Frequently Asked Questions
What Surgical Approach does Dr. Anseth use?
Dr. Anseth uses a posterior approach to the hip. The incision length is based on the size of the patient.
How long does surgery take?
Surgical times vary depending on the degree of arthritis, stiffness of the operative hip and size of the patient. Typically 1 ½ hours is common.
How long am I in the hospital?
Patients stay in the hospital until they are medically stable, their pain is controlled with oral medication and they are passing physical therapy. This is typically 2-3 days.
Where do I go after the hospital?
The goal is always to have the patients go home if they can do so safely. Through our joint replacement center the majority of the patients either go home with outpatient care or with home healthcare. Only a small percentage require a short stay in a skilled nursing facility after their hospitalization.
In 2009 Hip replacement patient through the Joint Replacement center were discharged to the following locations:
- 46.2% home with outpatient or self care
- 31.5% home with home care
- 20.3% Skilled Nursing Facility
- 3.3% Inpatient hospital Rehabiliation Facility
When and how often do I see Dr. Anseth and his staff after surgery?
- 2 weeks – purpose: Wound check, discuss anticoagulation and pain
- 6 weeks – purpose: Assess gait, motion, discuss hip precautions and return to work
- 6 months – purpose: X-ray evaluation, discuss pain and activities
- 1 year – purpose: X-ray evaluation, discuss pain and activity level
- 2 years – purpose X-ray evaluation, discuss pain and activity level. Discuss antibiotic prophylaxis.
The recommendation after 2 years is that patients should be seen every 5 years in follow-up going forward.
What anesthetic is typically used?
For Total Hip Arthroplasty most patients receive a spinal anesthetic and a Lumbar plexus block for postoperative pain control. The decision about the anesthetic is made on a patient by patient basis after discussion between the patient and the anesthesiologist.
For Hip Resurfacing most patients receive a general anesthetic and a Lumbar plexus block for postoperative pain control. Again, decisions about anesthetic choices are made based on the individual patients and there needs.
How is surgical pain controlled?
Through the joint replacement center, Dr. Anseth has helped develop a multimodal pain strategy. Several pain medication are adminsited in the preop area, these prevent the formation of chemicals and block pathways that initiate pain.
Regional anesthetics in under the direction of the Acute pain service block postoperative pain. This is a Lumbar Plexus Block typically in hip replacement.
Multimodal pain medication are used in the postoperative period to block pain at multiple pathways. Additional holistic therapies such as Acupuncture are utilized through the Penny George Institute for Health and Healing.
How many of these procedures has Dr. Anseth performed?
Dr. Anseth typically performs greater than 350 total joint replacements a year.