Medical
Evaluation
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If you decide to have
hip replacement surgery, you may be asked to have a
complete medical assessment before your surgery. This
is needed to assess your health and find conditions
that could interfere with your surgery or recovery.
This will also correct any abnormalities such as high
blood pressure and can detect conditions previously
undiagnosed like diabetes.
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Tests
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Several tests, such as blood samples,
a cardiogram, chest X-rays, urine and stool sample
may be needed for assessment.
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Preparing
Your Skin
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Your skin should not have any
infections or irritations before surgery. If either
are present, contact your orthopaedic surgeon for a
program to improve your skin before your surgery.
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Blood
Donations
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You may be advised to donate your
own blood prior to surgery. It will be stored in the
event you need blood after surgery. Medications Tell
your orthopaedic surgeon about the medications you
are taking. Your orthopaedist or your primary care
doctor will advise you which medications you should
stop or can continue taking before surgery.
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Weight
Loss
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If you are overweight, your doctor
may ask you to lose some weight before surgery to minimize
the stress on your new hip.
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Dental
Evaluation
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Although infections after hip
replacement are not common, an infection can occur
if bacteria enter your bloodstream. Since bacteria
can enter the bloodstream during dental procedures,
treatment of significant dental diseases (including
tooth extractions and periodontal work) should be considered
before your hip replacement surgery. Routine cleaning
of your teeth should be delayed for several weeks after
surgery.
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Urinary
Evaluation
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A urological evaluation before
surgery should be considered by individuals with a
history of recent or frequent urinary infections. Older
men with prostate disease should consider a urologic
evaluation and treatment before having hip replacement
surgery.
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Social
Planning
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Although you will be able to walk
with crutches or a walker soon after surgery, you will
need some help for several weeks with such tasks as
cooking, shopping, bathing, and laundry. If you live
alone, your surgeon's office, a social worker, or a
discharge planner at the hospital can help you make
advance arrangements to have someone assist you at
your home. A short stay in an extended care facility
during your recovery after surgery also may be arranged.
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