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Your doctor may prescribe blood-thinning medications to reduce this risk. Infections can occur at the site of your incision and in the deeper tissue near your new hip. Most infections are treated with antibiotics, but a major infection near your prosthesis might require surgery to remove and replace the prosthesis.
If your hip keeps dislocating, surgery is often required to stabilize it. Your surgeon takes steps to avoid the problem, but occasionally a new hip makes one leg longer or shorter than the other. Sometimes this is caused by a contracture of muscles around the hip. In this case, progressively strengthening and stretching those muscles might help.
Although this complication is rare with newer implants, your new joint might not become solidly fixed to your bone or might loosen over time, causing pain in your hip. Surgery might be needed to fix the problem. Rarely, nerves in the area where the implant is placed can be injured.
An MRI is rarely needed During this preoperative evaluation is a good time for you to ask questions about the procedure. Be sure to find out which medications you should avoid or continue to take in the week before surgery. Because tobacco use can interfere with healing, stop using tobacco products for at least a month before surgery and for at least two months after surgery.
Physical therapy, A physical therapist might help you with exercises you can do in the hospital and at home to speed recovery. Activity and exercise must be a regular part of your day to regain the use of your joint and muscles. Your physical therapist will recommend strengthening and mobility exercises and will help you learn how to use a walking aid, such as a walker, a cane or crutches.
Home recovery and follow-up care, Before you leave the hospital, you and your caregivers will get tips on caring for your new hip. For a smooth transition: Arrange to have a friend or relative prepare some meals for you Place everyday items at waist level, so you won't have to bend down or reach up Consider making some modifications to your home, such as getting a raised toilet seat if you have an usually low toilet Put things you need, such as your phone, tissues, TV remote, medicine and books near the area where you'll be spending most of your time during recovery Six to 12 weeks after surgery, you'll have a follow-up appointment with your surgeon to make sure your hip is healing properly.
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It may happen within days or weeks of surgery. It may even occur years later. Minor infections of the wound are generally treated with antibiotics. Major or deep infections may require more surgery and removal of the prosthesis. Any infection in your body can spread to your joint replacement. Blood Clots Blood clots in the leg veins or pelvis are one of the most common complications of hip replacement surgery.
Dislocation This occurs when the ball comes out of the socket. The risk for dislocation is greatest in the first few months after surgery while the tissues are healing. Dislocation is uncommon. If the ball does come out of the socket, a closed reduction usually can put it back into place without the need for more surgery.
Hip replacement surgery is a procedure in which a doctor surgically removes a painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic components. It usually is done when all other treatment options have failed to provide adequate pain relief. The procedure should relieve a painful hip joint, making walking easier.
The main difference between the two procedures is the size of the incision. During standard hip replacement surgery, you are given general anesthesia to relax your muscles and put you into a temporary deep sleep. This will prevent you from feeling any pain during the surgery or have any awareness of the procedure.
The doctor will then make a cut along the side of the hip and move the muscles connected to the top of the thighbone to expose the hip joint. Next, the ball portion of the joint is removed by cutting the thighbone with a saw. Then an artificial joint is attached to the thighbone using either cement or a special material that allows the remaining bone to attach to the new joint.
The new ball part of the thighbone is then inserted into the socket part of the hip. A drain may be put in to help drain any fluid. The doctor then reattaches the muscles and closes the incision. While most hip replacement surgeries today are performed using the standard technique (one 8 to 10 inch cut along the side of the hip), in recent years, some doctors have been using a minimally-invasive technique.
The same procedure is performed through these small cuts as with standard hip replacement surgery. The small cuts are thought to lessen blood loss, ease pain following surgery, shorten hospital stays, reduce scar appearance, and speed healing. However, it's important that the surgeon be highly skilled in this technique. Research has shown the outcomes with minimally-invasive approach may be worse than with standard hip replacement surgery if done by a doctor who is not very experienced with this technique.
You will continue physical therapy for weeks to months following the surgery. What Activities Should I Avoid After Hip Replacement Surgery? For anywhere from six to 12 months after hip replacement surgery, pivoting or twisting on the involved leg should be avoided. You should also not cross the involved leg past the midline of the body nor turn the involved leg inward and you should not bend at the hip past 90 degrees.
What Can I Do at Home After Hip Replacement Surgery? There are a few simple measures that you can take to make life easier when you return home after hip replacement surgery, including:Keep stair climbing to a minimum. Make the necessary arrangements so that you will only have to go up and down the steps once or twice a day.
As with any surgery, however, there are risks. Since you will not be able to move around much at first, blood clots are a particular concern. Your doctor will give you blood thinners to help prevent blood clots from occurring. Infection and bleeding are also possible, as are risks associated with using general anesthesia.
Talk to your surgeon about these risks before undergoing the procedure. How Long Will My New Joint Last After Hip Replacement Surgery? When hip replacement surgeries were first performed in the early 1970s, it was thought that the average artificial joint would last approximately 10 years. We now know that about 85% of the hip joint implants will last 20 years.
If the joint does become damaged, surgery to repair it can be successful but is more complicated than the original procedure..
Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. A modern artificial hip joint is designed to last for at least 15 years. Most people have a significant reduction in pain and improvement in their range of movement.
The most common reason for hip replacement surgery is osteoarthritis. Other conditions that can cause hip joint damage include: Who is offered hip replacement surgery, A hip replacement is major surgery, so it is usually only recommended if other treatments, such as physiotherapy or steroid injections, have not helped reduce pain or improve mobility.
How hip replacement surgery is performed, A hip replacement can be done under a general anaesthetic (where you're asleep during the operation) or under a spinal anaesthetic (where you're awake but have no feeling from the waist down). Sometimes you may have an epidural, which is similar to a spinal anaesthetic.
Table of Contents
What Happens During Hip Replacement Surgery
Hip Implant Surgery
Hip Replacement Major Surgery