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Total Hip

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Dr. Antoniou offers expedited services at a state-of-the-art surgical center. These private pay surgeries are available for Quebec, Canada, as well as international patients.

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    What is a Total Hip Replacement?

    Total Hip Replacement (also known as total hip arthroplasty) involves replacing the worn hip with an artificial joint (prosthesis). Hip replacements may be manufactured using a combination of materials, including metals, ceramics, and wear resistant polyethylenes.

    What are the benefits of hip replacement?

    Branded by the Lancet as the “operation of the century”,  hip replacement is one the most successful operations in all of medicine. It  provides effective and reliable pain relief. Modern hip replacements are very durable, and current bearing surfaces are highly wear resistant. The chance of a hip replacement failing before 10 years is less than 5%. These days most hip replacements are lasting longer than 25 years in greater than 80% of patients.

    What is the best type of hip replacement?

    The type of joint replacement best suited to your needs is determined by many factors, including bone anatomy, activity levels, age, and bone quality.

    How long will it take to recover?

    Most patients are allowed to walk with assistance within 2-4 hours of surgery. Prior to discharge, extensive physiotherapy instructions will be provided and the patient will be able to climb stairs and get into and out of a car. Post-op stay is usually 1-2 nights.

    Crutches are recommended for the first week after surgery. Many people will use a single crutch or cane in the opposite hand for a few weeks longer. Depending on your occupation, one will require 2-8 weeks off work. One can be driven in a car as a passenger immediately upon discharge. Patients can drive a car ten days to two weeks after their procedure as long as they are no longer taking narcotics. Airplane travel of less than 6 hours in duration can be undertaken immediately after discharge.

    How to prepare for surgery?

    Good preparation for surgery lowers risk of complications and expedites the recovery process. Some useful tips include:

    • pre-surgery exercise program (“pre-hab”) as shown by a physiotherapist
    • smoking sessation
    • Weight loss
    • Close monitoring of blood glucose levels in diabetic patients
    • Well balanced diet and reduced alcohol consumption

    Here is a very helpful link with instructions on how to get ready for your hip replacement surgery.

    What medications do I stop before hip replacement surgery?

    Continue all usual medications, with the exception of blood thinning agents or medications that may increase the risk of blood clot formation. Please note that many over the counter (non prescription) herbal preparations and supplements may also have strong blood thinning effects.

    Some medications to consider include:

    • Certain Anticoagulants
    • Fish Oil / Omega 3 (cease 3 weeks prior)
    • Supplements – Ginko, Ginsing, Garlic (cease 3 weeks prior)
    • Hormone Replacement Therapy (cease 3 weeks prior)
    • Oral Contraceptive Pill (cease 3 weeks prior)
    • Some immune modulating medications may need to be discontinued prior to surgery (please discuss with us during your visit)

    Is rehabilitation available after the surgery?

    As mentioned, physiotherapy will be initiated immediately after surgery and throughout your stay with us. Upon returning home, we will have the local CLSC arrange for home physiotherapy to help supervise your progress. For international patients or out of province patients, we will provide you with the information needed so a physiotherapist of your choice can continue the required care in your area. For Quebec patients, the CLSC will be contacted by us before the surgery and they will be in touch with you to fulfill any needs you may have after the procedure.

    What are the risks of hip replacement?

    Hip replacement surgery is very safe, and serious complications are uncommon. Serious wound infection occurs in less than 1% of cases. Dislocation occurs in less than 1% of people in my practice. Clots can sometimes form in the veins of the leg (deep venous thrombosis) which on rare occasions may dislodge and travel to the lungs causing breathing difficulty. Many patients with hip arthritis have a short leg on the affected side, which is corrected during surgery. Occasionally it is not possible to make the leg lengths equal, particularly if a very large length discrepancy is present before surgery. We will discuss the risks of the procedure with you in detail prior to the operation.

    What activities can I perform after hip replacement?

    Once you have recovered, there are very few restrictions after hip joint replacement surgery. Impact activities such as running cannot be performed for 3 months after surgery. Activities such as walking, cycling, skiing, hockey & tennis may be conducted without limitation. Light jogging for up to 5 KM will be allowed in most cases but excessive running is usually discouraged. Ask us about your specific needs during your visit.

    Is long term surveillance required?

    I usually recommend life-time surveillance of your hip joint replacement with intermittent X-Ray evaluations and clinical reviews. A standard surveillance program typically involves clinical assessment at one year and every 2-3 years thereafter.

    Interested in private surgery?

    Dr. Antoniou offers expedited services at a state-of-the-art surgical center. These private pay surgeries are available for Quebec, Canada, as well as international patients.