Hip replacement surgery is a surgical procedure in which a doctor removes an arthritic hip joint and replaces it with an artificial joint consisting of metal and plastic parts. When all other care options have failed to offer sufficient pain relief, it is normally finished. The treatment can alleviate discomfort in the hip joint, allowing you to walk more easily.
Hip replacement surgery may be done the old-fashioned way or using a minimally invasive procedure. The duration of the incision is the biggest difference between the two procedures.
You will be given general anaesthesia to relax your muscles and send you into a brief deep sleep during regular hip replacement surgery. This will save you from feeling any discomfort or being conscious of the operation during the surgery. As an option, a spinal anaesthetic can be used to help prevent pain.
To show the hip joint, the doctor will make a cut along the side of the hip and pass the muscles attached to the top of the thighbone. Following that, the ball part of the joint is separated by sawing the thighbone. Then, either with cement or a special substance that allows the remaining bone to adhere to the new joint, an artificial joint is applied to the thighbone.
The following are some of the conditions that can damage the hip joint and necessitate hip replacement surgery:
This is a good time for you to ask questions about the procedure during the preoperative assessment. Find out which drugs you should stop taking or continue taking in the week leading up to surgery.
Tobacco use should be avoided for at least a month before surgery and for at least two months after surgery because it can interfere with healing. Consult your doctor if you need assistance in quitting.
The surgery takes a few hours to complete. Your surgeon would need to do the following to perform a hip replacement:
You’ll be transferred to a treatment area for a few hours after surgery as the anaesthesia wears off. Your blood pressure, pulse, alertness, pain or comfort level, and drug needs will all be monitored by medical personnel.
Few patients are able to return home the next day, but the majority must stay in the hospital for one or two nights. To help keep fluid out of your lungs, you’ll be asked to take deep breaths, cough, or blow into a device.
You’ll probably spend four to six days in the hospital, and you’ll probably have to sleep in a wedge-shaped mattress between your legs to hold the new hip joint in place. To help you go to the toilet, a drainage tube will most likely be inserted in your bladder. Physical therapy normally starts the day after surgery, and you should be able to walk with a walker, crutches, or a cane within a few days. Physical therapy may be needed for several weeks to months after surgery.
Patients can increase their recovery time and outcomes by taking these steps both before and after surgery. It’s important to follow the orthopaedic surgeon’s, medical team’s, and recovery therapist’s orders and advice. Preparing for Your Surgery provides guidance on preoperative hip replacement courses and joint replacement patient education resources.
The surgery is extremely secure, but all surgeries carry risks, the most severe of which is infection. You should inquire with your surgeon about the surgical infection rate for hip replacements at the hospital or clinic where your operation will be performed.
In comparison to the national average, HSS has one of the lowest rates of infection for hip replacement surgery, as well as a slightly lower rate of readmission.
The New York State Department of Health announced in 2015 that only Hospital for Special Surgery had a hip replacement surgery site infection (SSI) incidence that was significantly lower than the state average for that year out of more than 160 hospitals in New York that performed hip replacements in 2014.
You and your caregivers will receive instructions about how to care for your new hip before you leave the hospital. To ensure a smooth transition, follow these steps:
Expect your new hip joint to relieve the discomfort you were experiencing prior to surgery and expand your joint’s range of motion. But don’t expect to be able to do anything you could before the hip pain set in.
High-impact sports, such as running or basketball, can put your artificial joint under too much stress. However, with time, you can be able to swim, golf, hike, or ride a bike without difficulty.
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