Timeline for Hip Replacement and Resurfacing Surgery (What to Expect)

Surgery Scheduled with Joshua Hickman, MD

  • Read entire packet of information
  • Visit website www.joshuahickmanmd.com
  • Make a list of all current medications including dosages and times taken. This must be brought to your preoperative appointment
  • Recieve primary care physician clearance for surgery if instructed by Dr. Hickman's office
  • If recommended by Dr. Hickman schedule Prehab with a physical therapist. This should be completed before preoperative appointment

Two Weeks Prior to Surgery

  • Stop all anti-inflammatory mediations. (Aspirin, Diclofenac, Naproxen, Ibuprofen, etc.)
  • Make sure to attend your preoperative appointment with any questions you may have

Day Before Surgery

  • Hospital will can with instructions of arrival time, etc.
  • Bring your own loose-fiting clothing for therapy
  • Nothing to eat or drink after midnight
  • Bring a list of medications including dosages and instructions to the hospital
  • Bring this Mountain Orthopaedic packet with you to the hospital
  • If you use a CPAP machine bring that with you as well
  • Scrub the hip with the brush given to you at your preoperative appointment

Day of Surgery

  • Upon arrival you will have labs drawn and IV placed
  • IV antibiotics will be given 30 minutes prior to surgery and for 23 hours after surgery to prevent infection
  • You will be given spinal anesthesia ( we work to perfect the optimal anesthesia and pain control as well as decrease nausea)
  • You will receive a nerve block, which significantly decreases pain after surgery
  • Surgery time will be 1 hour 15 minutes
  • You will be given minimal sedation to relax and sleep through the surgery
  • No tube will be placed down your throat. You will breathe on your own during surgery
  • We will wear special suites and practice sterile techniques in an effort to prevent infection
  • A small incision is made to preserve muscle. The implant will perfectly match your anatomy and will allow for near normal function and motion
  • A drain is placed for blood recovery allowing us to use your own blood for reinfusion. It is very rare to receive blood transfusion
  • Bulky dressing and ice is placed
  • You will be in the recovery room for 45 minutes
  • Specialized nurses trained in joint replacement recovery will welcome you to the floor. Our staff takes pride in serving your needs and routinely is ranked at the highest level of quality care
  • Blood from the drain will be washed and returned to you by IV, this is your own blood and eliminates the need to pre-donation blood and results in minimal need for transfusion
  • The drain will be removed
  • Your diet will consist of solid foods and you will have several menu choices
  • There are no restrictions on light to normal activites
  • Issues such as bathing, dressing, driving, getting in and out of vehicles and daily activities will be discussed
  • Important Tasks on Day 1
    • Sit up in bed, eat regular food, and drink
    • Urinate on your own (if not within 4 hours of arrical on the floor, notify the nurse)
    • Deep breathe
    • Stand and get out of bed with staff assistance
    • Walk the halls with assistance
    • IF THESE TASKS ARE ACCOMPLISHED YOU MAY GO HOME - 50% OF HIP REPLACEMENTS GO HOME THE SAME DAY OF SURGERY 

First Day After Surgery

  • ALMOST EVERY hip replacement or resurfacing patient goes home by the first morning
  • Dressing removed
  • Physical therapy in the morning and afternoon
  • Discharge planner will meet with you regarding discharge
  • You will receive a blood thinner to prevent blood clots and you will need to take as directed
  • You will receive pain medication orally in the hospital as well as an IV anti-inflammatory medication
  • You will go home with main medication. GET OFF PAIN PILLS as soon as possible. Narcotics will not be refilled after 4-6 weeks
  • An occupational therapist the day of surgery and first day will discuss issues for home with you including driving, getting in and out of vehicles getting dressed, and other helpful home tips
  • Please notify the staff of any issues with urinating but keep in mind that difficulty with bowel movements is normal (it could be several days before you have a bowel movement)
  • You will receive instructions regarding your incision, medications, and bathing
  • MOST HIP SURGERY PATIENTS DO NOT NEED PHYSICAL THERAPY

1-3 Weeks After Surgery

  • You should not have a dressing. If spots or drainage occur with sterile gauze and light tape (this is common)
  • You may get your incision wet with soap and water, but don't soak it
  • Peel off tape strips and clean incision 2 weeks after surgery
  • No hot tubs or under-water baths for 4 week
  • Most hip replacement patients do not need outpatient physical therapy
  • Remember, WALK, WALK, WALK, and then ICE
  • No restrictions in activity for Hip Replacement
  • May cross legs. When bending past 90 degrees, keep legs apart and elbows between knees
  • You may participate in activities as tolerated
  • Fever around 100 degrees in the first week is normal
  • It is common to have bowel difficulty, however, notify our office if you go several days after leaving the hospital without a bowel movement
  • Some brusing is normal. It is common to have seom numbness around the incision
  • Worrisome findings include: drainage from wound, redness that increases, shortness of breath or chest pain, fever of 102 or higher, and dramatic leg swelling
  • DR HICKMAN IS AVAILABLE AFTER HOURS FOR QUESTIONS AND CONCERNS - PLEASE CALL WITH CONCERNS - AFTER HOURS NUMBER 801-299-7617
  • IF YOU GO TO A REHAB CENTER YOU SHOULD STAY NO MORE THAN 14 DAYS. THERAPY MAY IT BE NEEDED AFTER DISCHARGE, IF FELT TO BE NEEDED BY PATIENT GO DIRECTLY TO OUTPATIENT PHYSICAL THERAPY AFTER REHAB. A PHYSICAL THERAPY PRESCRIPTION IS IN THIS PACKET UNDER ORDERS
  • Many Hip Replacement patients are walking normal or very well without crutches by 3 weeks

3-6 Weeks After Surgery

  • MOST ARE WALKING NORMAL WITHOUT AND ASSIST DEVICE IN 3 WEEKS
  • It is common to be stiff and sore at the end of the day
  • It is common to be stiff after sitting
  • Anti-inflammatories (Ibuprofen or Naproxen should be taken twice a day as long as you have cleared with your primary care physician)
  • You should need less and less pain medication and completely off it by week 6
  • There are no restrictions on activity, in fact increasing your activities is good for your recovery
  • Worrisome findings include: drainage from wound, redness that increases, shortness of breath or chest pain, fever of 102 or higher, and dramatic new leg swelling

3-4 Months After Surgery

  • Less stiffness, however stiffness can still exist
  • Sore at the end of the day
  • Activity should be near normal and you can increase to heavy activities without any restrictions