Hip Replacement Patient Notebook - Christiana Care Health System

More documents

Recommendations

Info

About Total Hip Surgery and FAQs We are glad you have chosen the Center for Advanced Joint Replacement to care for your hip problem. Below is a list of the most often asked questions along with their answers. This notebook gives added information. If your have any other questions, please ask your surgeon or the Center for Advanced Joint Replacement case manager. Our goal is for you to be fully informed about this procedure. What is arthritis and why does my hip hurt? In the hip joint there is a layer of smooth cartilage on the ball of the upper end of the thigh bone (femur) and another layer within your hip socket. This cartilage serves as a cushion and lets smooth motion of your hip. Arthritis is a wearing away of this cartilage. This wears down to your bone. Rubbing of bone against bone causes pain, swelling and stiffness. What is a total hip replacement? A total hip replacement is an operation that removes the ball of the upper thigh bone (femur) as well as harmed cartilage from your hip socket. The ball is replaced with a metal ball that is fixed solidly inside the thigh bone. BEFORE: Raw bone rubbing on raw bone AFTER: A new surface creates a smooth functioning joint The socket is replaced with a plastic liner that is most often fixed inside a metal shell. This makes a smoothly working joint that does not hurt. When should I have this type of surgery? Your orthopedic surgeon will decide if you may have the surgery. This will be based on your history, exam, X-rays and response to treatment that has been tried to now. Your surgeon will ask you to decide if your pain, stiffness and inability to do the things you wish warrant having surgery. Am I too old for this surgery? Age is not a problem if you are in reasonable health and have the wish to keep on living a productive, active life. You will be asked to see your personal doctor for his/her opinion about your general health before your surgery.
FAQs about Total Hip Surgery How long will my new hip last and can a second replacement be done? We expect most hips to last more than 10-15 years. But there is no guarantee and 5-10 percent may not last that long. A second replacement may be needed. Why do they fail? The most common reason for failure is loosening of the artificial ball where it is set in the thigh bone, or loosening of the socket. Wearing of the plastic spacer may also result in the need for revision. What are the major r isks? Most surgeries go well, without any problems. Infection and blood clots are two potential serious complications. To skirt these problems, we take special precautions in the operating room to lower the risk of infection and we use antibiotics and blood thinners post operatively. The chances of these happening in your lifetime are one percent or less. Having your hip joint fall out of place after surgery is also a potential problem. Your orthopedist and PT will talk ways to lower that risk. Should I exercise before the sur gery? Yes. You should talk about physical therapy/exercise choices with your surgeon. Exercises should begin as soon as possible. Will I need blood? You may need blood after the surgery. You may: (1) Donate your own blood, if you can, (ask your doctor his/her choice) (2) Use the community blood bank supply. When will I be able to get out of bed? Your surgeon will ask that you get out of bed the day of your surgery. The next morning you will get up, sit in a chair or recliner and walk with a walker with help from our staff. Most patients will get out of bed the day of surgery. How long will I be in the hospital? Most patients will be in the hospital for 2-3 days after their surgery. Before your surgery set up to have someone stay with you for a minimum of 3 days when you go home from the hospital. How do I make ar rangements for surgery? After your surgeon has scheduled your surgery, the Center for Advanced Joint Replacement case manager will call and guide you through the program. The role of the case manager is described in this notebook. The case manager’s phone number is 302-428-2460.
Page 1 and 2: Notebook for Hips
Page 3 and 4: Welcome Thank you for choosing the
Page 5: Role of the Center for Advanced Joi
Page 9 and 10: How can I get my home ready before
Page 11 and 12: FYI: Joint Replacement Insurance Ch
Page 13 and 14: The outline of the class is as foll
Page 15 and 16: Day of Surgery Wilmington Hospital
Page 17 and 18: Heading Home Someone will need to d
Page 19 and 20: Exercising Before Surgery It is vit
Page 21 and 22: Ankle Pumps 1. Bend your ankles up
Page 23 and 24: Gluteal Sets X X X 1. Squeeze your
Page 25 and 26: Heel Slides 1. Lie on back. 2. Bend
Page 27 and 28: Seated Knee Extension 1. Sit on edg
Page 29 and 30: Short Arc Quads 1. Lie on your back
Page 31 and 32: Standing Hip Abduction 1. Stand, ho
Page 33 and 34: Using the Clinical Diary A note for
Page 35 and 36: Post-operative Swelling ■ You may
Page 37 and 38: Blood Clot (Pulmonary Embolus) An u
Page 39 and 40: Walking with Walker 1. Move the wal
Page 41 and 42: Using a “Sock Aid” How to use a
Page 43 and 44: Moving into Tub Getting into the tu
Page 45 and 46: Moving to Toilet When sitting down
Page 47 and 48: Moving Out of Bed When getting out
Page 49 and 50: Lying in Bed - Four Weeks Post-op W
Page 51 and 52: Household Chores: Saving Energy and
Page 53 and 54: FYI: Advance Directive Advance dire
Page 55 and 56: FYI: Bleeding Precautions Sometimes
Page 57 and 58:
FYI: Constipation Constipation, whe
Page 59 and 60:
How do I prvent DVT? DVT precaution
Page 61 and 62:
FYI: Fall Prevention in the Home Fa
Page 63 and 64:
■ ■ ■ ■ ■ Delaware Stroke
Page 65 and 66:
Guided Imagery Programs To select t
Page 67 and 68:
FYI: Pain Control ■ ■ We believ
Page 69 and 70:
FYI: Preventing Infection We are co
Page 71 and 72:
FYI: Rehabilitation Services After
Page 73:
FYI: Directions to Hospitals Wilmin
Page 76:
Christiana Hospital Campus From I-9
show all

Hip Replacement Patient Notebook - Christiana Care Health System

Create successful ePaper yourself

Delete template?

Save as template?