Revision Total Joint Arthroplasty

WHAT YOU SHOULD KNOW:

Revision Total Joint Arthroplasty (Inpatient Care) Care Guide

Revision total joint arthroplasty is surgery to fix or replace an artificial joint. You may need a revision arthroplasty if your artificial joint becomes loose, moves out of place, or breaks. You may need this surgery if the bone around your artificial joint gets weak or damaged over time. You may also need this surgery if you have severe pain or an infection in your joint.

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 get an infection or bleed more than expected. You may need a bone graft if the bone around your artificial joint is badly damaged. Nerves, blood vessels, ligaments, or muscles may be damaged. Your joint may become stiff, numb, and more painful. Your joint movement may not be the same as it was before. You may have trouble doing your daily activities.

  • 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. A blood clot in your lungs can cause chest pain and trouble breathing. This problem can be life-threatening. Without surgery, pain and other problems that you have with your joint may get worse.

WHILE YOU ARE HERE:

Before your surgery:

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Monitoring:

    • Heart monitor: Sticky pads placed on your skin record your heart's electrical activity.

    • Pulse oximeter: This is a device that measures the amount of oxygen in your blood. A cord with a clip or sticky strip is placed on your finger, ear, or toe. The other end of the cord is hooked to a machine.

    • Vital signs: Caregivers will check your blood pressure, heart rate, breathing rate, and temperature. They will also ask about your pain.

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

During your surgery:

Your joint area will be cleaned. Your caregiver will make an incision over the joint. The artificial joint will be repaired or removed. If necessary, a new artificial joint will be placed and attached to the bone with hardware, such as wires or screws. The incision will be closed with stitches and covered with a bandage.

After surgery:

You are taken to a room where your heart and breathing will be monitored. Do not get out of bed until your caregiver says it is okay. A bandage may cover wounds to help prevent infection. You may be able to go home after caregivers see that you are okay. If you had general anesthetic, an adult will need to drive you home. Your driver or someone else should stay with you for 24 hours. If caregivers want you to stay overnight, you will be taken to a hospital room.

  • You will be able to drink liquids and eat certain foods once your stomach function returns after surgery. You may be given ice chips at first. Then you will get liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then be given soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.

  • Activity: Caregivers will help you be as active as possible after your surgery. Physical activity helps prevent blood clots.

  • Deep breathing and coughing: This will help decrease your risk for a lung infection after surgery.

    • Hold a pillow tightly against your incision when you cough to help decrease pain. Take a deep breath and hold it for as long as you can. Deep breaths help open your airways. Let the air out and follow with a strong cough. Spit out any mucus you cough up. Repeat the steps 10 times every hour.

    • You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece into your mouth and take a slow, deep breath. Let out your breath and cough. Repeat the steps 10 times every hour.

  • Medicines:

    • Blood thinners help prevent blood clots. Blood thinners may be given before, during, and after a surgery or procedure. Blood thinners make it more likely for you to bleed or bruise.

    • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.

    • Antinausea medicine: This medicine may be given to calm your stomach and to help prevent vomiting.

    • Medicines to treat pain, swelling, or fever: These medicines are safe for most people to use. However, they can cause serious problems when used by people with certain medical conditions. Tell caregivers if you have liver or kidney disease or a history of bleeding in your stomach.

© 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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