Wednesday, March 18, 2009

Healing & Hip Replacement

Orthopedists use hip replacement surgery, called total hip arthropasty, for patients who have sustained damage from arthritis or an injury. Hip replacement relieves pain, restores range of motion and joint function. The U.S. National Library of Medicine says doctors elect surgery as a last resort when medication, physical therapy and exercise fail. You should be able to resume regular activity after you heal from hip replacement surgery.








Procedure


Hip replacement surgery takes a few hours to complete. According to the American Academy of Orthopaedic Surgeons (AAOS), a team of anesthesiologists evaluates you and determines whether you need general or spinal anesthesia for surgery. During your hip replacement, orthopedic surgeons remove damaged cartilage and bone and replace them with metal, plastic or ceramic joints consisting of ball-and-socket components, which restore hip function and alignment. Surgeons fill in gaps between the prosthesis and remaining bone with surgical cement. It takes three to six months to heal from hip replacement surgery.


In Hospital


The healing process begins before leaving the hospital, starting with pain medications that decrease hip pain, and deep breathing and coughing that reduce lung congestion after surgery. A positioning splint such as a V-shaped pillow placed between your legs protects your hips. The AAOS says walking and light activity the day of or after surgery is good for your recovery. A physical therapist will give you exercises for hip strength and to help restore movement for walking and other activities. Expect to leave the hospital in three to 10 days.


At-Home Recovery


The rest of your recovery takes between three and six months, and, according to the AAOS, swelling is normal for up to six months. You'll be instructed to change dressing and keep skin clean to avoid infections. Follow the surgeon's recommendations for caring for stitches and bathing. Seek medical help if your wounds turn red or start draining, check your temperature twice a day and let your doctor know if your temperature exceeds 100.5 degrees. Keep your legs slightly elevated and apply ice packs for 15 to 20 minutes a few times a day to reduce swelling. Continue the physical therapy at home that you began in the hospital.


Falling


Falling within the first few weeks after your procedure could result in the need for more surgery, which is why doctors recommend using canes, crutches, walkers or handrails while walking. Avoid stairs and prepare your home for your special needs before surgery. Hire an assistant or have someone help you during your recovery so you don't delay your healing or set yourself back.


Blood Clots


It's important to be wary of blood clots after surgery. Symptoms include chest pains, shortness of breath, leg and calf pain, swelling in the legs, ankles or feet, and calf and leg pain not related to your wound. Contact your doctor if you think you have a blood clot. You will most likely be prescribed a blood thinner.

Tags: replacement surgery, after surgery, your recovery, activity after, calf pain, from replacement