Hip Replacement Westchester, NY
Whether you’ve already made the decision to undergo hip replacement surgery, or you’re exploring your options, Dr. Scott Russinoff is a board-certified orthopedic surgeon at CareMount Medical, who can help you make the best decision regarding treatment. He will explain, in-depth, what you can anticipate from inpatient or outpatient hip replacement surgery and what the risks are. If your hip has been damaged by a fracture, arthritis, or another condition, then everyday activities such as getting in and out of bed, or walking, can be difficult and very painful. Your hip may feel very stiff, making it difficult to bend over. You may even feel uncomfortable when you’re resting. At our facility, you’ll meet with Dr. Russinoff to go over your medical history and past treatments to formulate a plan and determine whether or not you’ll benefit from this type of medical procedure.
Exploring Your Options for Hip Replacement Surgery with Dr. Russinoff.
Outpatient or inpatient hip replacement surgery can help restore a patient’s strength and mobility, enabling them to return to everyday activities.
Dr. Russinoff performs inpatient hip replacement surgery at New York Presbyterian – Hudson Valley Hospital in Cortlandt Manor, NY. Most inpatient stays are 1-2 nights. Then most patients go home with a home physical therapist coming to the house.
An outpatient hip replacement is also referred to as a same-day hip replacement. The entire procedure, including admittance, the surgery, and discharge, will occur in under twenty-four hours. Dr. Russinoff performs these procedure at either New York Presbyterian – Hudson Valley Hospital or The Yorktown Center for Specialty Surgery. While outpatient surgery isn’t the best treatment option for every person, some patients may prefer it.
With an outpatient procedure, a patient will recover at home. This can also mean the patient will have less support from their professional care team. Some patients tend to prefer this level of independence and prefer to have more control over their recovery, relying on their own support system, outside of a rehab or hospital setting. A therapist will be arranged to come to your house the first couple of weeks.
For many patients, going home the day of the surgery can be an incredibly positive experience. The ability to recover safely in the comfort of their own home often improves their overall satisfaction. A patient will be given all of the information needed to prepare for the recovery process and will be required to follow up with their physician two to three days after the procedure.
Minimally Invasive Joint Replacement Surgery
Dr. Russinoff performs the surgery with a minimally invasive approach. There’s also a stronger emphasis on patient prep and pre-op health. A stronger focus on pre-op health has been proven to improve procedure outcomes and surgery day risks.
This allows patients to recover successfully and safely at home. Additionally, with an outpatient procedure, there is potentially a lower rate of infection. A long hospital stay can increase a patient’s risk of infection. By staying in a medical facility less than twenty-four hours and avoiding an overnight stay, the infection risk may drop significantly.
Outpatient Joint Replacement
This procedure is very similar to traditional hip replacement surgery. The difference is most noticeable in the amount of pre-op preparedness that’s required, in addition to where the patient spends most of their recovery, and the time that’s spent under the surgeon’s care.
For both an inpatient and outpatient hip replacement surgery, the bone and cartilage that have become damaged are removed. Once the damaged joint has been removed, the healthy joint is replaced. The different parts of the patient’s prosthesis/implant are secured in place. The result of surgery is a healthy joint that’s fit with artificial components that offer improved mobility, a reduction in pain, and improved quality of life.
Preparing for Hip Replacement Surgery
A patient may be required to schedule an exam with their primary physician to ensure they are physically prepared for the surgery. A surgery may be postponed if a patient is not feeling well or if their primary physician is concerned about another health-related issue, such as an infection, or respiratory problems.
On the Day of Hip Joint Replacement Surgery
A same-day procedure will have a patient in and out in around 5 hours. The operation itself will be completed in under 1 1/2 hours. The majority of the time spent at the facility involves being admitted, recovering from the procedure, and meeting with different members of a care team.
A Look at Hip Replacement Surgery
To start the procedure, Dr. Russinoff will make an incision, which will be four to five inches long. With a traditional hip replacement, the incision is usually eight to ten inches long. The incision will reveal the top of the patient’s thighbone, allowing the doctor to gain access to the patient’s hip bone.
The hip bone is then dislocated by pulling the femur head out of the socket. The socket is then resurfaced to remove the damaged and diseased bone. An artificial cup is inserted into the socket and press-fit into place. The plastic bowl insert is attached to the cup, which will form a new socket.
Once the head of the femur is removed, the doctor will prepare the inside of the femur. When the thigh bone is ready, the femoral implant is placed. A femoral head must then be chosen, based on which size and shape best fits into the patient’s new acetabular component. The femoral and acetabular components make up the new hip joint.
Next, Dr. Russinoff tests the movement and fit of the new joint. Once the doctor is confident in the patient’s movement the wound is closed with stitches or staples. Usually the wound is closed with all absorbable sutures with a waterproof mesh strip over the incision
After the procedure, the patient is moved to a recovery area until the anesthesia has worn off. Once the patient is awake, they will meet with their care team to discuss discharge and aftercare instructions.
How Long Does Revision Hip Surgery Take?
The average revision hip surgery procedure can be completed in two – three hours. The length of the surgery will depend on many factors, including:
- Whether a patient is getting a full or partial replacement
- The type of replacement the patient is receiving
- How bad the patient’s joint osteoarthritis is
- The patient’s body weight
Benefits of Same-Day Hip Replacement Surgery
Out-patient joint surgery will help a patient to:
- Feel proactive and supported in their recovery with straightforward daily tasks to complete
- A patient will recover faster
- They will rebuild extension, flexion, motion, and strength in the muscles that surround the joint.
- They will regain normal joint movement
- A patient will avoid any post-op complications, such as infection
Hip Replacement Recovery Time
After a total hip replacement, a patient will be able to start walking immediately. After surgery, there will be some surgical pain, however, after the patient starts performing their normal activities, they will notice an immediate improvement. By going home on the same day, a patient tends to fall back into their normal routine quickly, and confidently. The length of time it takes to fully recover from this type of surgery will vary. However, on average, full recovery typically takes four to six weeks.
Schedule a Consultation with Dr. Russinoff Today
Dr. Scott Russinoff is a board-certified orthopedic surgeon in Westchester County and Dutchess County who specializes in outpatient hip replacement surgery. He focuses on complex hip revisions and minimally invasive joint replacement surgeries. To meet with Dr. Russinoff and discuss treatment options, contact his office today to schedule a consultation.