Doctor insights on:
Is Feeling Fatigued Common After Total Hip Replacement Surgery On One Hip
Total hip replacement: surgery in which the diseased ball and socket of the hip joint are completely removed and replaced with artificial materials. A metal ball with a stem (a prosthesis) is inserted into the femur (thigh bone) and an artificial plastic cup socket is placed in the acetabulum (a "cup-shaped" ...Read more
After total hip replacement surgery, is it normal for the operated leg to be a little bit longer than the good one?
Can be: While I wouldn't call it normal, leg lengthening is a potential result of total hip replacement and can be no big deal or a significant disability. Leg lengthening has become less common with newer implants and surgical techniques. Significant lengthening can be balanced with a heel lift in the other shoe. ...Read more
Can be very normal: Leg swelling after hip replacement can occur for up to 3 months after surgery. I recommend my patients use compression hose, knee high, for 3 months post-op, with periodic leg elevation above heart and head 3x/day x 20-30 minutes. Also, do not be up on the leg too much too soon after surgery. Allow your body to heal. If swelling persists and pain increases with it, then call your surgeon. ...Read more
Uncommon: Infection after tha is a known complication that occurs in 0.1-2% of hip replacement procedures. Factors that can affect this incidence include patient conditions such as obesity, diabetes, or immune system diseases, as well as the length of surgery time, wound closure methods, and experience of the surgeon. Some hospitals and surgeons have higher rates of infection. ...Read more
Medication: Pain after total hip replacement is expected and will be most severe the first day or two after surgery. It can be easily managed with perioperative narcotic pain medicines. After discharge from the hospital, most patients will take pain medication for 2-4 weeks and then not require more than a tylenol (acetaminophen) or advil occasionally. The pain after tha should be resolved with in 6 weeks in most patients. ...Read more
Not unusual: It is very common to get leg swelling after total hip or knee replacement. Of course, swelling with pain can be a sign of DVT (deep venous thrombosis). Also described by some as "blood clots". This should be evaluated by your doctor. Painless swelling will often resolve after a few months. ...Read more
Should having a prostate infection stop me from going ahead with a total hip replacement surgery?
Maybe: If the infection has been treated with antibiotics and is resolving you are probably okay. If not, the surgery should be postponed until the condition has been treated. More importantly, you should be evaluated for the cause of the infection and treated appropriately by a urologist. ...Read more
Follow docs advice: You should follow your doctors advice for recovery and long term followup. It is important to return periodically (every 2-4 years) to your doctor to have the total hip replacement evaluated by x-ray to make sure it is functioning properly. Otherwise, enjoy your hip with the guidelines you have been provided. ...Read more
What kinds of medication is recommended for a patient who underwent total hip replacement surgery?
Should be okay:
I recommend using an epidural for the surgery and then transition to oral medications a few hours later. I'd also suggest talking to your doctor about giving your a few different types of pain medication immediately before surgery, which helps reduce the amount of pain you experience afterward.
Fortunately, hip replacements do not hurt that much - most of our patients walk the same day day. ...Read more
After total hip replacement, what should be the exercises to do to rehabilitate? Would you recommend water exercises? How much time after surgery?
Varies: You would want to check with your surgeon. Most of the time you do need to limit your activities to some degree, particularly if you have a press fit hip in which bony ingrowth is needed to provide long term stability of the implant. For a period of time you also need to be careful not to put yourself in a position in which you might dislocate your hip. Thank you for the question. ...Read more
I recently underwent a total hip replacement. I am about 5 weeks post surgery. I tried to walk today without my crutch but limping. Any idea why?
If someone has a total hip replacement or other hip surgery that uses some metal, how does this work when going through metal detector @ airport?
Need addit screening:
Joint repair hardware will likely set off the alarm. TSA doesn't care about the card that says you have hardware. You should let them know going in that you have a joint replacement and they will figure out how to screen you, depending on airport.
http://orthopedics. About. Com/od/hipkneereplacement/f/metaldetectors. Htm
http://www. Tsa. Gov/traveler-information/metal-implants ...Read more
Should do hip re surfacing or total hip replacement for young patient of 26 years of age. Does after surgery there is change in legs length.?
Usually not: Unless there was shorting before, I do not think so. ...Read more
Is surgery the only recourse of prosthetic device? Total hip replacement done 5 years ago. Stem has loosened. How is it repaired? Who should do this?
Revision needed: If the stem has become loose from the femur and is causing pain, a revision is indicated. This should be done by a surgeon trained or well experienced in doing these procedures. While the outcome of this procedure can be very good, it is technically more difficult than the primary replacement and the recovery can be longer. ...Read more
I am having a total hip replacement in a couple of weeks and I have diabetes 2. Should I get the flu shot before. My surgery?
How is leg length discrepancy measured after total hip replacement? How long should one wait to evaluate?
Let me explain:
Limb length discrepancy can be measured by a physician during a physical examination and through x-rays.
Usually, the physician measures the level of the hips when the patient is standing barefoot. A series of measured wooden blocks may be placed under the short leg until the hips are leveled. If the physician believes a more precise measurement is needed, he or she may use x-rays. (scanogram). ...Read more
Pain: First, if you're mom had a tha 30 years ago, she already has beaten the odds of needing a revision. She should be getting xrays every few years. The main finding of concern would be pain in her groin or her proximal thigh area. She should have a routine f/u to get an xray and an evaluation with her orthopaedic surgeon. Best of luck. ...Read more
Is persistent low grade fever up to 99.6 common up to 2 weeks of a total hip replacement? Mobility progressing, no more swelling or redness.
Yes: The healing response can be an inflammatory response. As long as you are getting better and feeling better keep healing! ...Read more
Depending on what type of metal implant was used, the implant may be far stiffer than young femur, which can create thigh pain when you do a maneuver that forces your femur to flex.
The other cause could be a loose implant. If the implant is moving still inside the femur it will hurt. ...Read more
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