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Hip Replacement

In a total hip replacement, damaged hips are replaced with artificial hip parts called prosthesis, a device that substitutes or supplements a joint. Questions and answers are invited about the surgery and the technology involved in this procedure.

251 Questions

What causes hip to pop or slip after full hip replacement 6 months ago?

Hip popping or slipping after a full hip replacement can be caused by several factors, including improper alignment of the prosthetic components, muscle weakness or imbalances, or issues with the surrounding soft tissues. Additionally, activities that place excessive stress on the hip joint or sudden movements can lead to a sensation of popping. It's important to consult with a healthcare professional to assess the situation and determine if any adjustments to rehabilitation or further intervention are needed.

Can you use exercise ball after hip replacement?

Yes, you can use an exercise ball after hip replacement, but it's important to consult with your physician or physical therapist first. They can provide guidance on when it’s safe to start incorporating the ball into your exercise routine and what specific exercises are appropriate. Focus on exercises that promote stability and strength without putting undue stress on the hip joint. Always listen to your body and stop if you experience pain.

Is orif the same as a hip replacement?

No, ORIF (Open Reduction and Internal Fixation) is not the same as a hip replacement. ORIF is a surgical procedure used to fix broken bones, typically by realigning the bone fragments and securing them with plates and screws. In contrast, a hip replacement involves removing damaged joint surfaces and replacing them with artificial components. While both procedures address hip-related issues, they serve different purposes and are used in different clinical scenarios.

Does bluecross blueshield cover anterior hip replacement?

Blue Cross Blue Shield coverage for anterior hip replacement can vary by plan and state. Generally, if the procedure is deemed medically necessary, it is often covered. It's important to check your specific policy details or contact customer service for precise information regarding coverage and any pre-authorization requirements.

How much dental work is needed before a hip replacement?

Before a hip replacement, it's essential to ensure that any dental issues are addressed to reduce the risk of infection. Typically, patients are advised to have a dental evaluation and complete any necessary treatments, such as fillings or extractions, particularly if they have gum disease or active infections. The exact amount of dental work required varies by individual, so consulting with both the orthopedic surgeon and a dentist is crucial for personalized recommendations.

How soon to shower after hip replacement?

After a hip replacement, it's generally recommended to wait about 24 to 48 hours before showering, depending on your surgeon's advice. Ensure that your surgical incision is clean and dry, and follow any specific instructions provided by your healthcare team regarding wound care. Using a waterproof cover for the incision can help protect it while showering. Always consult your surgeon for personalized guidance.

Can you run jump do plyometrics or kickboxing after a full hip replacement at 8 months recovery?

After a full hip replacement, engaging in activities like running, jumping, plyometrics, or kickboxing at 8 months post-surgery may be possible for some individuals, but it largely depends on individual recovery and the advice of a healthcare provider. It's essential to follow a structured rehabilitation program and consult with your surgeon or physical therapist to assess your strength, range of motion, and overall readiness for these high-impact activities. Gradual progression and listening to your body are crucial to avoid injury. Always prioritize safety and proper technique if you choose to engage in these activities.

How long should you wait before you have kidney percutaneous cryoablation My doctor had a hip replacement and they want me to wait 2 more months for the procedure until he is available good idea?

It's generally advisable to wait until your doctor is fully available and able to perform the procedure safely, especially after a significant surgery like a hip replacement. Delaying the kidney percutaneous cryoablation for two months may allow your doctor to recover fully and ensure they can provide optimal care. It's essential to balance the urgency of your medical condition with the availability of an experienced physician. Always consult with your healthcare team to discuss any concerns regarding timing.

Lucency in the femoral prosthetic component?

Lucency in the femoral prosthetic component typically indicates a loss of bone density or integration around the implant, which may suggest loosening or failure of the prosthesis. This radiolucent line can be a sign of stress shielding, infection, or inadequate bone-implant contact. Clinically, it may warrant further evaluation through imaging or revision surgery, depending on the extent and symptoms associated with the lucency. Regular monitoring is crucial to ensure the longevity and stability of the prosthetic joint.

Where is the best place to go for a hip replacement in MN?

One of the best places for hip replacement in Minnesota is the Mayo Clinic in Rochester, renowned for its orthopedic surgery and patient care. Another top option is the Twin Cities-based HealthEast Care System, which offers advanced techniques and experienced surgeons. Both institutions have high patient satisfaction ratings and comprehensive rehabilitation programs to ensure optimal recovery. Always consult with your healthcare provider to determine the best option for your specific needs.

Is a serum cobalt level of 2.9 normal following metal on metal total hip replacement?

A serum cobalt level of 2.9 micrograms per liter (µg/L) is generally considered elevated, especially following a metal-on-metal total hip replacement, where cobalt levels can rise due to wear from the implant. Normal cobalt levels in the general population are typically much lower, often below 1.0 µg/L. Elevated cobalt levels can indicate potential metal release from the implant, which may necessitate further evaluation for possible complications. It's important to consult with a healthcare provider for interpretation and management based on individual circumstances.

How much does a hip replacement weigh?

A typical hip replacement implant weighs between 1 to 3 pounds (approximately 0.45 to 1.36 kilograms), depending on the materials used and the specific design of the prosthesis. The implant usually consists of a metal stem, a ball, and a socket, with some components made of ceramic or polyethylene. The overall weight can vary based on the manufacturer and the specific needs of the patient.

How often can hip replacement be replaced?

Hip replacements can last anywhere from 15 to 25 years, depending on factors like the patient's age, weight, activity level, and the type of prosthetic used. If a hip replacement fails or wears out, it can be replaced, often referred to as a revision surgery. However, the number of times a hip replacement can be replaced varies by individual circumstances, and complications may increase with each subsequent surgery. It's essential for patients to consult with their orthopedic surgeon to discuss their specific situation and options.

What type of hip surgery did david nalbandian have?

David Nalbandian underwent hip surgery to address issues related to a labral tear in his hip joint. This type of surgery typically aims to repair or reconstruct the damaged labrum, which can cause pain and mobility issues. His surgery was part of his recovery process to return to professional tennis after a prolonged absence due to injury.

Can a torn and retracted gluteus medius muscle be repaired by surgery?

Yes, a torn and retracted gluteus medius muscle can potentially be repaired through surgery, particularly if the tear is significant and affects function. Surgical options may involve reattaching the muscle to its original position or repairing the torn fibers. The success of the procedure depends on factors such as the severity of the injury, the timing of the surgery, and the patient's overall health. Rehabilitation post-surgery is crucial for optimal recovery and restoring strength and function.

Why are blood thinners needed after hip replacement?

Blood thinners are needed after hip replacement surgery to reduce the risk of deep vein thrombosis (DVT) and pulmonary embolism (PE), which are potential complications that can arise from reduced mobility post-surgery. These medications help prevent the formation of blood clots that can occur in the legs and may travel to the lungs, causing serious health issues. By maintaining blood flow and preventing clotting, blood thinners contribute to a safer recovery process for patients.

Who is the best anterior hip replacement orthopedic surgeon in Arizona who accepts Medicare?

While I cannot provide real-time recommendations, some well-regarded orthopedic surgeons specializing in anterior hip replacement in Arizona include Dr. Andrew M. K. Wong and Dr. Jeffrey S. Kahn. It's advisable to check their credentials, patient reviews, and whether they accept Medicare, as this can vary. Always consult with your primary care physician for personalized recommendations and to ensure the surgeon meets your specific needs.

What is the ICD-10-CM code for a bilateral hip replacement?

The ICD-10-CM code for a bilateral hip replacement is Z96.641, which indicates the presence of an artificial hip joint in both hips. This code is used to document patients who have undergone bilateral total hip arthroplasty. It's important to ensure accurate coding based on the specific procedure and any relevant clinical details.

Can an obese person have hip replacement surgery?

Yes, an obese person can have hip replacement surgery, but their weight may affect the risks and outcomes of the procedure. Surgeons typically assess the patient's overall health, weight, and any related medical conditions before proceeding. In some cases, weight loss may be recommended prior to surgery to improve surgical outcomes and reduce complications. Ultimately, the decision is made on an individual basis, considering both the benefits and risks.

What are the risks of an Anterior hip replacement?

Risks of an anterior hip replacement include infection, blood clots, nerve damage, and dislocation of the hip joint. There is also a possibility of fractures around the implant or issues with implant loosening over time. Patients may experience persistent pain or stiffness in the hip joint, and there may be a risk of complications related to anesthesia. Overall, while anterior hip replacement can offer benefits, it's essential to discuss these risks with a healthcare provider.

How much is a hip replacement worth from workers comp?

The value of a hip replacement covered by workers' compensation can vary significantly based on several factors, including the severity of the injury, the state’s compensation laws, and the individual's medical expenses and lost wages. Typically, workers' comp may cover medical costs, rehabilitation, and some compensation for lost income during recovery. In some cases, permanent disability benefits may also be awarded if the injury results in lasting impairment. It's advisable to consult with a workers' compensation attorney or specialist for a more tailored estimate.

Why isn't aliminium used in hip replacements?

Aluminum is not used in hip replacements primarily due to concerns about its mechanical properties and biocompatibility. While aluminum is lightweight, it lacks the necessary strength and fatigue resistance required for the high-stress environment of a hip joint. Additionally, aluminum can corrode in biological environments, leading to potential inflammatory responses and complications. Instead, materials like titanium and cobalt-chromium alloys are preferred for their durability and compatibility with the human body.

How long does uncemented hip replacement bone heal?

Uncemented hip replacement typically involves a healing period of about 6 to 12 weeks for the bone to integrate with the implant. During this time, the bone grows into the porous surface of the prosthesis, providing stability. Full recovery and return to normal activities may take several months, often up to a year, depending on individual factors like age, overall health, and rehabilitation efforts. Regular follow-up with a healthcare provider is essential to monitor healing progress.

What is the icd code for orif to the right hip?

The ICD-10 code for an open reduction and internal fixation (ORIF) procedure for a right hip fracture is typically classified under codes related to hip fractures, such as S72.0 for "Fracture of neck of femur," or S72.1 for "Fracture of trochanteric region of femur." The specific code may depend on the exact nature of the fracture and the surgical approach used. Always consult the latest coding guidelines or a coding specialist for precise coding.

What is the disability rating on a total hip replacement?

The disability rating for a total hip replacement typically falls under the guidelines of the American Medical Association's Guides to the Evaluation of Permanent Impairment or similar standards used by the Department of Veterans Affairs. Generally, a total hip replacement may be rated between 30% to 100% depending on factors such as the individual's functional limitations, pain levels, and overall mobility post-surgery. The specific rating can vary based on the jurisdiction and individual circumstances, including any complications that may arise from the procedure.