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HomeSummaryReview of the conditionConsidering surgeryPreparing for surgeryPreparation Timing Costs Surgical teamFinding an experienced surgeonFacilities About the procedureRecovering from surgeryRehabilitationConclusion

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What is Hip Replacement? A Review of Total Hip Arthroplasty, Hip Resurfacing, and Minimally-Invasive Hip Surgery.

Edited By: Seth S. Leopold, M.D.
Last updated Friday, January 12, 2007

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Preparing for surgery

Preparation

Patients undergoing a total hip replacement performed at the University of Washington Medical Center usually will undergo a pre-operative surgical risk assessment. When necessary, further evaluation will be performed by an internal medicine physician who specializes in pre-operative evaluation and risk-factor modification. Some patients will also be evaluated by an anesthesiologist in advance of the surgery.

Routine blood tests are performed on all pre-operative patients; chest X-rays and electrocardiograms are obtained in patients who meet certain age and health criteria, as well.

At the University of Washington, surgeons will spend time with the patient in advance of the surgery, making certain that all the patient's questions and concerns, as well as those of the family, are answered.

Timing

Total hip replacement for arthritis is elective surgery. With few exceptions, it does not need to be done urgently, and can be scheduled around your other important life events.

Costs

The surgeon's office should provide a reasonable estimate of:

  • the surgeon's fee,
  • the hospital fee, and
  • the degree to which these should be covered by the patient's insurance.

Surgical team

Total hip replacement requires an experienced orthopedic surgeon and the resources of a large medical center. Patients have complex medical needs and around surgery often require immediate access to a multiple medical and surgical specialties and in-house medical, physical therapy, and social support services.

Finding an experienced surgeon

There is good evidence that the experience of the surgeon performing total hip replacement affects the outcome. It is important that your surgeon not only be an experienced orthopedic surgeon; (s)he also should have a high level of skill and experience with total hip replacements.

Some questions to consider asking your knee surgeon:

  • Are you board-certified in orthopedic surgery?
  • Have you done a fellowship (a year of additional training, beyond the five years required to become an orthopedic surgeon) in joint replacement surgery?
  • Does your practice focus on joint replacement surgery, and the problems of joint replacement patients?

Facilities

A large hospital, usually with academic affiliation and equipped with state of the art radiologic imaging equipment and intensive medicine care unit is clearly preferable in the care of patients with hip arthritis.

Surgery for hip arthritis at the University of Washington, Department of Orthopaedics and Sports Medicine, Seattle, Washington

If you are interested in making an appointment to discuss this procedure in Seattle, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call the Bone & Joint Surgery Center at 206-598-BONE (2663) or Eastside Specialty Clinic at 425-646-7777 to make an appointment. Our clinical center is located in Seattle Washington, USA


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