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Hip Replacement Surgeons Baltimore MD

Studies have shown that this type of surgery is successful in more than 90% of cases; however, complications can occur. In some cases, the artificial hip becomes dislocated. This occurs because the prosthesis is smaller than the normal hip joint and the ball can come out of the socket if the hip is moved in a certain way.

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Fray Dyland Stewart
(410) 328-6897
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Cynthia Louise Drogula, MD
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Samuel R Pines, MD FACS
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Susan B Kesmodel
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Ross David Segan, MD
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Hip Replacement - Before and After Surgery/Recovery

Preoperative Procedures

Before total hip replacement surgery, patients undergo a complete physical examination, a dental evaluation, and a number of tests (e.g., blood tests, chest x-ray, EKG, urinalysis ). Patients who are overweight may be advised to lose weight to reduce the risk for complications during and after surgery. In some cases, patients are advised to donate blood prior to surgery in case a blood transfusion is necessary during the procedure.

Prior to surgery, patients should follow their health care provider's directions for eating, drinking, and taking medication. In most cases, patients are advised not to eat or drink after midnight the night before the procedure.

Postoperative Care

After surgery, patients are taken to the post-anesthesia care unit (PACU) and are closely monitored by the nursing staff until they are awake and coherent. Once the anesthesia wears off, the patient is transferred to his or her hospital room.

Following hip replacement surgery, patients usually remain in the hospital for 3 to 7 days. The length of recovery depends on the type of surgery performed (e.g., traditional, minimally invasive), the patient's overall health, and the success of rehabilitation.

After the procedure, patients must limit movement and the hip usually is braced in the correct position. In most cases, a drain is inserted near the incision site to excess drain fluid and patients continue to receive intravenous (i.e., through a vein; IV) fluids. Patients who experience difficulty urinating may have a catheter in place to drain the bladder. Prescription pain relievers are used to reduce discomfort.

Patients usually are required to do simple breathing or coughing exercises to reduce the risk for fluid in the lungs. Physical therapy often begins the day after surgery. Within 2 days, most patients are able to sit up, stand, and walk with assistance. Stitches (sutures) or staples are usually removed in about 2 weeks.

Complications

Advances in surgical methods have reduced the risks involved with total hip replacement. Studies have shown that this type of surgery is successful in more than 90% of cases; however, complications can occur. In some cases, the artificial hip becomes dislocated. This occurs because the prosthesis is smaller than the normal hip joint and the ball can come out of the socket if the hip is moved in a certain way (e.g., by sitting too low, crossing the legs, pulling the knees to the chest).

Other complications include the following:

Blood clot
Excessive bleeding (may require blood transfusion)
Excessive bone growth around the prosthesis
Infection
Nerve damage
Pulmonary embolism (blood clot that obstructs an artery in the lungs)
Reaction to anesthesia

Following hip replacement surgery, inflammation can result when particles from the prosthesis wear off and are absorbed by surrounding tissue.

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Arthritis of The Hip from James Voglino, MD

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UNIVERSITY OF MARYLAND MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210002 Title: UNIVERSITY OF MARYL...

ProviderNumber: 210002

Title: UNIVERSITY OF MARYLAND MEDICAL CENTER

Address1: 22 S GREENE ST

City: BALTIMORE

State Code: MD

Zip Code: 21201

County: BALTIMORE CITY

Phone Number: 4103280313

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - YES; Stroke Care - YES; Nursing Care - YES

Death from serious treatable complications after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Breathing failure after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious blood clots after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious Complications Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 6; Usually: 19; Always: 75
Doctors communicated well - Sometimes/Never: 4; Usually: 17; Always: 79
Receive help as soon as they want - Sometimes/Never: 13; Usually: 27; Always: 60
Pain was well controlled - Sometimes/Never: 7; Usually: 25; Always: 68
Explained about medicines before giving it to them - Sometimes/Never: 17; Usually: 19; Always: 64
Clean room and bathroom - Sometimes/Never: 15; Usually: 23; Always: 62
Area around their room were quiet at night - Sometimes/Never: 16; Usually: 31; Always: 53
Provided recovery at home instructions - Yes: 87; No: 13
Hospital rating (O to 10; 10 highest) - 6 or lower: 8; 7 or 8: 24; 9 or 10: 68
YES, would recommend the hospital: 73
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 68

Percentage of Patients who would recommend the hospital: Definitely Recommend: 73; Probably Recommend: 23; Not Recommend: 4

Surgery patients given the right antibiotic to prevent infection: NA

Patients treated at the right time within 24 hrs before or after: NA

Outpatients having surgery who got an antibiotic at the right time: NA

Outpatients having surgery who got the right kind of antibiotic: NA

SAINT JOSEPH MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210007 Title: SAINT JOSEPH MEDICA...

ProviderNumber: 210007

Title: SAINT JOSEPH MEDICAL CENTER

Address1: 7601 OSLER DRIVE

City: TOWSON

State Code: MD

Zip Code: 21204

County: BALTIMORE

Phone Number: 4103371200

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Church