, Hip; Total Hip Replacement; Minimally Invasive Total Hip Replacement; Mini-incision Hip Replacement)
|Left Total Hip Replacement|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Hip dislocation—occurs when the ball portion of the prosthesis dislocates from its normal position in the hip
- Blood clots
- Swelling or bleeding
- Injury to nearby nerves or blood vessels
- Anesthesia-related problems, like pneumonia
- Noisy or squeaky hip after surgery
- Pre-existing medical condition, such as heart or lung problems
- Infection, such as urinary tract infection or gum disease—having an infection increases the risk of bacteria entering the bloodstream and infecting the joint
- Previous problems with blood clots
What to Expect
Prior to Procedure
- Try to lose weight if you are overweight. This will decrease the amount of stress on your new joint. Pool exercise may be a good option.
To enhance safety and recovery, make home modifications:
- Install safety bars, a raised toilet seat, a shower bench, and a hose. Install handrails on stairways and steps.
- Remove throw rugs. Check to make sure extension cords are in a safe place.
- Purchase a stable, firm-backed arm chair. When seated, your knees should remain lower than your hips.
- Buy items to make daily activities easier, such as reachers and dressing aids.
- Place items so that they are easy to reach. This way, you will be able to avoid bending.
- Talk to your doctor about your medications. You may be asked to stop taking some medicines up to 1 week before the procedure.
- Your doctor may suggest donating your own blood for the surgery. You will most likely lose some blood and fluid during this surgery. If you need a blood transfusion, the doctor can use your own blood.
- If you become sick or have a fever just before the surgery, tell your doctor right away.
- Arrange for a ride to and from the hospital. Also, arrange for help at home.
- If you smoke, try to smoke less or stop smoking .
- Eat a light meal the night before the surgery. Do not eat or drink anything after midnight. If you have diabetes, ask your doctor if you will need to adjust your medication.
Description of the Procedure
How Long Will It Take?
- Total hip replacement: 1-1½ hours
- Minimally invasive total hip replacement: 1 or more hours
How Much Will It Hurt?
Average Hospital Stay
- 4-6 days for a total hip replacement
- 1-2 days for minimally invasive total hip replacement
- Walk with help, using a walker, on the day after surgery.
- Be cautious. A fall can damage or dislocate the new joint. Do not try to walk without help.
- Take medication to prevent blood clots.
- Wear compression boots or stockings.
- Begin physical therapy to regain mobility and strength.
- Breathe deeply and cough 10-20 times every hour—This will decrease the risk of fluid build-up in the lungs. The fluid can cause pneumonia.
- Work with the physical therapist. You will learn how to move your hip and maintain proper alignment. You should also talk to your doctor and physical therapist about ways to prevent dislocations. Depending on your surgery, you may need to avoid crossing your legs, flexing your hips more than 90 degrees, and turning your feet very far inward or outward.
- Maintain a healthy weight . Obesity can increase wear on your new joint.
- Avoid jogging and other high-impact sports. This can also increase wear on the joint, cause it to loosen, and cause pain.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge around incision site
- Pain and/or swelling in the feet, calves, or legs
- Cough, shortness of breath, chest pain
- Severe nausea or vomiting
- Hip pain that you cannot control with the medications you have been given or that becomes worse
- Numbness, tingling, or loss of feeling in your leg, knee, or foot
American Academy of Physical Medicine and Rehabilitation http://www.aapmr.org
National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov
The Arthritis Society http://www.arthritis.ca
Canadian Orthopaedic Association http://www.coa-aco.org
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Al Muderis M, Bohling U, Grittner U, Gerdesmeyer L, Scholz J. Cementless total hip arthroplasty using the Spongiosa-I fully coated cancellous metal surface: a minimum twenty-year follow-up. J Bone Joint Surg Am. 2011 Jun 1;93(11):1039-1044.
Antibiotic prophylaxis for patients after total joint replacement. American Academy of Orthopaedic Surgeons website. Available at: http://orthodoc.aaos.org/davidgrimmmd/Antibiotic%20Prophylaxis%20for%20Patients%20after%20Total%20Joint%20Replacement.pdf. Published February 2009. Accessed March 10, 2015.
Geerts WH, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004;126(suppl 3):338S-400S.
Hip fracture. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 1, 2015. Accessed March 10, 2015.
Lindström D, Azodi, Sadr O, et al. Effects of a perioperative smoking cessation intervention on postoperative complications: a randomized trial. AnnSurg. 2008;248:739-745.
Minimally invasive total hip replacement surgery. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00404. Updated June 2014. Accessed March 10, 2015.
Pagnano MW, Trousdale RT, Meneghini RM, Hanssen AD. Slower recovery after two-incision than mini-posterior-incision total hip arthroplasty. Surgical technique. J Bone Joint Surg Am. 2009 Mar 1;91 Suppl 2 Pt 1:50-73.
Questions and answers about hip replacement. National Institute of Arthritis, Musculoskeletal, and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Hip%5FReplacement/default.asp. Updated July 2013. Accessed March 10, 2015.
Who needs a hip replacement? NIH SeniorHealth website. Available at: http://nihseniorhealth.gov/hipreplacement/whoneeds/01.html. Accessed March 10, 2015.
- Reviewer: Michael Woods, MD
- Review Date: 03/2015 -
- Update Date: 03/01/2013 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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