Outpatient Hip Replacement Surgery: Frequently Asked Questions
Advancements in medical technology, technique and pain management have made it possible for most patients to have a total hip replacement as an outpatient basis. This offers many benefits to people who qualify for this procedure as an outpatient. HSS performs more hip and knee replacements and more outpatient orthopedic procedures than any other hospital system in the world.
What is outpatient hip replacement surgery?
Outpatient hip replacement surgery, also called “rapid-recovery hip replacement,” “ambulatory hip replacement” or “same-day hip replacement,” is a hip joint arthroplasty procedure that enables faster recovery for qualified candidates who return home on the same day of the procedure.
What are the benefits of same-day hip replacement?
The benefits of this surgery include:
- lower risk of hospital-acquired infection
- quicker return to normal activities
- a more comfortable recovery at home
Who is a candidate for outpatient hip replacement?
Patients who are motivated, in good general health, and also have a good support team at home are the best candidates.
If you can answer "yes" to all of the below questions, you may be able to have outpatient hip replacement surgery.
- Would you prefer to have your initial recovery at home rather than in the hospital?
- Will you have support at home from a family member or friend after your discharge?
- Are you generally healthy, with no significant medical conditions (for example, uncontrolled sleep apnea, history of heart attack, use of a pacemaker, etc.)?
HSS joint replacement specialists perform a thorough evaluation of each patient’s individual circumstance in order to determine their eligibility for same-day hip replacement surgery. All patients are then evaluated by both the orthopedic surgeon and our multidisciplinary team. Consult one of our hip replacement surgeons to find out if you are an appropriate candidate.
In some cases, a patient scheduled for outpatient surgery may need to be kept overnight for medical or surgical issues previously undiagnosed – for example, if previously sleep apnea is detected in a patient who prior was unaware of it.
What kind of incision will I have?
The incision is usually about 6 to 8 inches long and will be located either on the side or front of your hip, depending on which surgical approach is used. Both anterior and posterior approaches are eligible for outpatient hip replacement. Discuss with your surgeon which approach will be used in your case.
How much pain will I have after surgery?
This varies among patients, however, the advances in pain management have allowed our total hip patients sufficient pain relief to undergo this procedure on an outpatient basis. On average, the pain being reported is generally no more than four out of a 10-point scale. You will have medical professionals by your side when you wake up and throughout the postoperative stay until you leave the facility. We can address any pain that you may have promptly and efficiently.
What should I do when I get home?
We ask that you rest. Even though our patients typically feel good, it has still been a long day. On the day of your surgery, you will learn how to safely transfer in and out of both the bed and the car, as well as on and off the toilet. We ask that you use the bathroom as needed, eat dinner and rest. Excessive exercise or activity in the first few days can be counterproductive to your recovery.
What medications do I take at home?
You will be given a list of medications to take and when to take them. Call your surgeon’s office if you have any questions about your medication schedule.
When can I take a shower after outpatient hip replacement?
You can take a shower the day after your surgery. Most patients go home with a water-resistant bandage that is safe for the shower. Please do not scrub the surgical area. Pat dry with a clean towel when you are finished. We also ask that you do not let your surgical site get “soaked” with water. Do not take a bath or get into a pool or hot tub.
How soon can I drive after same-day hip replacement?
On average, you will likely be able to begin driving between 2 to 4 weeks after the date of your surgery. You can discuss this with your surgeon.
Can I walk up and down my stairs?
You will be instructed on how to go up and down stairs at the surgery center before you leave that day. Most patients have no problems with stairs. Make sure to have a sturdy railing for use in the early postsurgical period.
What can I do wrong?
Your hip precautions are of utmost importance. You will be educated on which any hip and leg motions to avoid if needed by your surgeon, your nurse and your physical therapist. Even if you feel comfortable, you still need to adhere to the precautions until otherwise instructed.
What should I do if I fall?
If you fall and you cannot get up, call 911 immediately. If you feel you can safely get up without going beyond your hip precautions, you can try. Once you are up, if you have pain while weight-bearing on the operative leg, you should call your surgeon or 911.
How long will I have home services?
It is sometimes for two weeks after your surgery, partially depending on your recovery and insurance benefits. You then will have a follow-up office visit with your surgeon. At this visit you will be instructed on what to do next regarding therapy.
When will I follow up with my hip surgeon?
Your postoperative appointment will be scheduled for approximately six weeks after surgery.
Updated: 6/4/2024
Authors
Reviewed and updated by Michael M. Alexiades, MD; and Cynthia A. Kahlenberg, MD, MPH, on behalf of the
Adult Reconstruction and Joint Replacement Service
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References
- LeBrun DG, LaValva SM, Waddell BS, Mayman DJ, Jerabek SA, Alexiades MM, Ast MP. No Effect of Surgical Approach on Discharge Outcomes in Outpatient Total Hip Arthroplasty. HSS J. 2022 Aug;18(3):338-343. doi: 10.1177/15563316211055069. Epub 2021 Nov 8. PMID: 35846259; PMCID: PMC9247591.
- Rodriguez S, Shen TS, Lebrun DG, Della Valle AG, Ast MP, Rodriguez JA. Ambulatory total hip arthroplasty: Causes for failure to launch and associated risk factors. Bone Jt Open. 2022 Sep;3(9):684-691. doi: 10.1302/2633-1462.39.BJO-2022-0106.R1. PMID: 36047458.
- Tuohy S, Ast MP, Quinlan P, Titmuss M, Edwards D. Innovations in Total Hip and Knee Arthroplasty Episodes of Care: Transitioning from Inpatient to Ambulatory Care. HSS J. 2024 Feb;20(1):7-9. doi: 10.1177/15563316231213367. Epub 2023 Nov 24. PMID: 38356742; PMCID: PMC10863583.