Orthopedic Center with Orthopedist and Arthroplasty Services

All About Recovery From Surgery For Total And Partial Hip Prosthesis

Hip prosthesis surgery is not a simple procedure, so it should not be trivialized. It is a procedure that must be carefully planned and performed with precision.

Hip arthroplasty involves preoperative preparation and special treatment during the postoperative period.

Surgery for partial hip prosthesis or total hip prosthesis is required when the patient has severe pain that limits daily activities. The debilitating pain is caused by osteoarthritis of the hip.

In such cases, there is a decline in joint cartilage, which hampers intraarticular movements and causes pain when the hip moves. The torque of the femoral head on the acetabulum impacts the articular region, where the cartilage is compromised and causes pain.

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Surgery almost completely removes the disabling pain, except in cases with specific complications. In some cases, mild pain will continue due to the surgery itself, but the quality of life will improve significantly.

Arthroplasty

The arthroplasty is a surgical procedure that is carried out to treat pain. Patients with a more athletic routine should not resume strenuous physical activity post-hip prosthesis. The components of a prosthesis are manufactured industrially, so their durability depends on the material they are made of.

It’s important to note that bones deteriorate with time. During the patient’s routine, there is constant stress from the prosthesis and how it interacts with the bone.

Before Hip Prosthesis Surgery

Preoperative preparation of hip prosthesis is critical as it helps reduce avoidable complications. It involves stopping the use of anticoagulant drugs (“blood-thinning” substances) at least 2 weeks before surgery to prevent excessive bleeding during the procedure.

This is especially important for those patients who have already suffered a stroke, venous thrombosis, heart problems, pulmonary embolism, etc. In these cases, the use of these drugs is routine.

Some foods that are rich in salicylates can also impact natural clotting. Examples include acetylsalicylic acid, heparin, warfarin, ginseng, paprika, curry, etc. We routinely request laboratory tests to assess the patient’s clotting status.

 

Preoperative Prep & Postoperative Treatment

Medical experts suggest patients consult a physiatrist and physiotherapist to support them during rehabilitation.

Until the patient is healed completely, they will be asked to limit movement. Patients will be required to use a walker or a pair of crutches. It’s best that patients practice using their walkers and crutches before the surgery to avoid falls and other complications after the surgery.

The patient will be required to make small changes in their houses to protect them after the surgery. They will be asked to remove rugs and have someone else care for their pets because they might not be able to after surgery.

 

Important Tip

We suggest patients cut their toenails before going for surgery because they won’t be able to do it afterward. Patients are required to practice caution post-surgery to allow the joint capsule to heal. Any sort of damage could cause the prostheses to dislocate.

Hip Prosthesis Planning

Hip arthroplasty was considered “the surgery of the century” in an article published in 2007 in The Lancet, one of the most respected scientific publications.

The pain can be extremely debilitating and impacts the patient’s day to day activities (ex. tying shoes is practically impossible in some cases).

Hip prostheses surgery can help restore the functioning of the hip joint; patients can go about their daily life. Surgical planning is crucial in hip arthroplasty.

What Is Surgical Planning?

It will outline all the steps involved in the surgical procedure, from the size of the chosen operating room to the type of wires used in the skin points. The more detailed this planning is, the more smooth the operation will be.

Software is used to measure the patient’s anatomical points, so the positioning of the prosthesis can be as close as possible to the natural location.

With surgical planning, we already know the size of the acetabular and femoral component, so no guesswork is involved.

Planning of the hip prosthesis, respecting the patient’s anatomy.

Postoperative Period

Patients will need the following after surgery: long handle, compression stockings, abduction triangle, walker, crutches, and anticoagulant medication.

Long handle: These aren’t usually mentioned in the orthopedists’ offices, but they are extremely useful. Patients should avoid bending down to pick things off the floor and putting any strain on their hips. Long handles can help patients perform their regular activities with more ease.

Compression Stockings

Compression stockings prevent deep vein thrombosis. Due to surgical manipulation and relative rest after the procedure, blood circulation slows down and increases the chances of thrombosis. The use of compression stockings improves blood circulation and helps prevent thrombosis.

Use of compression stockings, preventing thrombosis.

Abduction Triangle

The abduction triangle is recommended for some hip arthroplasties when the surgeon does through gluteus medius. In general, it should be used when the patient is lying down; it ensures that patients don’t cross their legs.

Example of an abduction triangle.

Walker And Crutches

These are the two orthoses that will help the patient walk. The walker is needed during gait training (walking) because it helps with balance.

During training, we eventually replace the walker with crutches. Patients who follow the above preoperative training will be able to recover faster than those who skip it.

Anticoagulant Medication

Due to the risk of thrombosis in the postoperative period, patients will be asked to avoid blood thinners. Consult your doctor before taking any medication.

Use of a walker after surgery for hip prosthesis.

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Nossa Estrutura

Unidade Higienópolis
Sala de espera com amplo espaço e conforto para a família que espera por uma consulta de ortopedia geral ou ortopedia infantil.

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Unidade Higienópolis
A clínica Artroplastias do ortopedista em São Paulo, Dr. Felipe possui sala para acolher o paciente e família.

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Unidade Higienópolis
Sala para um exame ortopédico completo, cujo objetivo é o diagnóstico preciso. A indicação de uma artroplastia de quadril se baseia no estudo clínico e radiográfico cuidadoso do paciente.

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