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How you prepare

By Mayo Clinic staff

Before surgery you'll meet with your orthopedic surgeon for an examination. The surgeon will:

  • Ask about your medical history and current medications
  • Do a brief general physical examination to make sure you're healthy enough to undergo surgery
  • Examine your hip, paying attention to the range of motion in your joint and the strength of the surrounding muscles
  • Order blood tests, an X-ray and possibly an MRI

This preoperative evaluation is a good opportunity for you to ask questions about the procedure. If you have any concerns about the surgery, be sure to ask.

Your doctor or surgeon may also recommend that you begin an exercise program in preparation for your surgery. Some doctors believe that people who have an established muscle-building and flexibility program before surgery have better outcomes and faster recovery time following surgery. Preoperative exercise programs may have less effect in those with advanced osteoarthritis, however. Talk to your doctor before starting any exercise program.

References
  1. Erens GA, et al. Total hip arthroplasty. http://www.uptodate.com/home/index.html. Accessed March 2, 2011.
  2. Erens GA, et al. Complications of total hip arthroplasty. http://www.uptodate.com/home/index.html. Accessed March 2, 2011.
  3. Questions and answers about hip replacement. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Hip_Replacement/default.asp. Accessed March 2, 2011.
  4. Total hip replacement. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00377. Accessed March 3, 2011.
  5. Huo MH, et al. What's new in total hip arthroplasty. The Journal of Bone & Joint Surgery. 2010;92:2959.
  6. Lenssen AF, et al. Role of physiotherapy in peri-operative management in total knee and hip surgery. Injury. 2006;37(suppl):S41.
  7. Ferrara PE, et al. Effect of pre-operative physiotherapy in patients with end-stage osteoarthritis undergoing hip arthroplasty. Clinical Rehabilitation. 2008;22:977.
  8. O'Donnell M, et al. Reduction of out-of-hospital symptomatic venous thromboembolism by extended thromboprophylaxis with low-molecular-weight heparin following elective hip arthroplasty. Archives of Internal Medicine. 2003;163:1362.
  9. Cawley Y. Mechanical thromboprophylaxis in the perioperative setting. Medsurg Nursing. 2008;17:177.
  10. Harkess JW, et al. Arthroplasty of the hip. In: In: Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1584/0.html. Accessed March 8, 2011.
MY00235 April 19, 2011

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