Having Hip Resurfacing
Hip resurfacing is a type of hip surgery to replace a damaged hip joint. The procedure is done by an orthopedic surgeon. This is a doctor with special training in treating bone, joint, and muscle problems.
What to tell your healthcare provider
Tell your healthcare provider about all the medicines you take. This includes over-the-counter medicines such as ibuprofen. It also includes vitamins, herbs, and other supplements. And tell your healthcare provider if you:
Have had any recent changes in your health, such as an infection or fever
Are sensitive or allergic to any medicines, latex, tape, or anesthesia (local and general)
Are pregnant or think you may be pregnant
Tests before your surgery
Before your surgery, you may need imaging tests. These may include ultrasound, X-rays, or MRI. Your healthcare provider will tell you more about these tests.
Getting ready for your surgery
Talk with your healthcare provider how to get ready for your surgery. You may need to stop taking some medicines before the procedure, such as blood thinners and aspirin. If you smoke, you may need to stop before your surgery. Smoking can delay healing. Talk with your healthcare provider if you need help to stop smoking.
Also, make sure to:
Ask a family member or friend to take you home from the hospital
Not eat or drink after midnight the night before your surgery
Follow all other instructions from your healthcare provider
You will be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully. Ask questions if something is not clear.
Planning for recovery
You will also need to plan some changes at home to help you recover. Talk with your healthcare provider about how you need to prepare for your recovery. You may need to:
Go to a rehabilitation facility or have rehab at home
Get extra help at home with bathing and dressing, meals, or shopping
Make changes to your home to prevent falls and make your recovery easier, such as a raised toilet seat, grab bars, or handrails
On the day of your surgery
Your orthopedic surgeon will work with a team of specialized nurses. The surgery can be done in several ways. This surgery may be done in one incision (open surgery) or a few smaller incisions (minimally invasive). Ask your doctor about the details of your surgery. The whole procedure may take a couple of hours. In general, you can expect the following:
You will have general anesthesia, a medicine that allows you to sleep through the surgery. You won’t feel any pain during the surgery. Or you may have medicine to numb the area (regional anesthesia) and medicine to help you relax and sleep (sedation) through the surgery.
After cleaning the skin, the surgeon makes a cut (incision) through the skin and muscles near the hip.
The surgeon takes the femoral head out of the joint socket. He or she trims the head with special tools. A metal cap is cemented over the head.
The surgeon removes damaged cartilage and bone from the joint socket.
The surgeon places a metal cup into the socket. Screws are used to hold it in place.
The surgeon places the femoral head back in the socket.
The surgeon closes the layers of muscle and skin with stitches (sutures).
A healthcare provider will watch your vital signs such as your heart rate and blood pressure during the surgery.
You may be given antibiotics during and after the surgery. This is to help prevent infection.
After your surgery
Talk to your surgeon about what you can expect after your surgery. Before leaving the hospital, you will likely have X-rays taken of your hip. This is to check the repair.
Recovering at home
You will have some pain after the surgery. Your doctor will tell you what pain medicine you can take to help reduce the pain. You can also use ice packs to help lessen pain and swelling. You might have some fluid draining from your incision. This is normal.
You will get instructions about how you can move your hip and leg. You may need to use crutches, a cane, or walker for a few days or weeks.
Follow all of your doctor’s instructions carefully. Your surgeon may tell you to:
Take prescription medicine to prevent blood clots
Not take certain over-the-counter medicines for pain that may interfere with bone healing
Eat foods high in calcium and vitamin D to help with bone healing
Make sure to keep all of your follow-up appointments. You may need to have your stitches removed a week or so after your surgery.
You may have physical therapy. This is to improve the strength and movement of your leg. The therapy may include treatments and exercises. The therapy improves your chances of a full recovery. Most people are able to return to all their normal activities within 6 weeks of the surgery.
You may need another hip surgery 10 to 20 years after your first hip resurfacing surgery. You can help delay when you will need a follow-up surgery by doing regular exercise and preventing falls.
When to call your healthcare provider
Call your healthcare provider right away if you have any of these:
Fever of 100.4°F (38.0°C) or higher
Redness, swelling, or fluid leaking from your incision that gets worse
Pain in your hip or leg that gets worse
January 31, 2018
MMI board-certified, academically affiliated clinician,Turley, Ray, BSN, MSN