Preophipv2
- 1. Total Hip Replacement What to expect from your new hip How to get there from here Dr. Anthony Shaia, M.D. Dr. Harry Shaia, M.D. West End Orthopaedic Clinic
- 2. This presentation will help you better understand your upcoming hip replacement surgery. Your participation is essential to the success of your replacement.
- 3. What is a hip replacement ? Through an incision on the side of your hip, the ball will be removed. The hip socket will be replaced with a metal cup with a plastic liner. A new ball will be attached by a metal stem to your thigh bone.
- 4. What to Expect Initially, you will have some pain and restrictions on your activity. After your recovery, you can look forward to many years of pain free activity Our goal is to reduce your pain and to increase your level of activity
- 5. What to Expect Most patients can return to an active lifestyle within 2 months. You will have some pain for 4 to 6 weeks You will use crutches for the first 3 weeks and then use a cane or single crutch for another 3 weeks. You can expect to drive the car 3 to 4 weeks after surgery.
- 6. What to Expect Doubles tennis Walking or hiking Golf Swimming Aerobics Biking
- 7. What to Expect The vast majority of the time, hip replacement surgery is successful. However complications can occur. We will do every thing possible to reduce the risk of complications Your participation is also essential to minimizing the risk of complications
- 8. What Could Go Wrong ? Blood clots could form in your legs and rarely break off and go to your lung Dislocation of the new hip Infection after surgery Coumadin will be used as a blood thinner Foot pumps Follow the precautions demonstrated by the nurses and therapists Antibiotics
- 9. What Can You Do ? If you follow the hip precautions, the chance of dislocation is significantly reduced. These restrictions may seem inconvenient, but they are only temporary and they will protect your new hip from damage while you are healing.
- 10. What Could Go Wrong ? Loosening or wearing out of the new hip. These are rare and usually occur many years after surgery. These complications can be avoided by keeping your weight down and avoiding high impact activity.
- 11. What Could Go Wrong ? Other rare complications Nerve damage Fracture of the thigh or pelvic bone Unequal leg lengths Continued pain
- 12. Will I need a blood transfusion ? Less than 3% of patients will need a blood transfusion after hip replacement surgery We will check your blood count today to determine if you need to donate your own blood. Based on the results, you may be instructed to take an iron supplement or donate your own blood.
- 13. Getting Ready for Surgery You will attend a preop class one or two weeks before surgery. This class is the beginning of Joint Camp. It would be helpful if you brought along a friend or family member…your coach.
- 14. Getting Ready for Surgery You and your coach will meet Janet, the nurse who runs our Joint Replacement Center. You will also meet one of the physical therapists who will work with you while you are in the hospital.
- 15. Getting Ready for Surgery Preop testing will also be done and a light lunch will be served.
- 16. Before coming to the hospital Clear away loose rugs. They can cause falls. Find a couple of comfortable chairs with arms. You’ll need the arms to help you get up. Avoid sofas or other chairs with deep soft cushions.
- 17. Before coming to the hospital You will need a physical from your family doctor, cardiologist or other medical specialist Arrange for someone to be at home with for the first 3 – 5 days after leaving the hospital
- 18. Before coming to the hospital Stop any medicines which might thin your blood and cause excessive bleeding Aspirin, Plavix, Coumadin Aleve or Advil Most arthritis drugs: Naprosyn, Celebrex are a few examples Premarin
- 19. Coming to the hospital Bring all of your home medications Bring comfortable or loose fitting clothes You will be instructed to arrive between 5:30 AM and 8:00 AM the day of surgery
- 20. Coming to the Hospital You will report to outpatient registration Then proceed to the outpatient area were nurses will check your consent and help you change clothes
- 21. The day of surgery: Holding area You will meet your anesthesiologist and nurse anesthetist An IV will be started in your arm & antibiotics will be given You will also meet one of the operating room nurses
- 22. The day of surgery Your surgery will be done under spinal anesthesia with sedation. This decreases the risk of blood clots and also minimizes blood loss during surgery.
- 23. The day of surgery While you are having your hip replaced, your family should wait in the Joint Unit waiting room. I will contact them when your surgery is finished. It is helpful if they let Marie know where they are.
- 24. The day of surgery You will go to the recovery room for 60 – 90 minutes You will have a foley catheter to drain urine from your bladder You will have an IV to receive fluids and antibiotics
- 25. The day of surgery The first day you will be sleepy and want to rest, keep visitors to a minimum. As your spinal wears off, you will begin to have some pain. Please call your nurse when you need pain medication. Once your spinal is fully worn off, the therapist will help you get out of bed and go for a short walk.
- 26. First Day With Your New Hip You will get up and walk with PT after breakfast and after lunch The first time may be difficult, but each time you walk it will get easier The nurses will continue to give you pain pills as you need them to control the pain
- 27. First Day With Your New Hip If you do well with your morning PT session, the nurses will remove your catheter and IV after breakfast. For lunch, you will be up in a chair You will advance to crutches in the afternoon.
- 28. Second Day After Surgery You will walk further today and work on steps. You will review hip precautions again and get additional instruction from the occupational therapist. She will show how to get your socks and shoes on safely. You will also attend class
- 29. Second Day After Surgery You will become more independent You will be heading home this afternoon.
- 30. Going Home with Your Hip A nurse will visit you to check your incision and draw your blood You will take coumadin as a blood thinner to prevent clots in your legs for about 2 weeks. Then you will take 1 aspirin a day for 3 months
- 31. Going Home with Your Hip Walking is essential to your recovery. It is also important for you to rest. Twice each day get in the bed and elevate your legs for at least an hour and a half. This will keep the swelling down and help prevent clots.
- 32. Going Home with Your Hip With each day you will gain strength, confidence and independence. As you feel comfortable you may use a single crutch.
- 33. Going Home with Your Hip I look forward to seeing you in the office in about 3 weeks. Please call at any time if you have questions or concerns