While hip replacement surgery isn't considered a risky procedure, as with any major operation, there are risks of complications. Among the most common for hip replacement patients is the risk of blood clots. These are often found in the legs (Deep Vein Thrombosis) or in the lungs (Pulmonary embolus).
A hip replacement is major surgery, so it is usually only recommended if other treatments, such as physiotherapy or steroid injections, have not helped reduce pain or improve mobility.
As hip repair surgery is considered intermediate-risk surgery, even in the presence of risk factors, further cardiac investigations are not generally considered necessary.
The complication rate following hip replacement surgery is low. Serious complications, such as joint infection, occur in less than 2% of patients. Major medical complications, such as heart attack or stroke, occur even less frequently. However, chronic illnesses may increase the potential for complications.
People with the following conditions may not be good candidates for a hip replacement: Hip infection or sepsis. Morbid obesity. Remote, ongoing infection.
While hip replacement surgery isn't considered a risky procedure, as with any major operation, there are risks of complications. Among the most common for hip replacement patients is the risk of blood clots. These are often found in the legs (Deep Vein Thrombosis) or in the lungs (Pulmonary embolus).
There is no official cut-off age for getting a hip replacement. In fact, trends indicate that hip replacements have a higher success rate in older patients than younger ones! This means, as long as patients are healthy, hip replacements are possible well past the 75 – 79 age bracket.
Most people will fully recover from hip replacement surgery within a few months to a year, but recovery times vary for each patient. Expect about one to four days of bed rest immediately after surgery, but physical rehabilitation usually starts the same day as your procedure.
Most hip replacement patients are able to walk within the same day or next day of surgery; most can resume normal routine activities within the first 3 to 6 weeks of their total hip replacement recovery. Once light activity becomes possible, it's important to incorporate healthy exercise into your recovery program.
You can expect to experience some discomfort in the hip region itself, as well as groin pain and thigh pain. This is normal as your body adjusts to changes made to joints in that area. There can also be pain in the thigh and knee that is typically associated with a change in the length of your leg.
The risk factors for early mortality most commonly identified are increasing age, male gender and co-morbid conditions, particularly cardiovascular disease. Cardiovascular complications appear to have overtaken fatal pulmonary emboli as the leading cause of death after hip replacement.
The average patient age for a hip or knee replacement surgery is between 66 and 68, which means that it is reasonable to expect a joint replacement to last for the remainder of life in 80 to 90 percent of patients.
Joint loosening, blood clots, change in leg length, dislocation, fractures and infection are common hip replacement complications. People who have received metal-on-metal hips may also experience metallosis, a form of metal poisoning that causes tissue damage and other serious conditions.
On average, hip replacement surgeries last about two hours. A partial hip replacement might require less time, and a double hip replacement may take longer. Complications during surgery might also extend the surgery time.
Gentle exercise is beneficial, such as short, gentle walks around your home and outside. Supervised physiotherapy, like rehabilitation programmes and hydrotherapy, can also help improve recovery in the weeks following surgery.
After the operation and throughout the early stages of recovery, you will need some form of support when ascending or descending stairs, such as using the handrails and a cane. At home, your stairs should have some handrails or banisters already installed.
Normally, driving should be avoided for the first 6 weeks and even travelling as a passenger is best avoided for the first three weeks (except for essential journeys), as getting in and out of a car can risk straining the hip and stretching the healing tissues.
Within the first week after surgery, stay alert for any signs of infection such as fever, redness, and discharge from the wound. Proper wound care is also essential. Sponge baths are recommended until two weeks after hip surgery or before the staples that close the wound are removed.
Around three months after your hip operation, most things will go back to normal, and the pain goes away for most people. You need to look out for signs of complications and continue being careful with how you move your hip. After 6 to 12 months, the recovery is considered complete.
Even if you have osteoarthritis in your hip joint, you may not need hip replacement surgery. Our experts may suggest other treatment options. For example, injections are a better approach for some people. Injections can lessen inflammation and pain, or lubricate your joint so it functions better.
In many cases, hip damage and dysfunction will worsen without treatment. Inactivity can lead to loss of muscle strength and increased stiffness of the hip joint. Without a hip replacement, weak hip muscles and joint stiffness could lead to a noticeable limp.