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.