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| Hip Resurfacing: Pre-Op
& on Surgery Day Once you and your orthopedic surgeon decide that hip resurfacing is right for you, the days and weeks leading up to surgery, as well as the day of surgery, require preparation. The following is a description of what you may expect. ++ Pre-operative Procedure You and your orthopedic surgeon may participate in an initial surgical consultation. This appointment may include pre-operative X-rays, a complete medical and surgical history, physical examination, and a comprehensive list of medications and allergies. During this visit, your orthopedic surgeon will likely review the procedure and answer any questions. ++ Surgery The Surgeon will start the operation with a technique to approach the hip joint. There are several different surgical approaches which can be used and an individual Surgeon will choose that which they find suits their experience the best. There are subtle nuances in each of these approaches and these will result in slight variations with the post operative regimes used in the recovery and rehabilitation from the surgery. This is normal and correct. The bone preparation part of the operation is carried out using the specialist instruments supplied by Smith & Nephew. The head of the femur is prepared to receive the resurfacing component and the socket is shaped to accept the new resurfacing cup. Once this is accomplished the socket is inserted in a position to give stability to the hip and allow the bone to grow around it encouraging long term security, the resurfacing component is then fixed into position using bone cement. Following a careful inspection of all components the Surgeon will then 'close' the surgical approach path and finally the skin with either sutures or metal staples. It is common to have a drainage tube exiting from just below the wound for a couple of days although in some cases it is not required. ++ Recovery Your recovery program usually begins the day after surgery. Many patients walk a few steps the day following surgery with an appropriate assistive device (usually crutches or walking sticks) and this is acceptable permitting it is within the limits of your comfort. The surgeon will determine how much weight you can bear on your new hip. In certain instances where the surgery has been more difficult, as is often the case with more advanced hip disease, the Surgeon will advise you on walking and any further rehabilitation measures. This may mean a period of several weeks on crutches to allow full healing. It should be noted that the first 6 months post-operation are the most vulnerable period for the joint as it is during this period that the bone initially remodels to 'grip' the implant. During this period impact at the joint should be avoided. ++ Further Progress You will generally be discharged from the hospital after five to seven days with an assistive walking device. While at home, continue to walk with an assistive device unless directed by your surgeon to discontinue use. You must also remember to strictly follow the hip precautions and weight-bearing instructions during the first few months following surgery. In the weeks after your surgery, it is important to continue to walk on a regular basis to further strengthen your hip muscles. An exercise and walking program helps to enhance your recovery from surgery and helps make activities of daily living easier to manage. Driving may be commenced around 4-5 weeks after surgery although it is recommended that you do not drive unless you have been approved by your doctor. Sexual relations can normally resume at around four to six weeks, however, you should take care to avoid extreme movements of the hip until around three months. The following guidelines are important during your recovery; ++ Take regular walks when able ++ Continue the exercises the physiotherapist has shown you ++ Lie flat on your back for an hour every day to encourage the stretching of your hip muscles and ligaments ++ Ensure that you rest after walking to enable the soft tissues to recover
Preparation and investigations for the surgery is done from 3 different profiles.
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