Hip Replacement Surgery: Purpose, Procedure, Risks
What Happens During Hip Replacement Surgery?
Hip replacement surgery can be performed traditionally or by using what is considered a minimally-invasive technique. 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. A spinal anesthetic may be given to help prevent pain as an alternative.
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.
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.
Since there can be some blood loss during hip replacement surgery, you may need a blood transfusion, so you may want to consider donating your own blood before the procedure.
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. This includes both bending forward at the waist and squatting.
Your physical therapist will provide you with techniques and adaptive equipment that will help you follow any of the above guidelines and precautions while performing daily activities. Remember, by not following your therapist’s recommendations you could dislocate your newly replaced hip joint and may require another surgery.
Even after your hip joint has healed, certain sports or heavy activity should be avoided. The replacement joint is designed for usual day-to-day activity.
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.
- Sit in a firm, straight-back chair. Recliners should not be used.
- To help avoid falls, remove all throw rugs and keep floors and rooms clutter free.
- Use an elevated toilet seat. This will help keep you from bending too far at the hips.
- Keep enthusiastic pets away until you have healed completely.
You should ask your doctor before returning to such activities as driving, sexual activity, and exercise.
Is Hip Replacement Surgery Safe?
Hip replacements surgery has been performed for years and surgical techniques are being improved all the time. 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.
- Your legs may not be of equal length after the surgery.
- You must be careful not to cross your legs or not to sit too low because the joint may be dislocated.
- Pieces of fat in the bone marrow may become loose, enter the bloodstream and get into the lungs, which can cause very serious breathing problems.
- Nerves in the hip area may be injured from swelling or pressure and can cause some numbness.
- The replacement parts may become loose, break, or become infected.
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. Improvements in surgical technique and artificial joint materials should make these implants last even longer. If the joint does become damaged, surgery to repair it can be successful but is more complicated than the original procedure.