The Hip Replacement Surgery
Your hip joint is made up of two parts: the socket, in your hip or pelvic bone, and the ball, at the top of your upper leg bone (femur).
Your surgeon perform the planned approach and will reshape the socket to fit the new cup implant that replaces your diseased socket. After the socket is reshaped, a new cup will be placed in the socket. The cup usually consists of a metal shell and a polyethylene or metal liner.
Your surgeon then prepares your femur for the femoral stem, which will hold the new ball part of your hip joint. The head of your femur is removed and the bone is prepared for the new femoral stem. Your surgeon will most likely use a trial implant to verify the correct fit.
After your permanent hip stem is implanted, the ball that sits at the top of the femoral stem will be put into place.
Once your surgeon is satisfied with the position and movement of your new hip joint, it will be flushed with cleansing fluid and closed
However the Depuy Hip Replacement failures have caused numerous revision surgeries.
The rehabilitation after surgery is a slow and difficult process especially for seniors That is part of the reason why the DePuy recall is so concerning. This means means that many seniors who have the DePuy hip systems will need to have a second revision surgery years sooner than they probably expected. These subsequent surgeries are riskier, have a lower success rate and are associated with a higher risk of complications. Another key difference between initial hip replacements and revision surgeries is that rehabilitation is often more difficult and requires more time. This rehabilitation is hard enough the first time. A revision surgery is even more difficult with far reaching effects.
The rehabilitation period after a primary hip replacement can be as short as three months. If there are problems with any aspect of the rehabilitation, or the patient has other health problems, it may take as long as six months for the individual to fully recover. The following is a general rehabilitation timeline for an individual who has had an initial total hip replacement:
- One to two days after the procedure
The patient will be able to sit up and stand. He or she may even be permitted to walk with assistance.
- Three to five days after the procedure
The patient is typically discharged from the hospital.
- After discharge to six weeks
The patient will begin weight bearing and will practice exercises to improve strength and range of motion.
- From six weeks to three months
The patient will continue exercising to improve strength and range of motion in the hip, knee and trunk area. He or she will stop using canes, walkers and other assistive devices. The patient can begin more strenuous exercise such as stair climbing and biking.
- Three months after the procedure
The patient has regained most of his or her strength in the hip area and once again has a normal range of motion.
Rehabilitation after a hip revision surgery is usually a much slower process. In general, patients can expect to be in recovery for about six months before they are able to walk without a limp. Physical therapy may continue for up to one year. Individuals who undergo a hip revision may need in-patient rehabilitation before going home and will need to be closely monitored during recovery.
As the above information illustrates, an individual will ideally need to undergo only one hip replacement procedure during his or her lifetime. Those who are young or very active may wear their devices out over the years, necessitating a second replacement. Seniors are the worst victims as they do not recover as quickly and time lost from activity effects the future quality of life.
The Rehabilitation Process
All surgeries at that age are traumatic with extensive recovery time and rehabilitation. After the surgery, the patient, can spend weeks in a rehabilitation facility away from family, friends and routine.According to physiciansYou will be allowed only limited movement immediately after hip replacement surgery. When you are in bed, pillows or a special device are usually used to brace the hip in the correct position. You may receive fluids through an intravenous tube to replace fluids lost during surgery. There also may be a tube located near the incision to drain fluid, and a type of tube called a catheter may be used to drain urine until you are able to use the bathroom. The doctor will prescribe medicine for pain or discomfort.
On the day after surgery or sometimes on the day of surgery, therapists will teach you exercises to improve recovery. A respiratory therapist may ask you to breathe deeply, cough, or blow into a simple device that measures lung capacity. These exercises reduce the collection of fluid in the lungs after surgery.
As early as 1 to 2 days after surgery, you may be able to sit on the edge of the bed, stand, and even walk with assistance.
While you are still in the hospital, a physical therapist may teach you exercises such as contracting and relaxing certain muscles, which can strengthen the hip. Because the new, artificial hip has a more limited range of movement than a natural, healthy hip, the physical therapist also will teach you the proper techniques for simple activities of daily living, such as bending and sitting, to prevent injury to your new hip.
This isolation can effect mood. After discharge there is usually weeks of in home rehabilitation.Exercise becomes significantly more important as we age for strength and balance. These surgeries,with recuperation time, less weight bearing, and reliance on others effects individuals over the age of 65 much more then a younger ,more active person.Many people think that beyond a certain age, you become too weak to strength train or benefit from it. But research shows the complete opposite. Without adequate muscle exercise, most adults lose 20 to 40 percent of the muscle they had as young adults. With too much muscle loss people have difficulties performing daily activities that allow them to live independently. Usually, people do not spend more than 3 to 5 days in the hospital after hip replacement surgery. Full recovery from the surgery takes about 3 to 6 months, depending on your overall health, the age at which this occurs, and the success of your rehabilitation. Going through this once is traumatic. We do not know how many seniors can actually go through this twice and regain the pre -surgery level of functioning. This will not only affect an individuals quality of life but perhaps even life span ,depending on age and other health factors. If a senior has kept going, for instance, by play golf every day with friends and he or she loses this ,it could be a downhill road You may contact the helpline by calling 1 877-522-2123