DVT PPT
What is a hip replacement? - Answer- -Hip replacement surgery removes damaged or diseased
parts of a hip joint and replaces them with new, man-made parts.
-The goals of this surgery are to: relieve pain, help the hip joint work better, and improve walking
and other movements
Who should have hip replacement surgery? - Answer- -The most common reason for hip
replacement is osteoarthritis in the hip joint
Your doctor might also suggest this surgery if you have:
-Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)
-Osteonecrosis (a disease that causes the bone in joints to die)
-Injury of the hip joint
-Bone tumors that break down the hip joint
Your doctor will likely suggest other treatments first including:
-Walking aids, such as a cane
-An exercise program
-Physical therapy
-Medications
-These treatments may decrease hip pain and improve function, but sometimes the pain remains
and it makes daily activities hard to do. If this happens your doctor may order an x ray to look at
the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip
replacement.
Who should NOT have hip replacement surgery? - Answer- Healthy active people often have very
good results after hip replacement surgery. But your doctor may not suggest this surgery if you
have:
-A disease that causes severe muscle weakness
-Parkinson's disease
-A high risk of infection
-Poor health
How should the patient prepare for surgery? - Answer- -Learn what to expect before, during, and
after surgery
-Ask the doctor for booklets about the surgery
-Ask someone to drive you to and from the hospital
-Arrange for someone to help you for a week or two after coming home from the hospital
-Put things you need in one place at home (for instance, put the remote control, radio, telephone,
medicines, tissues, and wastebasket next to your chair or bed)
-Place items you use every day at arm level to avoid reaching up or bending down
-Stock up on food
-Make and freeze meals
What should patient do after surgery? - Answer- -Soon after surgery you will meet with a
respiratory therapist and a physical therapist
, -The respiratory therapist may ask you to breathe deeply, cough, or blow into a device to check
your lungs. Deep breathing helps to keep fluid out of your lungs after surgery.
-The physical therapist will teach you how to sit up, bend over, and walk with your new hip. The
therapist will also teach you simple exercises to help you get better. In some cases within 1 to 2
days after surgery, you may be able to sit on the edge of the bed, stand, and even walk with help.
-Usually people do not spend more than 3 to 5 days in the hospital after hip replacement surgery.
To be completely well takes about 3 to 6 months based on the type of surgery, your health, and
how quickly exercises help.
-After you go home, be sure to follow the doctor's instructions. Tips for getting better quickly
include:
-Work with a physical therapist
-Wear an apron to carry things around the house. This leaves your hands and arms free for
balance or to use crutches
-Use a long handled "reacher" to turn on lights or grab things you need. Your nurse at the hospital
may give you one or tell you where to buy one.
What problems can happen after hip replacement surgery? - Answer- -Most common problem
after hip replacement surgery is hip dislocation. Because man-made hips are smaller than normal
ones, the ball can come out of the socket. This can happen if you are in certain positions, such as
pulling the knees up to the chest.
-Sometimes the person's body reacts to the man made joint. If that happens, there is usually
inflammation (or swelling), and then special cells may eat away some of the bone, causing the
joint to loosen. To treat this problem, your doctor may suggest medicines or surgery to replace the
joint.
-Most people (more than 90%) who have hip joints replaced do not need more surgery.
Researchers are trying out joints made of different materials that last longer and cause less
inflammation.
-Less common problems after surgery are: infection, blood clots, and bone growth past the normal
edges of the bone.
-Risks of problems after hip replacement surgery are much lower than they used to be.
Will exercise help after a total hip replacement? - Answer- -Exercise can reduce joint pain and
stiffness. It can increase muscle strength and joint range of motion.
-Most physical therapists begin with exercises that: increase range of motion and make muscles
strong.
-Your doctor or physical therapist will determine when you can do harder exercises. Your doctor
may say not to jog or play basketball or tennis. These can damage or loosen the new hip joint.
*Exercise goals after hip replacement surgery are to:*
-Increase muscle strength
-Increase your blood circulation and overall fitness
-Avoid injuring the new joint
*The types of exercises that may help you meet these goals are:*
-Walking
-Bicycling (on a bike machine)
-Swimming
-Cross-country skiing
What research is being done on hip replacement surgery? - Answer- To improve hip replacement
surgery, researchers are studying:
-Which patients are more likely to do well after a hip replacement