What
Total hip arthroplasty is performed under general or spinal anesthesia. Cemented or uncemented fixation and different bearing surfaces are optional, determined by imaging and bone quality conditions. A common practice is to remove the diseased femoral head, reshape the acetabulum, implant the acetabular cup and femoral stem, trial reduction, assess stability and limb length, and then suture. Postoperative monitoring includes pain, bleeding, and thrombosis, with gradual weight-bearing and gait training. The above is general health information and not medical advice; specific details are subject to specialist assessment and hospital protocols.
How
- Perform general or spinal anesthesia
- Remove the diseased femoral head and reshape the acetabulum
- Implant the acetabular cup and femoral stem and suture
- Monitor postoperative pain and bleeding
Recovery
Postoperatively, monitor pain, bleeding, and thrombosis. Gradually increase weight-bearing and walking according to the approach and stability, and follow the key points of body position and daily movements to prevent dislocation. Keep the incision dry, and seek medical attention for abnormal oozing or fever. Follow-up and rehabilitation are advanced in stages; long-distance flights require assessment and the implementation of thrombosis prevention. Metal implants may trigger security checks, so it is recommended to carry proof of implantation; MRI examination requires confirmation of the prosthesis model and conditions.
- Monitor postoperative pain, bleeding, and thrombosis
- Gradually increase weight-bearing and gait training
- Keep the incision dry and follow medical advice for follow-up
FAQ
What are the common complications?
Including bleeding, infection, thrombosis, dislocation, differential leg length, and implant-related problems, the hospital will carry out perioperative prevention and monitoring.
Do I need to stop biological agents?
May need to be adjusted or suspended, specifically evaluated and planned jointly by the rheumatology, anesthesiology, and surgical teams, please refer to the doctor's advice during the consultation.
What information needs to be prepared?
Bring identification, previous medical records and imaging, medication list and allergy history to facilitate comprehensive assessment and planning by the doctor.
How to prevent dislocation after surgery?
Follow approach-related body position and movement restrictions, and follow the rehabilitation therapist's instructions for getting up, turning around, and sitting down; avoid extreme flexion or crossing legs in the early stages.
Will implants affect security checks or MRI?
May trigger metal detection, it is recommended to carry proof of implantation; most modern prostheses are conditional MRI, and the model and hospital prompts need to be checked before the examination.
How soon can I go up and down stairs or drive?
Most people practice going up and down stairs early under protection; driving requires pain control, reaction and muscle strength to meet standards, and doctor's approval, and the time varies from person to person.
How soon can I walk with weight-bearing after surgery?
Depends on the fixation method, bone quality, and intraoperative stability, and the doctor and rehabilitation team will guide weight-bearing and gait training in stages.
Will psoriatic skin lesions affect the choice of incision?
The incision and timing will be selected comprehensively based on the location and mobility of the skin lesions, and dermatological treatment will be performed first if necessary to reduce the risk of infection and healing.
Is it necessary to prepare blood or have a blood transfusion?
Determined by preoperative assessment and intraoperative blood loss, the hospital will follow standardized blood transfusion indications and blood management strategies.