Hip Replacementa hip

[Techn0]

The old man is having a hip replacement on Monday. Should I be worried, or is it pretty straight forward op?

Do they replace the complete hip or just the joint?

[ucb]

THRs are a very common procedure and rarely cause problems esp. if your old man is in reasonable health otherwise. Anaesthetic options are spinal with or without sedation, or straightforward GA. Postop pain control is not too much of aproblem and much less painful than knee replacements.
The primary op generally only replaces the femoral head and not the acetabular component in the pelvis, though this is often done in redo hip replacements.
Occasionally, people with significant heart or lung disease may have a problem with cement used for securing the hip prosthesis. I would be surpirsed if your dad is going to have an uncemented hip as they generally work loose more quickly.

[rayny]

It is a very common procedure, but each case is individual.
I had a total hip replacement done about 10 years ago, having had an arthrodis 20 years earlier, it was the best thing that could have happened to me.
Some people who are not really at the stage of needing a hip replacement expect to be able to bounce around like a spring lamb immediately after surgery.
They feel let down by the fact that there is a recovery period, and also by the fact that it does not make them as mobile as when they were a teenager.

Your father should listen to good advice from the surgeon, nurses and physiotherapist and pace his recovery.

Good luck to him ( though he will not need luck if he has as good a surgeon and team as I had ).

[cslgirl]

My mum has had two. One back in 1981 (she was only in her 40's then) and then replaced again in 2005. Was fine. Pretty painful as with any operation but fine now. Nothing to worry about I would say )

[The_Doc]

ucb said:

GA. Postop pain control is not too much of aproblem and much less painful than knee replacements.
The primary op generally only replaces the femoral head and not the acetabular component in the pelvis, though this is often done in redo hip replacements.
Occasionally, people with significant heart or lung disease may have a problem with cement used for securing the hip prosthesis. I would be surpirsed if your dad is going to have an uncemented hip as they generally work loose more quickly.

Sorry, but most of that above is wrong.
There is no evidence that hip replacement is less painful than knee replacement.
A Total Hip Replacement involves a new socket (acetabulum) and femoral stem (with ball on top) This is the first and commonest replacement. (Charnley 1960s)
A Hip Resurfacing involves leaving the native femoral neck and resurfacing just the head. A new socket is put in.
Cemented and uncemented systems have equal longevity, if put in right, with things like the Exeter Cemented Hip and the Furlong uncemented showing 90% survival at ten years.

Cementation can cause a transient drop in heart output on the operating table, but the morbidity of this is less of a problem than you'd think.

Will.
I put in hips.

[Techn0]

Thanks guys, I'm sure he will be fine as he's pretty healthy. fingers crossed.

[Marcellus]

As my old man says "always a risk in having any surgery"..... and he was a Surgeon!!

That said my mum (73) has this year had a hip replacement and after about 8 weeks she got fed up with "thses bloody sticks" so threw them away and now she's fine.

In fact she is so annoyed that she put off having the op for 10 years she feels that good!!

[V8mate]

My MiL had a hip replacement a few weeks ago. She's late 70s.

Local anaesthetic, so none of the worries of older people fully going under. (Said it was weird hearing the surgeon sawing away)

Was out of bed within 24 hours, home in 3 days. Just using one stick within 7 days.

Amazing turnaround considering the invasiveness of the procedure.

[ucb]

The_Doc said:

ucb said:

GA. Postop pain control is not too much of aproblem and much less painful than knee replacements.
The primary op generally only replaces the femoral head and not the acetabular component in the pelvis, though this is often done in redo hip replacements.
Occasionally, people with significant heart or lung disease may have a problem with cement used for securing the hip prosthesis. I would be surpirsed if your dad is going to have an uncemented hip as they generally work loose more quickly.

Sorry, but most of that above is wrong.
There is no evidence that hip replacement is less painful than knee replacement.
A Total Hip Replacement involves a new socket (acetabulum) and femoral stem (with ball on top) This is the first and commonest replacement. (Charnley 1960s)
A Hip Resurfacing involves leaving the native femoral neck and resurfacing just the head. A new socket is put in.
Cemented and uncemented systems have equal longevity, if put in right, with things like the Exeter Cemented Hip and the Furlong uncemented showing 90% survival at ten years.

Cementation can cause a transient drop in heart output on the operating table, but the morbidity of this is less of a problem than you'd think.

Will.
I put in hips.

Actually, there is plenty of evidence that pain outcomes and patient satisfaction after total knee replacements are less than hips.
Cementation can cause a transient drop in heart output, but in 2 or 3 large series, a 0.1% ontable mortality has been reported during cementation. That of course doesn't include any postop problems.
I am not getting into this on a public forum and I accept your superior knowledge regarding the prostheses.

[Techn0]

He's in the recovery room and all has gone well.

[FUBAR]

My mum is booked to have a hip replacement op. For recovery, she wants to buy a treadmill and do the post op excersise indoors. Any adverse effects to using a treadmill after a hip op?