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Hip
Replacement Frequently
Asked Questions |
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Hip
Replacement |
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If I decide to have a total hip replacement, how many years will it last? |
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Answer: New materials used in total hip replacement are very durable and are expected to last greater than ten years in 90% of individuals receiving total hips. The chance of hip replacement lasting 20 years is MORE THAN 80%.
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How soon following total hip replacement should I be able to progress to walking independently? |
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Answer: The speed with which a person is able to abandon the use of crutches, a walker or cane varies from individual to individual and with the type of artificial implant used. The majority of people require only a cane after six weeks, although others may need more time to progress.
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How soon can one drive again after total hip replacement? |
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Answer: Following total hip replacement, individuals are generally advised not to drive for six weeks. However, some may be able to return earlier. The surgeon will determine the appropriate time upon re-evaluation of the new hip joint.
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Will my medical insurance policy cover all or most of a total hip replacement? |
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Answer:
Because of the nature and potential need for this particular surgery, Medicare and most other medical insurance policies cover some or the majority of the surgery. However, it is often necessary to contact the medical insurance company before the surgery and inquire if prior authorization for coverage is needed. At that time, the insurance company will advise what percentage of the charges will be paid for by the patient.
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How often do I need to do my instructed exercises and for how long after surgery? |
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Answer: The exercise program should be performed 2 times per day for the initial 6 to 8 weeks. After this time, if the individual has progressed to a cane or to walking without an assistive device, frequency can be reduced to 3 times a week to maintain strength and endurance. Because recovery times vary, the final decision should be made only by the physician and/or physical therapist.
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IN A NUT SHELL... |
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Here is a summary of the important facts and information related to hip replacement: |
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Individuals suffering from a variety of hip problems can benefit from total hip replacement especially when pain results from wear and tear, disease, and injury. |
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Following total hip replacement, most people are up and around walking to some degree the day after surgery. They also can expect to return to normal or near normal activities very soon and without much pain. |
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Some of the common hip problems leading to total hip replacement are: osteoarthritis, rheumatoid arthritis, traumatic arthritis, and avascular necrosis (death of bone) |
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Depending on the condition, people in their late teens and in their 70s can possibly be candidates for a hip replacement. However, the majority of individuals in need of hip replacement are in their 60s and 70s. |
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During hip joint replacement surgery, the head and neck of the femur are removed and replaced with a ball and stem. The acetabulum is reamed to accept a plastic cup. The ball and socket are then replaced into normal position and fastened into the bone with or without special cement. |
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To ensure the newly discharged individual is safe in and about his or her home, a nurse, physical therapist, and an occupational therapist will likely see the patient for in home treatment. This can be arranged between the therapist and the patient. |
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The person with a hip replacement may be able to take part in physical activities which were impossible before surgery |
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Loosening of the implant is the most frequent cause of failure of a total hip replacement, and may require revision surgery. |
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Alternatives to total hip replacement include medication, femoral osteotomy (cutting the bone to change alignment) and arthrodesis (fusing the bones together to prevent movement) |
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