Minimally Invasive Total Hip Replacement
What you should know
Minimally Invasive Total Hip Replacement (Precare) Care Guide
- Minimally Invasive Total Hip Replacement Aftercare Instructions
- Minimally Invasive Total Hip Replacement Discharge Care
- Minimally Invasive Total Hip Replacement Inpatient Care
- Minimally Invasive Total Hip Replacement Precare
- En Espanol
- Minimally invasive total hip replacement is surgery to replace a hip joint damaged by wear, injury, or disease. One or more smaller incisions are made instead of a large incision as is done during a regular total hip replacement.
- The hip joint is where the top of your femur (thigh bone) sits in the socket of your pelvic bone. The joint is held together by ligaments and muscles. The top of your femur is shaped like a ball and covered with cartilage. Cartilage is a tissue that helps joints move.
You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.
- You may be allergic to the anesthesia and have trouble breathing. You may bleed more than expected and need a blood transfusion. Your nerves, blood vessels, ligaments, or muscles may be damaged during surgery. You may get an infection after surgery. You may have more hip pain, or your hip joint may become stiff or numb. Your joint movement may not be as stable as it was before your surgery. Your legs may not be the same length. You may have bone loss, or bones near the implant may break or crack.
- You may get a blood clot in your leg. This can cause pain and swelling, and it can stop blood from flowing where it needs to go in your body. The blood clot can break loose and travel to your lungs or brain. A blood clot in your lungs can cause chest pain and trouble breathing. A blood clot in your brain can cause a stroke. These problems can be life-threatening.
- Your implant may get loose or move out of place. If this happens, you may need another surgery to replace the implant. You may also need surgery to remove infected tissues. If you do not have this surgery, your hip pain may get worse. You may have more trouble walking or moving around. You may also have trouble going back to your usual activities.
The week before your surgery:
- Write down the correct date, time, and location of your surgery.
- Ask a family member or friend to drive you home after your surgery. Do not drive yourself home.
- Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
- You may need x-rays of your spine, pelvis, or legs. This will help your caregiver plan your surgery. Ask about any tests you may need. Write down the date, time, and location of each test.
The night before your surgery:
- You may be given medicine to help you sleep.
- Ask caregivers about directions for eating and drinking.
The day of your surgery:
- Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.
- Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
- An anesthesiologist may talk to you before your surgery. This caregiver may give you medicine to make you sleepy before your procedure or surgery. Tell your caregiver if you or anyone in your family has had a problem using anesthesia in the past.
- You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
What will happen:
Your hip will be cleaned. A 3- to 6-inch incision will be made on the front or side of your hip. The ball of your femur and the damaged cartilage in the socket of your pelvis will be removed with medical tools. Your caregiver may make another incision over the back of your hip to see the joint better. The hip implant will be fitted to replace the bones that were removed. Your caregiver will use screws or medical cement to secure the implant. An x-ray may be done to check the position of the implant. A drain may be placed to remove blood and fluids from the surgery area. Your incision will be closed with stitches or staples and covered with a bandage.
After your surgery:
You will be taken to a room where you can rest until you are fully awake. Caregivers will monitor you closely. Do not try to get out of bed. When caregivers see that you are okay, you will be taken to your hospital room. The bandage covering your incision helps keep it clean and dry to prevent infection. A caregiver may remove the bandage soon after surgery to check your wound.
Contact a caregiver if
- You cannot make it to your surgery.
- You get a cold, the flu, or have a fever.
- You have infected skin or a wound near your hip.
- You have questions or concerns about your hip surgery.
Seek Care Immediately if
- The problems for which you are having the surgery get worse.
- You have severe hip pain.
- You have more trouble walking or moving your hip.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.