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Total Hip Replacement

Total joint replacement surgery is a safe but significant medical event. The following information outlines the general process and activities for patients having a traditional total hip replacement, hip replacement with anterior approach, or hip replacement due to fracture.  (Note: This information does not replace testing and consultation with an orthopedic specialist.) 
Part 1 – Before Surgery
Once you and your orthopedic surgeon have determined that you should have joint replacement surgery, you work with the surgeon’s office to schedule pre-testing and education.

Pre-testing happens at the orthopedic office well before the day of surgery. This testing helps ensure that your body is ready for surgery. Testing typically includes a heart EKG and discussions with the surgical team to identify and address any pre-existing medical conditions. Chronic diseases such as COPD, heart disease or high blood pressure may change how you prepare for surgery, or what the team needs to do to properly care for you during and after surgery.  

After pre-testing comes education. We know that patients who attend educational sessions before surgery have better outcomes after surgery and are less anxious about the recovery process. The team teaches you about the surgery itself, details of your hospital stay, as well as what to expect after discharge.
Part 2 – Day of Surgery
On the day of your surgery, check in at The Orthopedic and Neuroscience Hospital on the Deaconess Gateway Campus. Plan to arrive two hours before surgery time. Our team will bring you into a pre-operation room to get you ready for surgery. Once you go to the operating room, it will usually take about one hour to complete a total hip replacement.  

After surgery, you wake up and recover in the PACU. Shortly after that, you go to your private room (most likely) in the Ortho Neuro Hospital. Later that day, your nurses and therapists will get you out of bed and help you take a few steps using your new joint. It is safe and normal to move around several hours after surgery.

Joint replacements are outpatient procedures. 
Part 3 – Inpatient Recovery and Rehabilitation

You may complete physical therapy in your room with the guidance of therapists, nursing staff, your coach and other members of your health care team. The goal is to help your body recover from surgery and be strong enough to handle the long-term recovery process.
Part 4 – Going Home, Outpatient Rehabilitation
Most of our patients are able to go home after surgery. A few patients will need additional time to recover and may go to an inpatient rehabilitation facility for a period of time. Short-term rehab following joint replacement is not the same as being placed in a nursing home.

Following discharge from the hospital or rehab facility, plan on having outpatient physical therapy about three days per week. Deaconess, and our partners at Orthopaedic Associates and Progressive Health, have multiple facilities in the tri-state area. This allows our patients to select a physical therapy location convenient to them.

While there are always exceptions, outpatient physical therapy usually lasts 6 to 8 weeks.

What is Total Hip Replacement with Anterior Approach?
Total hip replacement surgeries most often involve an incision behind the hip. Anterior approach means the surgeon makes an incision in front of the hip. Surgeries conducted with this approach may have advantages including:
  • Less muscle trauma
  • Less pain
  • Earlier and easier recovery
  • Less limping
  • Shorter hospital stay
  • Decreased chance of hip dislocations
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