100 Questions & Answers About Hip Replacement

Title......Page 2
Copyright......Page 3
Contents......Page 6
Acknowledgments......Page 10
Part One: Introduction......Page 12
1. What is a hip replacement?......Page 13
2. Why should I have a hip replacement?......Page 15
3. When were the first total hip replacements done? How many are done each year?......Page 17
Part Two: Hip Disease......Page 20
4. What are the parts of a normal hip joint?......Page 21
5. What happens when my hip joint doesn’t work normally?......Page 23
6. What is osteoarthritis?......Page 24
7. What is rheumatoid arthritis?......Page 27
8. What is post-traumatic arthritis?......Page 29
9. What is avascular necrosis?......Page 31
10. What is arthritis secondary to childhood hip disease?......Page 34
11. What other conditions can cause arthritis in my hip?......Page 37
Part Three: Symptoms......Page 40
13. When will I have pain?......Page 41
14. Why do I limp? Why does my leg feel short?......Page 42
15. Why can’t I bend over? Why can’t I tie my shoes?......Page 43
16. Why does my hip sometimes make a crackling noise when I try to move it?......Page 45
Part Four: Diagnosis......Page 46
17. How will my doctor make the diagnosis of an arthritic hip?......Page 47
18. What will my doctor find when he does an examination?......Page 49
19. What do x-rays show?......Page 53
20. Do I need an MRI?......Page 55
22. Can I have pain in my hip from other problems?......Page 58
Part Five: Treatment Without Surgery......Page 62
24. Will it help to lose weight?......Page 63
25. Should I use a cane?......Page 65
26. What are NSAIDs?......Page 66
27. Do supplements like Glucosamine help?......Page 68
28. Can a cortisone injection help?......Page 70
Part Six: Surgery......Page 72
29. Can I be too young to have hip replacement surgery?......Page 73
30. Can I have a total hip replacement if I have had previous hip surgery?......Page 75
31. What is Bipolar (Partial) Hip Replacement?......Page 79
32. What is resurfacing?......Page 84
33. What is a hip fusion?......Page 88
34. What is an osteotomy?......Page 92
35. What is core decompression?......Page 93
36. Is there a role for arthroscopy?......Page 95
Part Seven: The Operation—Total Hip Replacement......Page 100
37. How can I prepare for surgery?......Page 101
38. Should I see my regular doctor before surgery?......Page 102
39. Should I donate blood before surgery? Can my friends and family donate blood?......Page 105
40. What kind of anesthesia will I have?......Page 106
41. Who will do the surgery?......Page 109
42. Who else will be in the operating room?......Page 111
43. How is the surgery done?......Page 112
44. How long does the procedure take to perform?......Page 116
45. What are the components made of?......Page 117
46. How are the components implanted?......Page 121
47. What is bone cement? What is it made from?......Page 123
48. Why are components modular?......Page 126
49. Can a hip replacement be metal on metal?......Page 130
50. What are ceramics?......Page 132
Part Eight: After Surgery......Page 136
51. How long will I need to be in the hospital?......Page 137
52. What kind of medication will I be given for pain?......Page 138
53. When will I get out of bed?......Page 139
54. Why do I need antibiotics? How long will they last?......Page 141
55. Will I need a blood transfusion?......Page 142
56. Will I need a catheter?......Page 143
57. What kind of blood thinners will I have to take? How long will I have to take them?......Page 144
58. Will I need to use a walker or crutches?......Page 148
59. What precautions do I need to take against dislocation?......Page 150
60. Can I go home from the hospital or should I go to a rehabilitation facility?......Page 152
61. What kind of physical therapy will I need?......Page 154
62. What exercises should I do to strengthen my hip?......Page 155
63. What kind of assistive aids will I need?......Page 156
64. When can I go back to work?......Page 159
65. When can I drive?......Page 160
66. When is it safe to have sex?......Page 161
67. When can I resume sports? What kind of sports activities are safe?......Page 163
Part Nine: Risks and Complications......Page 166
68. How do I know if I have an infection? How can an infection be diagnosed?......Page 167
69. How can an infection be treated? How long will I need antibiotics?......Page 170
70. What kind of surgery is needed to treat an infection?......Page 173
71. What is DVT? How can it be diagnosed?......Page 174
72. How is a blood clot treated?......Page 177
73. What is a pulmonary embolus?......Page 178
74. What is a dislocation? What can cause dislocation?......Page 180
75. If I have a dislocation will I need to have more surgery?......Page 184
76. What is leg length inequality? How does it happen?......Page 187
77. What is heterotopic ossification?......Page 191
78. Can fractures occur during surgery? How can they be treated?......Page 195
79. Can there be injuries to nerves and vessels around the hip?......Page 196
80. What other medical complications can happen from surgery?......Page 198
Part Ten: Revisions and Fractures......Page 200
81. When is revision surgery necessary?......Page 201
82. How do I know if my hip has loosened?......Page 203
83. Is a revision procedure more difficult than a regular total hip? Does it take longer?......Page 208
84. Are special components required for a revision procedure?......Page 211
85. Why is bone grafting sometimes necessary? Where do bone grafts come from?......Page 214
86. Are there greater risks from revision surgery?......Page 217
87. Is the rehabilitation after revision surgery longer?......Page 218
88. Why do some hip fractures require hip replacement?......Page 219
89. Is a total hip ever done for fracture instead of a partial or bipolar replacement?......Page 223
Part Eleven: Other Questions......Page 224
90. Is hip replacement done for tumors?......Page 225
91. What can my family do to help?......Page 227
92. Why do I need antibiotics when I go to the dentist? Do I have to take antibiotics for the rest of my life?......Page 229
93. What is minimally invasive surgery?......Page 231
94. What is computer navigation?......Page 233
95. What is wrong site surgery? How can it be prevented?......Page 234
96. Can both hips be replaced at the same time?......Page 236
97. Can my body be allergic to the total hip components?......Page 237
98. Can I get pregnant if I have had a total hip replacement?......Page 239
99. Will my total hip set off an airport metal detector?......Page 241
100. Conclusion—Where do I go from here?......Page 242
Glossary......Page 246
Index......Page 254