PreOp® Hip Replacement Surgery Patient Education

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You doctor has recommended that you undergo hip replacement surgery. But what exactly does that mean?

The hip joint is the place where the thighbone - called the femur - and the hipbone - called the pelvis - meet.

As you walk, the ball-shaped end of the thigh moves within a cuplike depression on the side of the hip.

As long as the thigh can move smoothly against the hip, you are able to walk comfortably. But over time, especially in patients who suffer from arthritis or rheumatism, the hip joint can wear down.


Cartilage, the tissue that cushions the bones and makes it possible for them to move smoothly against each other can wear away.

When this happens, the bones rub together causing pain and even restricting the ability to walk.
* In some cases, hip surgery is recommended for people who have suffered a hip fracture.
* No matter what the cause, one of the most effective ways to fix a damaged hip is to replace it surgically.

In this procedure, the ball-shaped bone at the top of the thigh is removed and replaced with a metal substitute.

The hip socket is widened and lined with a smooth pad that allows the metal ball joint to move more freely against the pelvis.

Hip replacement surgery is a major operation, but your doctor believes that the procedure -- followed up with physical therapy and time to heal -- will result in reduced pain and greater mobility.

So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

A Patient Education Company -Surgery

On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth ...
... and an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will prepare by clipping or shaving skin around your hip and thigh.

The anesthesiologist will begin to administer anesthesia - probably general anesthesia by injection and inhalation mask.
The surgeon will then apply antiseptic solution to the skin ...
... and place a sterile drape around the operative site.
Then, when you are asleep, the surgical team will make an incision over the hip and along the thigh.

The team will pull the skin aside to reveal the muscle tissue below.
They'll then make another incision to reveal the hip joint.
Next, the team pulls the top of the thighbone...
... out of the hip socket.

Using a precision surgical saw, your doctor will carefully remove the ball-shaped end of the thighbone.

Then, the surgical team will use a high-speed drill to hollow out the top of the thighbone.
A specially fitted artificial ball joint slides into the top of the thighbone.
Next, your doctor will smooth the inner surface of the hip socket.
Once the socket has been thoroughly cleaned, the artificial lining will be secured in place with special screws.

The artificial ball joint is turned inward and fit into the socket.

The team carefully checks to make sure that it fits and allows the full range of normal motion.
Muscle and other tissues are closed over the joint using dissolvable stitches. A temporary draining tube may be added.

Finally, the skin is closed with sutures... and protected with sterilized strips.

Patient Education Company - Recovery

Hip replacement surgery rarely leads to complications.

* It is possible that one or both of the artificial components could come loose, requiring another operation.
* Muscle, nerve or bone damage is also possible although very unlikely.

Another possible complication is a persistent residual neuralgia -- or pain -- around the scar. It can be either localized or general. It may develop soon after surgery -- or even weeks or months later.
In rare cases, the surgery does not restore full mobility or stability to your hip and thigh.

Once you return home, you will be responsible to keeping the dressing intact and clean.
Patient Education

As with all surgery, you should be alert for signs of infection near the incision - increased swelling, redness, bleeding or other discharge. Your doctor may advise you to be on the alert for other symptoms as well. If you experience any unusual symptoms, report them to your doctor right away.

You may also notice some bruising in the general area of the incision. The discoloration may be extensive - but as with any bruise, it should heal on it's own.

Before you leave, you'll be given discharge guidelines which may include diet, medication, work and other activity restrictions.

You'll also make at least one follow-up appointment so that the doctor will be able to check the healing of the incision and/or to remove sutures.

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