hip joint replacement…

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hip fracture, osteoarthritis vs, rheumatoid arthritis, hip arthroplasty, total hip replacement, hip hemiarthroplasty, surgery is performed to replace, the hip joint, an artificial device, a prosthesis, hip is essentially a ball, socket joint, linking the "ball", head, the thigh bone, femur, the cup-shaped "socket", in the pelvic bone, a total hip prosthesis is surgically implanted to replace the damaged bone, the hip joint, total hip prosthesis consists of three parts, a cup that replaces hip socket, cup, plastic, some centers, trying other materials, ceramic, metal, a metal, ceramic ball, replace the fractured head, the femur, a metal stem that is attached, shaft, the bone to add stability, prosthesis, surgery, "hemi-arthroplasty", the only bone replaced, a prosthetic device, head, the femur, receive an extensive pre-operative evaluation of hip, a candidate, hip replacement procedure, assess the degree of disability, impact on lifestyle, pre-existing medical conditions, evaluate heart, lung function, surgery, performed, spinal anesthesia, orthopedic surgeon makes an incision, over the buttocks, to expose the hip joint, head, the femur is cut out, removed, hip socket is cleaned out, a tool, a reamer removes, the remaining cartilage, arthritic bone, new socket is implanted, after which the metal stem is inserted, femur, artificial components, fixed in place, a special cement, muscles, tendons, replaced against the bones, incision is closed, return from surgery, a large dressing on the hip area, a small drainage tube, surgery to help drain excess fluids, joint area, many surgeons also place a knee immobilizer, special pillow between the legs, in the operating room, prevent the hip from dislocating, experience moderate to severe pain after surgery, receive patient-controlled analgesia, pca, intravenous, iv, analgesics, epidural, via the spinal cord, analgesics to control pain, the first 3 days after surgery, pain should gradually decrease, by the third day after surgery, oral analgesic medications sufficient to control pain, try to schedule pain medications, one-half hour, walking, changing position, return from surgery, several iv lines in place, fluids, nutrition, iv, remain in place, drinking adequate amounts of fluids, procedure is elective, planned in advance rather than in response to an injury, donate blood several weeks, prior to surgery to replace any blood lost, blood that is drained, wound, surgery is collected, special sterile container to be re-infused, an iv after surgery, return from surgery wearing "anti-embolism" stockings, inflatable "pneumatic compression" stockings, devices, reduce risk of developing blood clots, more common after leg surgery, start moving, walking early after surgery, on the first day after surgery, should get out of bed to a chair, in bed, perform ankle exercises frequently, prevent development of blood clots, instructed on how, use a spirometer, a plastic device that indicates how much air is breathed in at one time, to gradually increase the depth of respirations, perform deep breathing, cough procedures, prevent pneumonia, a foley catheter inserted, surgery to monitor kidney function, hydration level, removed on the second, third day after surgery, encouraged to try to walk, bathroom, assistance, hip joint replacement is primarily done in people age 60, older, operation, not recommended, younger people, the strain they, put on the artificial hip, causing it to fail prematurely, reasons, replacing the hip joint, severe pain from arthritis, in the hip that limits an individuals' ability to, the things they want to, fractures, in the elderly, the neck, the femur, a hemi-arthroplasty, hip joint tumors, surgery, not recommended, very young patients, current hip infection, poor skin coverage around the hip, paralyzed quadriceps muscles, nerve disease affecting the hip, patients, severely limiting mental dysfunction, serious physical disease, terminal disease, metastatic cancer, extreme obesity, weight over 300 pounds, blood clots, in the legs, deep vein thrombosis, dislodge, move, lungs, pulmonary embolus, pneumonia, infection that, removal, the prosthesis, prosthesis dislocation, heterotopic bone formation, extra bone growth, cause stiffness, results of hip prosthesis surgery, excellent, operation relieves pain, stiffness, most patients, over 80%, need no help walking, 20 years, the artificial joint, loosen, revision surgery, become necessary, younger people, wear out the lining of new cup, need it replaced, the prosthesis loosens, remain, in the hospital, 3 to 5 days after surgery, stay temporarily at a rehabilitation unit, long-tern care center, mobility has improved, safely able to live independently, centers, provide intensive physical therapy to assist in regaining muscle strength, flexibility, in the joint, careful after surgery that don't dislocate the prosthesis, new hip, not have the same range of movement, the original joint, should eventually be able to return to previous level of activity, should avoid vigorous sports such skiing, contact sports, go on to play tennis, golf quite successfully, use of crutches, a walker necessary, 3 months, most people who, did not use them, able to walk, them in several weeks, many surgeons place patients on blood thinners, several weeks after surgery to help, prevent blood clots, in the form of pills, either coumadin, aspirin, injections, special precautions, new joint has a limited range of movement, take special precautions to avoid displacing the joint, avoid crossing legs, ankles, sitting, standing, lying, sitting, keep feet, 6 inches apart, sitting, keep knees below the level of hips, avoid chairs, too low, sit on a pillow to keep hips higher than knees, getting up, a chair, slide toward the edge, the chair, use walker, crutches, avoid bending over, waist, consider purchasing a long-handled shoehorn, a sock aid to help put on, take off shoes, socks, bending over, an extension "reacher", "grabber" helpful, picking up objects, too low, to reach, lying in bed, place a pillow between legs to keep the joint in proper alignment, a special abductor pillow, splint, keep the hip in correct alignment, an elevated toilet seat necessary to keep the knees lower than the hips, sitting on the toilet.