| 1. |
What
is hip resurfacing?
Hip Resurfacing is a bone conserving alternative
to total hip replacement (THR). Hip Resurfacing
does not involve the removal of the femoral head
and neck nor removal of bone from the femur. Hip
resurfacing is anatomically and biomechanically
more similar to natural hip joint resulting in
increased stability, flexibility and range of
motion. Since current generation of hip resurfacing
utilizes a metal on metal bearing, resurfaced
hip will last much longer than replaced hip. |
| 2. |
Who can undergo hip
resurfacing?
Anyone in the age group of 18 to 80 year can undergo
hip resurfacing, provided there is enough bone
available in the femoral head. |
| 3. |
Who should not undergo
hip resurfacing?
Patients with severe osteoporosis and patients
with renal failure should not undergo hip resurfacing. |
| 4. |
How long should
I stay in the hospital?
Normally you have to stay 5-6 days in the hospital.
The next one week you will spend either in a resort
or in a hotel. Altogether maximum stay will be
14 days in the country. |
| 5. |
What happens when
I am in the hospital?
Day of admission – You
will be greeted and received in to a Airconditioned
deluxe room in the hospitall. All Investigations
including blood tests, ECG, Echocardiogram, Chest
X ray will be done. The Anesthetist and the cardiologist
will check you and make sure you are fit for surgery
Then the surgeon will explain you about the surgery
and clarify any doubts and get consent from you.
Day of Surgery - You will be
taken to operating room in the morning. You will
be given General or Spinal Anaesthesia. The operation
lasts for 2 hrs. You will be having a epidural
catheter, and urinary catheter. Through the epidural
catheter pain killers will be given and you will
not feel any pain during and after operation.
you will be kept in Intensive care unit and observed
by the cardiology team one day.
Day 1 after surgery – You
will come to your own room. The tube from the
wound will be removed. You will be made to stand
by the help of physiotherapist. You will be advised
to do active movements of ankle and toes.
Day 2 after surgery - The epidural
catheter will be removed. You will be made to
walk using a frame by the physical therapists.
Day 3 after surgery - The urinary
catheter will be removed. You will be allowed
to walk using elbow crutches. You can sit on the
chair so that you work on the computer and surf
the internet.
Day 4 after surgery - You will
be walking more using crutches. Physical therapists
will teach you climbing stairs.
Day 5 after surgery – Operative
wound will be checked again. Ready for discharge
from the hospital
Day 6 to Day 11 – You will
be recuperating in a hotel or in a resort depends
on the arrangements.
Day 12 after surgery- Ready to
fly back home. |
| 6. |
What type of anaesthesia
will be given?
The anaesthetist will decide what type of anaesthesia
is good for you after examining you and your investigations.
You can also discuss with the anesthetist what
would you prefer. |
| 7. |
What is your advice
while flying back after surgery?
You are encouraged to drink plenty of water and
advised to get up from the seat every 20 minutes
and walk little. This will reduce the chance of
getting blood clot in the legs |
| 8. |
When can I assume
normal activities?
You will be walking normally in a week time. Mild
to Moderate walking is allowed from first week
onwards. However sports and heavy works allowed
only after 2 months. |
| 9. |
How much exercise
can I do and when have I done too much?
Avoid over-exercise. Mild and moderate exercises
are beneficial. The more active you are, the better,
but within limits. |
| 10. |
How can the followup
be arranged?
I would like to see the x rays taken every 6 months
after surgery. Patients need not be seen personally. |
