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.

Measurements of metallic substances that can erode away from the metal portions of hip replacements can indicate toxicity or wear of the prostheses. With high levels of cobalt measured in blood of these patients, it is suggested that an MRI of the hip be performed to be certain an abnormal growth of tissue (pseudotumor) is not present.

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 most 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, mobility, and lessen the potential for complications.

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See what others are saying

Comment from: Ali, 55-64 Male (Patient) Published: March 18

I had bilateral hip replacement on March 2, 2016. I stayed at the hospital for 3 days (could've been 2) and walked with walker for a day and crutches for 2. Oh by the way, I refused taking anything besides Tylenol 4 a day and 1 Celebrex and 2 aspirin for blood clot! I went home on Saturday, did my exercises 5 or 6 times a day. Physiotherapist (PT) came home for 4 times but said I should go to outpatient and tomorrow I have my first doctor visit (2 weeks). I've been walking 5 to 10 minutes a day to my cafe and been doing 10 to 15 minutes of stationary bike almost every day. The doctor, PT and all are kind of amazed at my progress! I do have some pain as I step into my stride. I do have IT (iliotibial) band pain and pain in the side of the knee (I think from the table on the surgery day). Lateral movement is almost perfect (which I couldn't before), and there is a bit of clicking in my right hip but I'm not worried. I think it will need 4 to 8 weeks for all the trauma to subside and then we shall see! Good luck to you all.

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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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