Before You Come To The Hospital
|Ranawat Orthopaedics||(646) 797-8700|
|Hospital Patient Information||(212) 606-1377|
|Social Work Department||(212) 606-1271|
|Same Day Surgery Admission||(212) 606-1489|
|Private Nursing Service||(212) 606-1231|
|Home Care Department||(212) 606-1124|
|Local Pharmacy||(212) 606-1372|
|Other Important Numbers||http://www.hss.edu/contact.asp|
Expect to have routine follow-up visits at the Ranawat Orthopaedics as follows:
- Suture removal 10-14 days from surgery
- 6 weeks following day of surgery
- 3 months following total hip replacement
- 1 year following total hip replacement
- 3 years following total hip replacement
- 5-6 years following total hip replacement
- 8-10 years following total hip replacement
This follow-up schedule may vary from patient to patient. You must call the Ranawat Orthopaedic Center Staff to schedule all appointments. Please notify us if you have a change of name, address, telephone number or insurance carrier.
To understandtotal hip replacement, you should be familiar with the structure of the hip joint, a ball-and-socket joint. The ball component is attached to the top of the femur (long bone of the thigh). The socket is part of the pelvis. The ball rotating in the socket permits you to move your leg forward, backward and sideways, i.e. in all planes of motion.
|With a healthy hip, smooth cartilage covering the ends of the thigh bone and pelvis allows the ball to glide easily inside the socket.||With a problem hip, the worn cartilage no longer serves as a cushion. As the diseased or damaged bones rub together, they become rough, and the resulting pain causes difficulty in walking.|
Total Hip Replacement consists of replacing the worn out socket with a durable plastic or polyethylene cup with or without a metal titanium shell. The ball is replaced with a chromium-cobalt alloy metal ball that is attached to a metal stem of titanium or chromium cobalt metal alloy.
There are several ways to fasten the components during the hip replacement procedure (implant to the bone). With a cemented total hip replacement, the prosthesis is held in place by bone cement. In a non-cemented total hip replacement, fixation occurs as the bone grows on and into the implant surface. With a hybrid total hip replacement, the femoral component in the thigh bone is cemented, and the acetabular component is affixed by bone growing on and into the implant surface, which consists of a titanium or cobalt chromium shell and a polyethylene liner.
Bearing surfaces include metal-on-polyethylene, ceramic-on-ceramic and metal-on-metal. The most commonly used FDA approved bearing surface is metal with highly cross-linked polyethylene. The best bearing surface for you will be decided in consultation with your surgeon.
Clinical and biomechanical research has steadily improved the methods and materials available for total hip replacement. Prosthesis durability varies with the usage demands of each patient.
Total Hip Replacement at Ranawat Orthopaedics / ROC
Total Hip Replacement can enhance your quality of life by providing many years of improved mobility and reduced pain. Each year over 200,000 Americans benefit from Total Hip Replacement.
In the last decade remarkable improvements in technology have transformed total hip replacement into an efficient and widely performed procedure. Before, during, and after your hospital stay, Ranawat Orthopaedic Center (ROC) is committed to your well-being and satisfaction.
Chitranjan S. Ranawat, M.D. and his associates are supported by a large staff of fellows, residents, physician assistants, anesthesiologists, physical therapists, social workers and administrative personnel.
In bringing you the latest advances in total hip replacement, the Hospital for Special Surgery, the #1 ranked hospital for Orthopaedics in the US, combines world-class medical professionalism with personalized care. The hospital's outstanding diagnostic, surgical and rehabilitation sections offer a complete array of services.
Dr. Ranawat and the Staff of Ranawat Orthopaedics are here to serve you. Help us help you; any medical concerns should be discussed with your surgeon, and any unresolved administrative issues with our office manager. Active participation in treatment, with full understanding of the issues, is vital to his or her full and uneventful recovery.
A Checklist of Things To Do
- You may be asked to donate your blood for the surgery. If the donation is required, the Ranawat Orthopaedics staff will make an appointment for you at the Hospital's Blood Donor Center
- The ROC staff will make an appointment for you for pre-surgical testing fourteen (14) days prior to surgery
- Social workers will help facilitate your discharge planning. The Home Care staff will help you plan your home care and physical therapy needs following discharge from the hospital. If you wish to consult a social worker or a member of the Home Care staff to help plan for your return home, you may call the Social Work Department or the Home Care Department before your admitting date to the hospital
- The ROC Staff will make an appointment for your examination with an internist at the Hospital before your surgery. The internist will
- Review and/or perform any necessary diagnostic tests
- Provide medical clearance for the surgical procedure
- Unless you are told otherwise, continue to take medicines already prescribed by your own physician. Fish oils should be discontinued two (2) weeks prior to surgery. Also, anti-inflammatory medications and anti-oxidant vitamins such as C and E should be discontinued ten (10) days prior to your Admission
- you may be advised to take an iron pill/ ferrous sulphate 325mg 1 month before your surgery to improve blood count
- Prepare for your return home from the hospital (see Preparing to Return Home)
- Before your admission, please complete the Health Care Proxy form authorizing another person designated by you to make decisions with your physician about your care, should this become necessary
- To obtain your admission time and location, please call Same Day Surgery Admissions at (212) 606-1489 between 2pm and 4pm one business day before your scheduled surgery. When you arrive at the hospital, use the main entrance at 535 East 70th Street,between York Ave and the East River
- If possible, give yourself a Fleet � enema the night before surgery
- EXTREMELY IMPORTANT: PLEASE BRING A LIST OF YOUR CURRENT MEDICATIONS AND THEIR DOSAGES SO THAT THE CORRECT MEDICATIONS AND DOSAGES CAN BE ORDERED FOR YOU WHILE YOU ARE IN THE HOSPITAL. ALSO BRING MEDICAL INFORMATION FROM YOUR PHYSICIAN, INCLUDING INFORMATION ABOUT ANY PAST REACTIONS TO ANESTHESIA
- DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT ON THE NIGHT BEFORE YOUR SCHEDULED SURGERY, UNLESS OTHERWISE INSTRUCTED
Be sure you understand all pre-operative instructions. If you have questions or concerns, please discuss them with your surgeon or call the Ranawat Orthopaedic Center at (646) 797-8700.
A Checklist of Things To Bring
For a stay of approximately three to five days, please bring the following:
- Your hospitalization insurance cards
- X-rays (if instructed by the ROC staff)
- Laboratory reports (if instructed by the ROC staff)
- Health Care Proxy
- Any paperwork, including Consent Forms, sent to you by Ranawat Orthopaedic Center, unless you have already returned them. Also bring a list of your current medications with dosages, and medical information from your physician.
- This manual, Total Hip Replacement: Your Journey to Recovery
- Non-slip, flat, supportive athletic or walking shoes
- A pair of pajamas or a short nightgown
- A short, light-weight bathrobe (shorter clothing can prevent trips ands falls)
- Personal toiletries
- A small amount of money for newspapers, and TV and telephone rental
- A book, magazine or hobby item to occupy time
- Eyeglasses, NOT contact lenses
- One blank check or credit card to purchase needed physical therapy equipment
Please do not bring: