The truth is that with improved regional anesthetic techniques, you may not need general anesthesia during the surgical procedure. Typically, hip replacement surgery takes two hours. Surgery can feel daunting, but we want to alleviate your concerns. You should come prepared and have attended some physical therapy sessions to prepare for the surgery.
This is usually a simpler and better way of administering anesthesia without the complications sometimes linked to a general anesthetic. Using a spinal block also allows you to come out of the operation without feeling pain for close to 24 hours. Your surgeon will make an incision. At the hospital, you will be checked-in upon arrival. Here, you will wait for your surgeon and meet briefly before being escorted to the operating room. In the operating room, you will likely be given either: general anesthetic being put to sleep , spinal anesthetic, or a combination of the two.
There are pluses and minuses to the various types of anesthetic but a common preference by care teams is to go for spinal anesthetic with sedative medication. A spinal block is administered with medication to help your relax.
Spinal blocks have lower risk for serious complications than general anesthetic, cause less nausea, and let the patient breath on their own during the operation. A huge perk for a spinal block regional anesthetic : pain is blocked for up to 24 hours following surgery. The incision will cut through the skin, tissue and muscles at the top of your thighbone, allowing your surgeon to gain access to your hip bone.
The first step is generally dislocating your hip pulling the ball out of its socket. Next, the ball-shaped head of your femur upper thigh bone is removed. The socket is then grated down resurfaced , removing damage caused by arthritis so that a new, artificial cup can be fit into place.
The cup is a small metal dome that fits perfectly into the hollow of your bone and is press fit on. As you heal, new bone will naturally grow around this component, securing it even more into place.
A plastic, bowl-shaped insert is fastened into the cup and your new socket is formed. With the ball-shaped head of the femur already removed, your surgeon will prepare the inside of your thigh bone femur and then place an artificial part into your femur.
This piece is called the femoral component. Your surgeon will then need to fit the stem of this piece with a new head also called a ball. There are many femoral head ball sizes and variations, so your surgeon will test which one fits your new, artificial socket the best.
Before surgery is a wrap, your surgeon will test the fit and movement of your new artificial joint. Savyasachi C Thakkar, M. There are a lot of moving parts when it comes to recovery after surgery, especially a major one such as hip replacement. How should you prepare? What challenges should you expect? Will you need a caregiver? All of this takes careful planning among your care team, you and your family members.
Johns Hopkins orthopaedic surgeon Savya Thakkar, M. In fact, moving your new joint keeps it from becoming stiff. If you have a preexisting condition a heart or lung condition that needs monitoring , or if no one can give you a ride and help around the house right after the surgery, you might need to spend the night at the hospital.
People who had complex surgeries or lack support at home may benefit from starting their recovery in an inpatient rehabilitation unit. Your care team, which includes your surgeon, therapists and primary care doctor, will evaluate the need for any assistive devices. The incision is covered with a dressing and takes about six weeks to heal.
Rehabilitation will continue a few days after the surgery, with visits with physical and occupational therapists two to three times per week, as well as home exercises. Rehabilitation begins with getting used to regular movements and practicing daily activities, like getting out of bed or a chair, and progresses to practicing more difficult tasks, such as climbing stairs and getting in or out of the car.
Muscle strength plays a big role in being able to perform these and other tasks. This is why resistance training of hip muscles and knee muscles in the legs is a major component of rehabilitation. The Johns Hopkins Hip and Knee Replacement program features a team of orthopaedic specialists highly skilled in joint replacement procedures. Our team will guide you through every step, from presurgical education to postsurgical care and physical therapy.
Our goal is to return you to your desired level of activity as soon as possible.
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