Patient Education: Hip Replacement

What to Expect After Hip Replacement Surgery

After surgery, you will be taken to the Recovery Room for a period of close observation. Your blood pressure, pulse, and temperature will be monitored and close attention will be paid to the circulation and sensation in your legs and feet. Post operatively, you may have temporary nausea and vomiting due to anesthesia or medications. (Anti-nausea medication may be given to you when you are in your room to minimize nausea and vomiting.) It is also important to tell your nurse if you experience any numbness, tingling, or extreme pain in your legs or feet. When your condition is stabilized, you will be transferred to your hospital room. 

A tube (called a hemovac) that may have been placed in you during surgery will drain excess fluid to keep swelling down, while an intravenous (IV) line may be used to provide fluids for nourishment, medication to prevent blood clots, and antibiotics to prevent possible infection. You may also have a catheter placed to aid in urination. To relieve pain, you can be attached to a special device that will allow you to get pain medication when you feel it is necessary. 

Despite the back discomfort that some patients experience after surgery (caused by the soreness of the hip area and prolonged lack of movement), you must remember a few precautions to prevent dislocations:

1) The head of your hospital bed should not be elevated more than 70 degrees during the first few days after surgery.

2) Use a high-rise toilet.

3) Use 2-3 pillows between your legs.

4) Do not cross your legs or bend them forward 90 degrees. 

At first, you will be restricted to ice chips and clear liquids, but your diet will be allowed to progress as your condition permits. Meanwhile, the surgeon and physical therapist will work together to set movement guidelines for you. The physical therapist will continue to check the strength and flexibility in your leg and hip, and your ability to stand and sit. The physical therapist may also recommend some gentle exercises that will help strengthen and increase your new hip’s range of motion. 

After total hip replacement surgery, it takes only a few months to regain strength and confidence in your new hip. With the help of your orthopedist and physical therapist, activities that you were not able to do before surgery can be enjoyable again.

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