Hip Replacement ​

Your assigned orthopedic surgeon and his nurse will meet with you by video to review your second opinion results. He will answer all questions. If surgery is needed, you can ask additional questions about the surgery.

Read below to gain a detailed understanding of the surgery process.

Abstract

Hip replacement surgery, also known as hip arthroplasty, involves replacing a damaged or worn-out hip joint with an artificial implant. This procedure is typically performed to relieve pain and restore function in patients with severe hip joint damage due to conditions such as osteoarthritis, rheumatoid arthritis, or traumatic injury.

Pre-Surgery Preparation

1. Medical Evaluation:

• Medical History and Physical Exam: Your surgeon will review your medical history and perform a physical examination to ensure you’re fit for surgery.
• Imaging: X-rays or MRI scans are taken to assess the extent of hip damage and to plan the surgery.

2. Preoperative Tests:

• Blood Tests: To check for anemia, infection, or other conditions.
• EKG (Electrocardiogram): To evaluate heart health.
• Urinalysis: To detect urinary tract infections or other issues.

3. Medication Management:

• Adjustments: Certain medications, such as blood thinners, may need to be stopped before surgery.
• Supplements: You may be advised to take or stop certain vitamins or supplements.

4. Pre-Surgical Education:

• Instructions: You’ll receive detailed instructions about pre-surgery preparation, including fasting, bathing, and what to bring to the hospital.
• Rehabilitation Plan: Discussion about postoperative rehabilitation and physical therapy.

5. Preoperative Physical Therapy:

• Strengthening Exercises: Engaging in exercises to strengthen the muscles around the hip can improve recovery outcomes.

The Surgery

1. Anesthesia:

• General or Regional Anesthesia: You may receive general anesthesia (to put you to sleep) or regional anesthesia (to numb the lower half of your body).

2. Incision:

• Access to the Hip Joint: The surgeon makes an incision over the hip to access the joint. The location and size of the incision depend on the surgical approach used (anterior, posterior, or lateral).

3. Removal of Damaged Tissue:

• Resection: The damaged cartilage and bone are removed from the hip joint.

4. Implant Placement:

• Components: The removed tissue is replaced with a prosthetic hip joint, typically consisting of a metal or ceramic ball and a plastic, metal, or ceramic socket.
• Fixation: These components are either cemented or press-fitted into the bone to secure them in place.

5. Closure:

• Sutures or Staples: The incision is closed with sutures or staples, and a bandage is applied.

Post-Surgery Recovery

1. Immediate Postoperative Care:

• Monitoring: You’ll be taken to a recovery room where you’ll be closely monitored.
• Pain Management: Medications will be provided to manage pain and prevent infection.

2. Physical Therapy:

• Early Movement: You’ll begin moving the hip as soon as possible, usually on the same day or the day after surgery.
• Exercises: Specific exercises will be prescribed to improve mobility and strength.

3. Hospital Stay:

• Duration: Most patients stay in the hospital for 1-3 days.
• Discharge Planning: Planning for discharge includes arranging for home care or a short stay in a rehabilitation facility if needed.

4. Home Recovery:

• Continued Physical Therapy: Ongoing physical therapy to restore full function.
• Pain Management: Continued use of pain medications as needed.
• Wound Care: Keeping the surgical site clean and dry, and watching for signs of infection.

5. Follow-Up Appointments:

• Checkups: Regular follow-up appointments with your surgeon to monitor healing and progress.

6. Long-Term Rehabilitation:

• Gradual Increase in Activity: Gradually increasing activity levels, with a focus on low-impact activities to maintain joint function and overall fitness.
• Lifestyle Adjustments: Incorporating lifestyle changes to protect the new hip joint, such as avoiding high-impact activities.

Expected Outcomes

1. Pain Relief:

• Significant Reduction: Most patients experience significant pain relief after recovery.

2. Improved Mobility:

• Enhanced Function: Increased range of motion and improved ability to perform daily activities.

3. Longevity of the Implant:

• Durability: Modern hip implants can last 15-20 years or longer, depending on various factors such as activity level and overall health.

4. Quality of Life:

• Enhanced Quality of Life: Overall improvement in quality of life due to reduced pain and improved mobility.

Conclusion

Hip replacement surgery is a well-established procedure with high success rates. Proper pre-surgery preparation and diligent post-surgery care are crucial for optimal outcomes. Following your surgeon’s recommendations and engaging in regular physical therapy are key components of a successful recovery.