Hip replacement surgery can significantly improve quality of life, but complications can also occur. It is important to recognize potential signs early in order to take timely action.

What complications can occur with a hip replacement?

1. Pain as a warning signal

Pain is a common sign that something is wrong. It can occur in the hip, thigh, groin, or even the knee. It is crucial to distinguish between normal postoperative pain and pain that indicates complications. Persistent or worsening pain should be taken seriously and evaluated by a doctor.

2. Infections

Infections are a serious complication after total hip replacement. They can manifest through symptoms such as redness, swelling, increased warmth, and pus discharge at the surgical site. Fever and a general feeling of illness can also be indicators. An infection often requires immediate medical treatment to prevent serious consequences.

3. Loosening of the prosthesis

Loosening of the hip prosthesis can be caused by mechanical stress or infection. Symptoms may include pain when walking, instability, a reduced walking distance, and a feeling of insecurity or instability. Radiological examinations are necessary to confirm the loosening.

4. Leg length difference

A leg length discrepancy that develops after surgery can also be a sign of complications. This can be caused by incorrect positioning of the prosthesis or loosening. A significant leg length discrepancy should be checked by a doctor.

5. Movement restrictions

Another warning sign can be newly occurring or increasing limitations in movement. Difficulty lifting or rotating the leg can indicate problems with the prosthesis and should be investigated.

Causes of complications after hip replacement

Complications after a total hip replacement can have various causes:

• Mechanical wear: Abrasion particles from the prosthesis can trigger inflammation and tissue reactions that lead to loosening.
• Infections: These can occur during the operation or develop later. They are particularly dangerous and often require a revision of the hip prosthesis.
• Misposition: Inaccurate placement of the prosthesis can lead to instability and mechanical problems.
• Overloading: Excessive strain can damage the prosthesis and surrounding tissue.

Preventive measures and aftercare

To avoid complications, preventive measures and careful follow-up care are crucial:

• Regular check-ups: After the operation, regular follow-up examinations should take place in order to detect problems early.
• Physiotherapy: Targeted rehabilitation helps to strengthen the muscles and improve mobility, which reduces the strain on the prosthesis.
• Rest and load control: The right balance between activity and rest is important to avoid overloading the hip prosthesis.
• Infection prophylaxis: Aseptic techniques and possibly prophylactic antibiotics can reduce the risk of infections.

Conclusion

Recognizing complications after a total hip replacement (THR) is crucial for timely intervention and preventing serious consequences. A doctor should always be consulted if symptoms persist or worsen. Regular follow-up care, preventative measures, and good communication with the medical team are essential for the success of the hip replacement.

By following this advice and paying close attention to your body, you can minimize the risk of complications after hip replacement surgery and improve your quality of life in the long term.