nikhil pradhan's
 Cheshire Hip and Knee Clinic

Specialist: Knee Surgery, Hip Surgery, Sports injury & general orthopaedics
FAQs for Hip Replacement
These are some commony asked questions for Hip replacement surgeries

Can I return to playing sports after my total hip replacement? You can return to playing low-impact sports.  This means sports that don’t put high stresses on your hip.  These include golf, bowling, cycling or swimming.

When will I experience the full benefit from surgery? Although you will experience relief of your pre-operative pain quite soon after the operation, the return of full function can take much longer.  After three months, you will probably have regained some of the strength in the muscles in your leg, and range of movement will be improving.  However, it may take up to 18 months to feel the full benefits.

How long will the joint replacement last? The lifetime of the joint replacement varies from person to person.  It can depend on many factors such as the patient’s activity level, body weight and surgical technique.  A replacement joint is not as strong or durable as a natural healthy joint.  There is no guarantee that a replacement joint will last the rest of a patient’s life.

When will I be able to drive?Do not drive until you can safely do so (please check with your insurance company).  You are able to drive 6-12 weeks after the operation, providing there have been no problems in your rehabilitation.

When will I be able to fly? You are able to fly no sooner than 3 months after your operation.  Your risk of having a DVT (blood clot in the calf) is still high within this time period.

Will I set off the alarm at the airport? The joint replacement is made of cobalt chrome and, in theory, shouldn’t set off the alarms.  If the alarm does go off, then the scar on your thigh will help confirm that you have had surgery.  If you are worried then you could ask your consultant for a letter to confirm you have had a joint replacement.

Will I be pain free? The majority of patients may well be pain free and no longer need painkillers.  About a third of patients will have some pain, but it should be much less than the pain they had before the operation.

What about sex? Generally, patients resume sexual activities as soon as they feel able, usually from 6 weeks onwards.  In the months following surgery, patients are generally advised to take it easy and modify their positioning to keep pressure off the affected joint whilst it is healing.

Do’s
  1. Keep active when you are on the ward.  It will be much easier to walk around with crutches at home rather than a frame.
  2. Gradually increase the distances walked at home, as pain allows.

Don’ts
  1. Bend the hip beyond 90º (a right angle) for the first 3 months.
  2. Cross your legs, as this is a risk position for hip dislocation.
  3. Twist and turn on your operated leg.  Make sure you lift your feet when turning.
  4. Sit on a low chair, bed or toilet.

Community Physiotherapy Service
If you need community physiotherapy and live in Warrington, the hospital will send a referral to the service and we will phone you soon after you leave hospital to make an appointment.  If you do not live in Warrington you will be referred to a community physiotherapy service near where you live.

The community physiotherapy team are available at:
Health Services at the Wolves
The Martin Dawes Stand
Winwick Road
Warrington
WA2 7NE
Telephone number:  01925 251333

If you have any concerns regarding your progress following hip surgery then please contact the community physiotherapy service on the number above.  There is an answer phone so leave a contact number and your call will be returned as soon as possible.

When you get home
Please remember that you have had a major operation and your recovery will be gradual.

Swelling
Swelling is a normal reaction after your surgery and aids the healing process.  As you have had major surgery the swelling can initially be quite severe.

The swelling should follow a daily pattern whereby it gets better while you are sleeping and may get worse during the day.  As long as the swelling gets better while you are asleep then this is normal

If the swelling gets worse overnight, becomes hard, shiny and painful, you should contact the hospital or your GP.

Walking You will be taught the correct way of walking with the appropriate walking aids and loaned the necessary aids to take home.  This will depend on the type of operation and which consultant performed the surgery.  You should comply with the instructions given in hospital.

It is important to get yourself up and about regularly throughout the day.  General advice is that you get up and have a walk at least once every hour.

Your body will only be used to doing the same amount of exercise as you were doing before the operation and then you will get tired.  As you continue to mobilise you will find you can get further before you tire.  You can walk outdoors when you feel confident enough.
Contact:
Spire Cheshire Hospital
Fir Tree Close,Stretton Warrington,
Cheshire WA4 4LU
Tel: 01925710401
Fax: 01925710401
email: drnpradhan@gmail.com
Consultant in Trauma and
Orthopaedic Surgery

Warrington Hospital NHS Trust
Lovely Lane Warrington
Cheshire WA5 1QG
Tel. 01925662758
Fax. 01925 662211