Total Hip Replacement - Prognosis

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What has been the prognosis for you or your relative following total hip joint replacement?

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What is the prognosis of total hip joint replacement?

Patient education is important to ensure longevity of the replaced hip. Strenuous exercises such as running or contact sports are discouraged, since these activities can reinjure the replaced hip. Swimming is ideal in improving muscle strength and promoting mobility and endurance.

Patients should be aware and notify any caregivers that they have an artificial joint. Antibiotics are recommended during any invasive procedures, whether surgical, urological, gastroenterological, or dental. Infections elsewhere in the body should also be treated to prevent seeding of infection into the joint. This is important because bacteria can pass through the bloodstream from these sites and cause infection of the hip prosthesis.

Hip joint replacement surgery is one of the most successful joint surgeries performed today. In well-selected patients, who are appropriate candidates for total hip replacements, the procedure lasts at least 15 years in nearly 95% of patients. Long-term results have been improving impressively with new devices and techniques. The future will provide newer techniques which will further improve patient outcomes and lessen the potential for complications.

Previous contributing editor: Dennis Lee, MD

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See what others are saying

Comment from: Freyelectricjrm, 45-54 Male (Patient) Published: October 06

I had left hip replaced on 9/12/14. I'm three weeks out and getting better each day. Exercises are the key three times a day every day. I'm still using a walker to get around but at 6'3' and 260 it's better to be safe. I will start using cane only next week and hopefully start using a stationary bike soon. I have no severe pain but definitely overall aches and pain. I'm getting right hip done on 12/1/14 and will go through all of this again. I wonder if it will be worth it in the end, to have mobility and be pain free.

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Comment from: catmom, 65-74 Female (Patient) Published: October 15

I am a 74 year old retired woman who was very active until I began to have a lot of pain in my legs. Exercise and medication helped for several months, and then walking and standing became so difficult I had a total hip replacement in my right leg this summer. It was a bone-on-bone situation. The first few weeks were difficult because of exhaustion, limits to mobility, little help at home, poor appetite, etc. The hospital made sure I had adequate pain medications at the beginning. My progress, however, was very good. When the doctor stopped the addictive medication, I was actually pain free anyway except for occasional night pain in both legs which the doctor said is normal at this stage. It has been 9 weeks since the surgery, and I have been swimming and driving for three weeks. Now the only day time pain is in the left leg for which will have surgery next year. I have done physical therapy exercises and I walk regularly. Even with only one leg fully okay, my daughter says I look and act like a new person.

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