Our Summary

This research paper is essentially a guide for nurses and doctors who are involved in the care of patients undergoing a primary total hip replacement surgery. The paper talks about the different surgical methods that are commonly used for this procedure, what benefits they have, and what risks they might carry. It also discusses how to handle any complications that might happen during or after the surgery. The topics covered include joint dislocation, nerve injury, pain relief, and post-surgery care.

FAQs

  1. What are the common surgical approaches used in primary total hip arthroplasty?
  2. What are the advantages and risks associated with these surgical approaches?
  3. How can nursing staff and clinicians manage complications if they occur after a hip replacement surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hip replacement is to follow the postoperative care instructions closely, including any restrictions on movement and weight-bearing. It is important to attend all follow-up appointments and physical therapy sessions to ensure proper healing and optimal recovery. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help improve outcomes and prevent future complications.

Suitable For

Patients who are typically recommended for hip replacement surgery are those who have severe hip pain that affects their daily activities, have not experienced relief from conservative treatments such as physical therapy or medications, have limited range of motion in the hip joint, have difficulty walking or standing for prolonged periods of time, have hip joint stiffness, and have been diagnosed with arthritis, osteoarthritis, rheumatoid arthritis, or other degenerative joint diseases. Additionally, patients who have experienced a hip fracture or injury may also be candidates for hip replacement surgery. It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if hip replacement surgery is the best treatment option for their individual condition.

Timeline

Before hip replacement surgery:

  1. Initial consultation with orthopedic surgeon to discuss treatment options
  2. Pre-operative evaluation to assess overall health and fitness for surgery
  3. Education on the procedure, risks, and potential outcomes
  4. Pre-surgical preparation, including blood tests, imaging studies, and medication adjustments
  5. Planning for post-operative recovery and rehabilitation

After hip replacement surgery:

  1. Immediate post-operative care in the recovery room
  2. Transfer to hospital room for monitoring and pain management
  3. Physical therapy and rehabilitation to regain strength and mobility
  4. Monitoring for complications such as infection, blood clots, or dislocation
  5. Discharge from the hospital with instructions for at-home care and follow-up appointments
  6. Outpatient physical therapy and continued recovery at home
  7. Gradual return to normal activities and improved mobility and quality of life.

What to Ask Your Doctor

  1. What are the different surgical approaches for hip replacement, and which one do you recommend for me?
  2. What are the potential risks and complications associated with hip replacement surgery?
  3. How long is the recovery process typically, and what can I expect in terms of pain management?
  4. What restrictions or limitations will I have after surgery, and for how long?
  5. How soon after surgery can I expect to return to normal activities, such as driving or exercise?
  6. How will my mobility and range of motion be affected after hip replacement surgery?
  7. What signs or symptoms should I watch for that may indicate a complication or infection after surgery?
  8. Will I need physical therapy after surgery, and if so, how often and for how long?
  9. How long can I expect my hip replacement to last, and what factors can affect its longevity?
  10. Are there any lifestyle changes or modifications I should consider to protect my new hip joint?

Reference

Authors: Schultz K, Ewbank ML, Pandit HG. Journal: Br J Nurs. 2017 Dec 14;26(22):1238-1244. doi: 10.12968/bjon.2017.26.22.1238. PMID: 29240467