![]() Orthopedic surgeons must consider all factors that may compromise the success of the procedure or the health of the patient. In turn, they are at greater risk for complications related to broken bones, hip dislocations, pain medications, and more. For example, people who suffer from dementia or alcoholism are more prone to dangerous falls and may not be able to reliably comply with the recommendations of their surgeons. Patients may be ineligible for surgery if they are unable to follow through with pre- and post-surgical instructions. While there is no upper age limit, patients who are older often have medical conditions, such as type 2 diabetes and heart disease, that can increase the risk of post-operative medical complications. People as young as 19 and as old as 90 can undergo hip replacement surgery (younger patients must have reached their full adult size). ![]() This treatment may continue after surgery to enhance the lifespan of the hip replacement. In addition, a patient may be asked to take steps to improve bone density before hip replacement surgery. Mild to moderate osteoporosis is typically okay, but it may affect how a surgeon plans for surgery. See Preparing for Total Hip Replacement Surgeryīrittle bones cannot support and adhere to a new joint prosthesis. To lower post-surgical risks, candidates for total hip replacement are encouraged to quit or cut back on tobacco use. PubMed PMID: 22633104.įound smokers were about 10 times more likely than nonsmokers to have had a second (revision) joint replacement surgery. Increased Revision Rates After Total Knee Arthroplasty in Patients Who Smoke. One research studyĢ Kapadia BH, Johnson AJ, Naziri Q, Mont MA, Delanois RE, Bonutti PM. Smokers and other tobacco users face a higher rate of medical complications and a higher risk of needing follow-up surgery or revision hip replacement surgery. Serious cases of post-surgical infection can cause a patient to be readmitted to the hospital, require prolonged courses of intravenous antibiotics, and in some cases require the removal of the artificial hip. People who have a greater-than-average risk of post-surgical complications may be told they are not currently eligible for hip replacement surgery.Īn existing infection is an absolute contraindication, and patients who are prone to infection may not be eligible for this surgery. Orthopedic surgeons carefully screen patients to help ensure surgeries are successful and the chance of problems is low. In addition to arthritis, some people have hip replacement surgery to correct problems related to broken bones or other medical conditions, such as osteonecrosis (bone death caused by inadequate blood supply).Ĭontraindications for Hip Replacement Surgery Symptoms are not adequately alleviated by non-surgical treatments, such as non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy, steroid injections, or the use of a cane or walker.Ībout 90% of people who undergo hip replacement have osteoarthritis.ġ Pivec et al.Joint degeneration has caused stiffness that affects the hip’s range of motion during normal activities.Pain is moderate to severe even while resting, and may affect sleep.Walking, going up stairs, and bending to get in and out of chairs is difficult.The AP of the whole pelvis (not shown on the X-rays on this page) should be fully assessed because pelvic fractures can mimic the clinical features of a hip fracture.People eligible for this surgery have moderate to severe arthritis in the hip-including osteoarthritis, rheumatoid arthritis or post-traumatic arthritis-that causes pain and/or interferes with activities of daily living. Standard viewsĪP (Anterior-Posterior) pelvis and Lateral hip. ![]() Particular care is needed in assessing the X-ray when physical examination is limited, for example if a patient is acutely confused. Repeat X-rays, CT or MRI may be required if pain persists. In this case the X-ray may not show an obvious fracture. It is important to be aware that the common clinical signs of a shortened and externally rotated leg may be absent if the fracture is not displaced. Many hip fractures are clinically and radiologically obvious.
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