Planning for Hip Replacement Surgery

After the decision to proceed with surgery has been made, Dr. Cuellar and his staff will help you with your preoperative planning. Your X-rays will help Dr. Cuellar map out the exact steps he will take while you are in surgery.

Plan to be out of work from four to six weeks. You should not plan to participate in sports, especially golf, for three to six months. After six weeks, you can resume sexual relations.

Before your surgery is scheduled, you may need to receive medical clearances from your primary care physician (specifically if you are a cardiac patient or are being treated for other conditions). Please notify Dr. Cuellar if you have any open wounds or any visible signs of infection.

You also will be asked to donate blood prior to surgery so that your own blood can be given back to you during surgery (referred to as autologous blood donation).

Medical Equipment to Secure Prior to Surgery:

The following items may be supplied by the hospital or obtained from a medical supply store to assist you in your recovery from hip replacement surgery and reduce your risk of injury:

  • Walker
  • Elevated commode seat
  • Shower chair
  • Grabber
  • Sock helper
  • Shoe horn

Medication:

You should STOP ALL Anti-inflammatory Medication seven days prior to surgery. This includes prescription medication, as well as over-the-counter medication.

Below is a list of medications you should omit prior to surgery:

Prescription Medication – Anaprox, Arthrotec, Bextra, Clinoril, Celebrex, Daypro, Dolobid, Feldene, Indocin, Lodine, Motrin, Mobic, Naprosyn, Nalfon, Naprelan, Orudis, Oruvail, Relafen, Tolectin, Trilisate, Vioxx, & Voltaren.

Prescription Medication – Anaprox, Arthrotec, Bextra, Clinoril, Celebrex, Daypro, Dolobid, Feldene, Indocin, Lodine, Motrin, Mobic, Naprosyn, Nalfon, Naprelan, Orudis, Oruvail, Relafen, Tolectin, Trilisate, Vioxx, & Voltaren.

Over-the-Counter Medication – Advil, Aleve, Aspirin, Ibuprofen, Motrin, Naproxen, Nuprin, Orudis, and any generic form or store brand of these medications.

If you are taking Methotrexate, Arava, or Remicade, these medications should be stopped two weeks prior to surgery. Consult your Rheumatologist or prescribing doctor. If you are taking prednisone, adjustments may need to be made – please inform Dr. Cuellar.

If you are taking any medications to thin your blood, including Aspirin, Coumadin, Persantine, Plavix and Trental, you should consult your Cardiologist or prescribing doctor before discontinuing and make Dr. Cuellar aware.

If you are taking any Herbal Medications, these should also be stopped at least seven days prior to surgery. This includes Glucosamine and Chondroitin. These medications are not regulated, and we are not sure of their effects on surgical procedures.

ALL Diet Medications should be discontinued two weeks prior to surgery. This includes over-the-counter as well as prescription drugs.

This list may not include all medications that could cause potential problems. If you are taking any medications that are not listed here and are unsure about them, please ask your Doctor or Nurse. Failure to discontinue these medications could cause complications at the time of your surgery or postoperatively.

The Night Before Surgery:

  • Do not consume any food or liquid after midnight (This means nothing – not coffee, not water, not ice chips.)
  • Notify Dr. Cuellar if you become sick in any way
  • Be sure to take all of your normal medications, unless Dr. Cuellar has instructed you not to take certain medications. (See Medication Section)

Due to health risks that occur during surgery, your surgery will be CANCELED if you consume and food or liquid after midnight the night before surgery.

What to Bring to the Hospital:

  • Hip patients will need to wear hospital gowns provided at the time you are admitted
  • You will need a walker immediately following surgery
  • Be sure to take all of your normal medications, unless Dr. Cuellar has instructed you not to take certain medications. (See Medication Section)