Hip Replacement Surgery
What to Expect Before, During, and After the Procedure
If hip pain is keeping you up at night and making it difficult for you to get up from chairs, stand, walk, or use stairs, a total hip replacement (THR) surgery may be a possible treatment option. The goal of a THR is to reduce hip pain and improve the motion in your hip. Here’s what to expect.
Certain problems, like diabetes, may slow the healing process, so have your complete medical record available. Also, certain medications, like blood thinners and anti-inflammatory medications, may result in excessive bleeding and may need to be stopped at a determined time before surgery. It is common for your surgeon and your primary care provider to work together in this pre-operative medical evaluation.
Your choice of anesthesia is important. An anesthesiologist will be there to discuss your options, such as general anesthesia versus a regional or spinal anesthesia.
As with any surgery, each of these techniques poses some risks. Recovery takes time and hard work. The life of a new joint depends on weight, activity level, age, and other factors. Each patient responds differently. The most common adverse events following hip arthroplasty include dislocation, leg length discrepancy, failure to improve all pain, bone fracture, change in component position, infection, loosening, and tissue reaction.
Your surgeon perform the planned approach and will reshape the socket to fit the new cup implant that replaces your diseased socket. After the socket is reshaped, a new cup will be placed in the socket. The cup usually consists of a metal shell and a polyethylene or metal liner.
Your surgeon then prepares your femur for the femoral stem, which will hold the new ball part of your hip joint. The head of your femur is removed and the bone is prepared for the new femoral stem. Your surgeon will most likely use a trial implant to verify the correct fit.
After your permanent hip stem is implanted, the ball that sits at the top of the femoral stem will be put into place.
Once your surgeon is satisfied with the position and movement of your new hip joint, it will be flushed with cleansing fluid and closed.
After Surgery and in the Hospital
The goal of your inpatient hospital stay is to prepare you for discharge from the hospital. During this period, all the people involved in your care—your nurse, your therapists, your surgeon and your discharge planner—will meet to discuss your progress and where you should go after the hospital.
Leaving the Hospital