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Minimally Invasive Total Hip Replacement

What you should know

Minimally invasive total hip replacement is surgery to replace a damaged hip joint with an implant.


Care Agreement

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.

Risks

  • You may bleed more than expected and get an infection. Your nerves, blood vessels, ligaments, or muscles may be damaged during 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 become 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.

Getting Ready

The week before your surgery:

  • Write down the correct date, time, and location of your surgery.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. 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.

  • 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.

  • You may need x-rays of your spine, pelvis, or legs. This will help your caregiver plan your surgery. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for 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:

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.

  • 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.

  • 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 will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

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 for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or 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 have a fever.

  • You get a cold or the flu.

  • You have infected skin or a wound near your hip.

  • You have questions or concerns about your hip surgery.

Seek Care Immediately if

  • Your symptoms get worse.

  • You have severe hip pain.

  • You have more trouble walking or moving your hip.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

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.

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