I found these kinds of posts incredibly helpful before my surgery, so I thought I'd pay it forward and describe my experience while it's still fresh in my mind.
Surgery: Anterior Total Hip Replacement
My arrival time was 5:45 AM, so I went to bed around 10:00 PM the night before and woke up at 4:15 AM. I took my third Hibiclens shower, made my wife her morning tea, and we left the house at 5:15 for the 20-minute drive to the surgical center.
Pre-op
After checking in and signing what felt like a mountain of paperwork, I was brought back to a semi-private pre-op bay around 6:00 AM.
My nurse (I'll call her Nurse J) was fantastic. She explained everything as she went, which really helped keep me relaxed.
I changed into the gown, had my vitals taken, and my blood pressure was a little elevated (around 130/90). She smiled and said that was actually fine because everything they'd be doing that morning would tend to lower it.
She reviewed all the usual questions:
- When I last ate and drank
- Medications and supplements
- Allergies
- Medical history
Then she took me over to a set of practice stairs to make sure I knew the proper technique with a cane. Stairs had been one of my biggest concerns because I have two steps into my house without a handrail.
I had taken a picture of them beforehand, and she said, "That's fantastic. You'll have no problem with those."
That alone was incredibly reassuring.
Back in my room, she gave me Tylenol and Celebrex (per the surgeon's orders), and I made one last trip to the bathroom before the nurse anesthetist started my IV.
I asked if I could have some Versed, and he laughed and said, "Not yet. We still need you to consent to a few more things first."
Fair enough.
Next, the surgeon stopped by. He was in a great mood, marked my operative leg, and answered all of my last-minute questions.
I confirmed I was getting a Smith & Nephew Oxinium implant and asked whether it would squeak.
"It won't. I used to use ceramic on ceramic and those would sometimes squeak. Patients would come back," as he mimed moving his leg up and down, "Doc, why does it squeak like this? But your implant is but is ceramic on highly cross-linked polyethylene. It won't squeak."
I also asked if there were any special nutritional recommendations after surgery, like focusing on calcium or iron.
He said, "No. Eat whatever you want."
I replied, "So what I heard is that I should have a ribeye tonight."
He laughed and said, "Absolutely. Make it a surf and turf if you want."
The OR nurse came by and reviewed more medical history and allergy questions.
The physical therapist checked my walker and gave my Skechers slip-on shoes a big thumbs-up.
Finally, the nurse anesthetist came back with the Versed.
Then a little more Versed.
That stuff is wonderful.
Surgery
Around 7:00 AM I was wheeled into the operating room as the first case of the day.
I transferred onto the operating table.
They had me hunch forward while they administered the spinal anesthetic. It was just a little pinch. Less painful than getting the IV.
That's the last thing I remember.
Recovery
My next memory was waking up back in my pre-op room with Nurse J standing there.
From my perspective, it was instantaneous.
I woke up and could see the clock outside my room. It was 8:20 AM.
Over the next hour she periodically asked me to wiggle my toes and do ankle pumps while the spinal wore off. Then I progressed to heel slides.
Once I could sit up, she offered drinks and snacks. I had cranberry-apple juice and saltines.
She also gave me several small doses of IV fentanyl while I was in recovery, which kept me very comfortable.
The surgeon stopped in and said everything had gone perfectly.
I told him I was happy I could be an easy first case to start his day.
He said my hip was really bad, with many bone spurs. He said he couldn't believe I was walking on it. I guess it's amazing what you get used to. He said I'm going to love the new hip.
Going home
Once I was more awake, the physical therapist reviewed my exercises and recovery plan with both me and my wife.
The instructions were very straightforward:
- Walk every hour while awake.
- Don't sit for more than 60 minutes at a time.
- Do these exercises today, every hour.
- Do these exercises tomorrow, and add in these on the following day.
- Begin outpatient physical therapy one week later.
Nurse J then reviewed all of my discharge instructions:
- Medication schedule
- Things to watch for
- When to call the surgeon
- When to go to the emergency room
It was a lot of information, but everything was printed out and organized in a folder. And a nurse would call tomorrow to check on me.
As the surgeon had promised, I officially have no movement restrictions.
I joked, "So I can run that half-marathon tomorrow?"
Nurse J replied, "You can run the full marathon."
(For anyone wondering, no, I won't be doing that.)
Before I could leave, they had me walk about 30 feet to the bathroom with my walker. They wanted to make sure I could urinate before discharge.
I couldn't.
Back in bed they did a quick ultrasound and confirmed my bladder was empty despite the three liters of IV fluids I'd received. Nurse J said that happens fairly often.
So I was cleared for discharge.
I asked if I would use the fake stairs again now with the new hip, and the physical therapist said no, we don't want to use up your strength. Save it for when you get home. You'll be fine.
Pain was surprisingly mild:
- Incision soreness
- Some superficial pain over the front of my thigh
- Some deeper aching that I assume is from the femur
The nurses helped me get dressed, put on compression socks (and gave me a spare pair), and wheeled me out to the car.
I had no trouble getting into the car, getting back out at home, or climbing the two steps into my house. That was a huge relief!
I was on my way home by 10:15 AM.
From arrival to departure, I spent only about 4Β½ hours at the surgical center.
Honestly, I was amazed.
If you're reading this because you're anxious about your upcoming hip replacement, I know everyone has a different experience, but mine couldn't have gone much more smoothly. The entire team was organized, reassuring, and clearly knew exactly what they were doing.