To begin the operation, the hip replacement surgeon will make incisions on either the back posterior or front anterior of the hip. Both approaches offer pain relief and improvement in walking and movement within weeks of surgery. There are certain steps patients can take both before and after surgery to improve recovery time and results. It is important to follow the instructions and guidance provided by your orthopedic surgeon, medical team and rehabilitation therapist.
Visit Preparing for Your Surgery to get information on preoperative hip replacement classes and patient education materials about joint replacement surgery. Most patients will stay in the hospital one or two nights after surgery. Some patients may be able have same-day hip replacement and return home after an outpatient procedure.
Total hip replacement surgery takes about one and a half hours. Most patients also stay in the hospital for one or two days after the procedure. Your rehabilitation will begin within 24 hours after surgery. Most hip replacement patients progress to walking with a cane, walker or crutches within day or two after surgery.
As the days progress, you will increase the distance and frequency of walking. Yes, healthy patients younger than 75 years old who have no history of cardiopulmonary disease may be able to have both hips replaced at once. In some cases, however, it may be better to stage the surgeries. The surgery is very safe, but every surgery has risks, and infection is the most serious. You should ask your surgeon what the surgical infection rate is for hip replacements at the hospital or facility where you will have your surgery.
HSS has one of the lowest rates of infection for hip replacement surgery, as well as a significantly lower rate of readmission compared to the national average.
In , The New York State Department of Health reported that out of more than hospitals in New York that did hip replacements in , only Hospital for Special Surgery had a hip replacement surgery site infection SSI rate that was "significantly lower than the state average" for that year, and that those infection rates at HSS had been significantly lower than the state average in each of the seven years between Other risks include blood clots in the leg or pelvis, and accidental hip dislocation during or after recovery.
Hospital for Special Surgery performs better than the national average in preventing blood clots after surgery. Learn more about joint replacement prostheses by reading Understanding Implants in hip and Hip Replacement. Today's sensitive screening machines will detect the implant but can also effectively identify it. The machine operator will know that it is an implant rather than an unauthorized metal object contained outside the body. It is still helpful to tell airport security that you have had a hip replacement before entering the screening machine.
You may also ask your doctor's office if they can provide a card that identifies that you have received a hip implant that contains metal. Generally speaking, a hip replacement prosthesis should remain effective for between 10 and 20 years, and some can last even longer. Results vary according to the type of implant and the age of the patient.
When a hip implant does need to be replaced because it has loosened or worn out over time, this requires what is called hip revision surgery. It is also important to research the hospital or facility where you will have your operation, as well as its supporting staff, such as the anesthesiologists. Stay as active as you can. Strengthening the muscles around your hip will help your recovery. If you can, continue to do gentle exercise, such as walking and swimming, in the weeks and months before your operation.
You may be referred to a physiotherapist, who will give you helpful exercises. Your hospital may offer an enhanced recovery programme. This rehabilitation programme aims to get you back to full health quickly after major surgery.
Find out more about preparing for surgery , including information on travel arrangements, what to bring with you and attending a pre-operative assessment. You'll usually be in hospital for 3 to 5 days, but recovery time can vary. Once you're ready to be discharged, your hospital will give you advice about looking after your hip at home. You'll need to use a frame or crutches at first and a physiotherapist will teach you exercises to help strengthen your hip muscles. An occupational therapist will check if you need any equipment to help you manage at home.
You may also be enrolled in an exercise programme that's designed to help you regain and then improve the use of your hip joint. It's usually possible to return to light activities or office-based work within around 6 weeks.
However, everyone recovers differently and it's best to speak to your doctor or physiotherapist about when to return to normal activities. Find out more about recovering from hip replacement surgery. There's also the risk that an artificial hip joint can wear out earlier than expected or go wrong in some way. Some people may require revision surgery to repair or replace the joint. Find out more about the risks of a hip replacement.
There have been cases of some metal-on-metal MoM hip replacements wearing out sooner than expected, causing deterioration in the bone and tissue around the hip. There are also concerns that they could leak traces of metal into the blood. This is so any potential complications can be found early. You should be told at your pre-operative assessment who will be doing the operation. Ask if you're not told. Hip replacement surgery is usually done either under general anaesthetic you're asleep throughout the procedure or under spinal anaesthetic you're awake but have no feeling from the waist down.
Sometimes you may have an epidural , which is similar to a spinal anaesthetic. Once you've been anaesthetised, the surgeon makes a cut incision of up to 30cm over the side of your hip. The upper part of your thigh bone femur is removed and the natural socket for the head of your femur is hollowed out. A socket is fitted into the hollow in your pelvis. A short, angled metal shaft the stem with a smooth ball on its upper end to fit into the socket is placed into the hollow of your femur. The cup and the stem may be pressed into place or fixed with bone "cement".
Some surgeons use minimally invasive techniques that help to avoid damage to the muscles and tendons around the hip joint. Minimally invasive hip replacement appears to be as safe and effective as conventional surgery.
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