Total Hip Replacement (Anterior approach) Recovery and Post Surgery Information

This video follows a patient who has undergone a Minimally Invasive Total Hip Replacement from the initial consultation, surgery and recovery to two week post surgery.

It is Part Four of four part video series that provides a detailed look at the process from pre-surgery to recovery of a total hip replacement by A/Prof Munjed Al Muderis.

Click here to view Part 1 - Initial Consultation

Click here to view Part 2 - Preparing for Surgery

Click here to view Part 3 - Operation

 

The following is what can be expected post Minimally Invasive Total Hip Replacement surgery:

Day 1: Exercises in bed, up with physiotherapist (drains in) during the late am or pm at physiotherapist discretion using forearm support frame and weight baring as tolerated.  Sit out of bed as tolerated.

Day 2 on: Progress mobility with physiotherapist.

Day 3: Commence hydrotherapy at physiotherapist discretion and commence crutches if able.

Day 4: Doctor will order removal of the drain. Once the drain is removed the dressing will be changed and reviewed twice daily. Waterproof dressings will be applied for showering and hydrotherapy with steri-strips reapplied as necessary.

Day 4-6: Education handouts will be given detailing ‘Care of hip’ and ‘Home Exercise program’. Stair practice and discharge information will be provided. By this stage patient should be able to get out of bed, sit in a chair and use the toilet independently.

Day 5-7: If the patient is independent they will be discharged directly home. Patient may be discharged earlier if being transferred to a rehabilitation facility. Follow up appointment is to be made with A/Prof Al Muderis for six weeks time from discharge and outpatient physiotherapy/hydrotherapy is to be commenced.

 

The following post-operative medications are to be expected to be prescribed following your hip replacement: 

  • Endone (as per doctors orders) then panadeine forte (as per doctors orders)
  • IV antibiotics as ordered, Fragmin daily until discharge as ordered by the doctor
  • Patient to wear anti-embolic stockings for six weeks

 

Post-op precautions:

It is important that you avoid any movements that will stress, damage or lead to dislocation of your new hip:

  • For the first six weeks it is recommended you sleep with a pillow between your legs
  • Avoid crossing your legs and bending your hip past a right angle
  • Avoid low chairs and bending over to pick things up. Grabbers can be helpful with this along with shoe horns
  • Avoid the combined movement of bending your hip and turning your foot in as this can lead to dislocation

 

Concerns:

Please contact the office if you are worried about your level of pain, have significant bleeding or have fever or redness around the surgical site.

If you require assistance after hours please contact the hospital where the surgery was performed and they will contact A/Prof Al Muderis on your behalf.

Norwest Private Hospital: (02) 8882 8882?

Sydney Adventist Hospital: (02) 9487 9111

Macquarie University Hospital: (02) 9812 3000

Osseointegration Group of AustraliaNorwest Advanced OrthopaedicsDrummoyne Advanced Specialty ServicesThe Sports & Arthritis Clinic NorwestNorwest Advanced Specialty Services