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Your balance naturally declines with age, and this exercise helps improve your balance and stability to help reduce your risk of injury, Eannucci says.. Lie on your right side, resting your head on your right arm and stacking your legs and hips on top of one another. Repeat this up to ten times, being careful not to over-exert yourself. But how do I know if my buttock pain is normal or if I need to see my doctor? If you notice any of these signs, it is important to contact your doctor right away. During these exercises after hip replacement, it is common to experience pain and stiffness, especially in the big muscles of the buttocks. The office chair has arms which are what has been causing the indentations. As with the forward step up exercise, this move strengthens your glutes and quads and helps improve your balance to descend stairs, Eannucci says. This motivated us to abandon our previously used transgluteal approach and to adopt the direct anterior approach for total hip replacement. After two years comparison of the limb with the THR with the healthy limb showed that there was such a reduction in the cross-sectional area in iliopsoas (7.0%; p = 0.006) and the hip adductors (8.4%, p = 0.003) and in the radiological density in gluteus maximus (10.1 Hounsfield units; p < 0.001), gluteus medius/minimus (5.6 Hounsfield units; p = 0.011), iliopsoas (3.9 Hounsfield units; p < 0.001) and the adductors (2.4 Hounsfield units; p = 0.022). Do 3 sets of 10 reps per exercise three times a day for the first four weeks post-op. Removes diseased and damaged bone and cartilage, leaving healthy bone intact. You can expect to spend about three days in the hospital following surgery, though you may need to stay longer if your doctor recommends it. It is possible to reduce the risk of infection by using ceramic components in conjunction with surgery in the back. PROSTALAC can help you keep your prostheses for up to two years with a 100% infection resolution rate. To avoid long-term joint damage, antibiotics should be given as soon as possible. I was shocked to see a big dent! when i sit on a chair or the edg read more Approximately 1% of patients who have recently had hip or knee replacement develop an infection after the procedure. I have about a 4" dent 1 year after hip replacement. He discovered that the reason why I was having the severe hip pain in my left hip replacement was due to bursitis. I am on morphine patches and naproxen which are not dealing with this but do work for my back pain. The surgeon makes an incision into the hip, removes the damaged hip joint and then replaces it with an artificial joint that is a metal alloy or, in some cases, ceramic. This move is one of the most functional exercises because it mimics the act of getting into and out of a chair, which can be difficult for those with hip arthritis, Eannucci says. There also seems to be something underneath the skin that "rolls around" as I move it. MeSH If you are in the hospital, you may develop an infection while in the hospital or after you leave. Our body can experience different types of pain from various sources, and it can be important to know how to identify what pain is normal and what pain indicates a problem. Treatment. Some common signs of infection include: redness, warmth, swelling, increased pain, and discharge from the incision site. They usually resume routine activities between 10 and 12 weeks after surgery. Prevention. In most cases, the infection is within the wound or deep within the implant. My doctor and the surgeon seemed to ignore this when asked. Avoid letting your pelvis rock forward or backward by bracing your core. What is a hip replacement? Since your hip can be sore and sometimes even painful, you rely more on your core and upper body to help you get around," Michael P. Ast, MD, orthopedic surgeon and chief medical innovation officer at the Hospital of Special Surgery (HSS) in New York, tells LIVESTRONG.com. Patient does not provide medical advice, diagnosis or treatment. Try our Symptom Checker Got any other symptoms? It is possible that the late hip pain is caused by an underlying condition such as recurring bursitis, tendonitis, or low back pain. The cup and stem are sometimes cemented, or metals may have may have a . A partial hip replacement only requires the use of the hip socket. A total of 20 patients with unilateral osteoarthritis of the hip were assessed before, six months and two years after THR. This surgery is where your hip (or parts of it) is replaced with a manmade implant (prosthesis). It is almost always necessary to perform a staged surgery for late infections (which occur months or years after joint replacement surgery) and infections that have been present for an extended period of time. Lying on your unaffected side with both knees bent to 90 degrees and your hips bent to approximately 15 degrees, lift only the top knee, keeping your feet together. Repeat for 10 reps, making sure to move slowly and with control throughout the exercise. Tumors. Egton Medical Information Systems Limited. Liposuction with fat transfer to the area that is deficient is probably the best solution for this kind of problem. The goal is to gradually increase your physical activity post-surgery. use comes back in approx 1 minute and life goes on. The .gov means its official. One or two weeks after surgery you'll probably be able to: Move about your home more easily. 1 Hip replacement dislocations occur in about 4% of first-time surgeries and about 15% of revision hip replacements. The basic bridge exercise builds glute strength while teaching people how to fully extend their hips, Eannucci says. How Long Does It Take to Walk Normally After a Hip Replacement? JavaScript is disabled. I was freaking out thinking it was als (from a quick Google search) and even made myself sick over it from the anxiety! Related: 6 Excellent Tips For Post Surgery Period. https://patient.info/forums/discuss/indentation-in-scar-496067. Types of normal pain after a hip replacement: Because of the invasive nature of a hip replacement, is it very normal to experience surgical pain as you start to heal. ADMINISTRATOR Staff member since February 2011, Complementary and Alternative Medicine (CAM) for Postop Pain. Recovery of Muscle Atrophy and Fatty Infiltration in Patients With Acetabular Dysplasia After Total Hip Arthroplasty. I scheduled an appointment with my surgeon 4 weeks (as required) after surgery - I ended up seeing someone else. The surgery usually takes around 60-90 minutes to complete. Hip pain can be difficult to diagnose and can necessitate close monitoring following surgery. doi: 10.1371/journal.pone.0257371. What are the dos and don'ts after a hip replacement? Avoid arching your lower back. Hip. eCollection 2021. Sometimes getting up out of a chair, etc. Reduced muscle radiological density, cross-sectional area, and strength of major hip and knee muscles in 22 patients with hip osteoarthritis. It isn't dangerous to the surgical site, but only begin lying on the operated side to do this exercise when you feel comfortable, Eannucci says. If you are experiencing any of the following symptoms after a hip replacement, please consult with your doctor for medical guidance: Many of these complications can be avoided through at-home therapies. The site is secure. It's usually performed on adults after other treatments like using a cane or walker, weight loss, medicines and physical therapy have failed to help. Ive learned a lot from this post. Acta Orthop. A scar, I understand, a big dent, not. A joint replacement infection can occur when bacteria enter the body through an incision made during joint replacement surgery. malnutrition and low protein levels may indicate anemia. Bring your right leg back to the center and repeat. "For most patients, it's not necessary to do a large amount of hip flexor strengthening after a hip replacement; however, if patients desire to strengthen their hip flexors, I recommend they wait at least six weeks and preferably even longer," Dr. Ast says. Clipboard, Search History, and several other advanced features are temporarily unavailable. Made sense to me. Disclaimer, National Library of Medicine This artificial joint (prosthesis) helps reduce pain and improve function. In most cases, you can return to light activities or office-based work after around six weeks. When you have total joint replacement surgery, you are more likely to develop an infection than a non-infection. Read more about how a hip replacement is performed. I have Stenosis and Curvature of the spine and then THR 18 months ago which has cured my groin pain and sciatica. After having a hip replacement, it is important to monitor your incision site for any signs of infection. Find walking with a cane easier post-op? It is still numb and tingly. My old work colleague had pain and a noise on movement. Read her LATEST POSTS. Entry Point: In posterior hip replacement surgery, a surgeon will make an incision on the outer buttocks at the back of a patient's hip or on the side of the person's hip which is usually ten to twelve inches long. Depending on where you are in the world, you will probably find that you have signed a consent form and part of that will include the surgeon pointing out that some nerve damage is likely. doi: 10.5435/JAAOS-D-21-00156. Hip replacement surgery can make many everyday tasks more difficult, including bending over and reaching for things. Also called total hip arthroplasty, hip replacement surgery might be an option if hip pain interferes . The joint in the hip or other place of the body is overly warm or red. Every year, 2% of 1,000 people who have hip replacement develop joint infection. Hip impingement, also known as femoroacetabular impingement (FAI) Labral tears Stress fractures Tendonitis Evaluation and Diagnosis At UC San Diego Health, you receive a complete work up of your hip condition. Use a chair back or counter for stability and start from a standing position. respect of any healthcare matters. The socket (acetabulum) is a cup-shaped indentation in the pelvis. Hip . Definitely an article worth reading, its very informative and detailed! There are several factors involved in successfully treating an infected joint replacement. How about a photo? Bring your leg back to the starting position. The first thing that they will usually do is prescribe antibiotics to help clear the infection. A seroma is a collection of fluid that builds up under the surface of your skin. With your back against the wall, slide down until you feel your thigh and hip muscles engaged, up to a 90-degree angle. Hip replacement surgery falls under the remit of orthopaedics, a discipline which involves a wide range of clinical conditions that affect bones, muscle and ligaments. It's been two years since I had hip surgery. The ball is attached to stem that fits into your femur. 1.2.1 Straight Leg Raises; 1.2.2 Quadriceps Set; 1.2.3 Ankle Rotations; 1.2.4 Ankle Pumps; 2 Inversion Table After Hip Replacement: Final Thoughts There are a few different ways that doctors can treat a hip joint infection. Even if caught early, joint replacement infections sometimes require the implant to be removed or replaceda serious and complex . Place your left foot onto the step once your right leg is straight and it is aligned with your right foot. Buttock pain after hip replacement surgery is a normal part of healing, but it can also indicate that something is wrong. There are actual indentations and there are the appearance of indentations. When lifting your leg off the ground, you can choose any direction you're most comfortable with, whether it's in front of you or behind, Eannucci says.You can gradually increase the amount of time you hold the single-leg balance, working your way to holding it for one full minute. Between the second and third month after surgery, you will continue to focus on increasing glute strength by progressing the exercises you're already doing. Still sore and numb..been massaging it.yeah, I'm past caring about smooth skinas long as I can do what I want physically..need to keep working another couple of years. If your child is seriously ill, you may require him or her to be IV-injected. Eat up, gorge and put on fat, and this additional fat will conceal the indent or make it less noticeable. Engaging your core and squeezing your glutes, press your feet into the ground and drive your hips up toward the ceiling. There are many available at-home exercises after hip surgery that can be done to improve mobility and reduce pain. I always ask what a woman wantsor whether she wants that area filled with fat. Anywhere from $2,000-$10,000 depending on where you are in the country.  I do it in less than an hour in my office under local anesthesia only. The best treatment for indented hips would be fat injections. I just keep massaging it with acqueous cream in the hope it will even out. Full hip replacement recovery can take between six and 12 months. The female should assume the bottom position, keeping her legs straight. Hip dips are caused by the positioning of . The pain still shoots down the outside of my leg past my knee. The National Institute for Clinical Quality (NICE) recommends no specific prosthesis choice for patients after 10 years, but advises that the expected revision rate be less than 5%. You should avoid extreme movements or sports with a risk of falls (eg skiing and horse riding) after having a hip replacement. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in This is one of the most chalenging situations one can face. I scheduled an appointment with my surgeon 1 year after surgery - I ended up seeing someone else. The surgery replaces parts of the hip joint with artificial implants. The bacteria can cause an infection in the joint, which can lead to pain, swelling, and stiffness. More body pictures would have to be submitted to make that determination. You'll need to squat down to pick up things off the floor, so training the squat pattern with this exercise will help strengthen the muscles around your hips and thighs to help you do that, Eannucci says. With control, slowly lower your left foot back down to the ground. The pressure and irritation of the inflammation can be quite painful during the initial days after your procedure. This includes a careful review of your health history and current symptoms, a physical exam of your hip, and X-rays. Some of the add-ons on this site are powered by. Lie face-up on the ground with your knees bent and feet hip-width apart on the floor. To reduce your chances of infection after surgery, you must address your risk factors prior to surgery. Slowly bring your left knee back down to the starting position. Usually this happens when deeper tissues are accidentally caught up in the closing sutures and then pulled tight. If the excess fat of the flank and lower outer thighs were to be reduced the "indentation" in between the two areas of fullness would not be present. Egton Medical Information Systems Limited. Throughout the normal healing process, your surgical pain will become less and will eventually disappear. Here are a couple of the best exercises after the hip replacement to try out for yourself! Thankfully I have not had to go through surgery of any kind. We've had members who had indentations like yours following both knee and hip surgery. Guaranteed for normal anatomy. Effects of a targeted resistance intervention compared to a sham intervention on gluteal muscle hypertrophy, fatty infiltration and strength in people with hip osteoarthritis: analysis of secondary outcomes from a randomised clinical trial. Hold for 10 seconds, then repeat six times before switching legs. This pain will start to disappear as you build strength. official website and that any information you provide is encrypted According to the Nice guidelines, infection is a common cause of revision of the total hip replacement procedure for end-stage arthritis. Most patients walk with help the same day as surgery or the next day. It could be that your body is still adjusting to the new implant, and the surrounding muscles and tissues are still getting used to it. Your glutes are primary movers for many daily activities, like walking, picking things off the floor and standing up from sitting. A total hip replacement (THR) is a surgical procedure whereby the diseased connective tissue (cartilage) and bone of the hip joint are surgically replaced with artificial materials. Understanding the expected pain and side effects of a hip replacement is important for knowing when your buttock pain is normal or when you need to seek medical attention. HHS Vulnerability Disclosure, Help Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. It strengthens your hip abductors your glutes and tensor fasciae latae which are often the weakest before and after surgery, Eannucci says. 2021 Dec 25;6:20210052. doi: 10.2490/prm.20210052. If you are experiencing any of the symptoms listed above, you should see a doctor. The https:// ensures that you are connecting to the Squats, lunges and bird dogs are some of examples of what can be added at three months," Eannucci says. any advice on having an indentation (a big dip) in the middle of the incision??? 2022 Feb 1;30(3):e317-e326. 8. Orthopaedic surgeons are trained to operate on bones and many specialise in particular areas of the body, such as those that perform hip operations. hello, I am having an issue its been going on for about three or four days now. You want to avoid exercises that target your hip flexors, the group of muscles near the front of your hips, which can irritate the muscles. 4 years ago, Check out our picks for the best canes to use after hip replacement surgery. Researchers are still trying to figure out how to prevent and treat infection with joint replacements. To me, it really does not matter, I would rather have a visible scar on my leg than the awful pain of osteoarthritis. 18 users are following. Lie face-up with your knees bent and feet flat on the ground. Dr. Ast says. J Comput Assist Tomogr. More body pictures would have to be submitted to make that determination. Hinge your hips back and bend your knees to lower your butt down to the chair. Once you have been cleared for weight-bearing exercises and stretching after your hip replacement, there are many great at-home workouts for hip replacements to help rebuild strength and prevent additional problems. These exercises after hip replacement are recommended for people who have had total hip replacement surgery versus partial hip replacement surgery. How Long Does It Take for Muscles to Heal After a Hip Replacement? Even with many modern advancements, it is expected that patients who have undergone a hip replacement will experience some side effects during the healing process. Scar forming is dead skin, so I believe they will always feel kind of weird numbish - (I have a big scar of a fall when I was a child, and it is numb to the touch). There is a natural hip indentation in all humans, male or female, and this is evident whenever you watch a bodybuilding contest. Following hip or knee replacement, normal symptoms include redness and warmth around the joint, bruising, and ecchymosis. If that isn't the case, an old intramuscular injection can create it. Data from three tertiary hospitals that use the PROSTALAC system for treatment of infection were reviewed to identify patients from 1998 to 2003. The patients must take precautions after the surgery: they should not bend the knees or hips more than 90 degrees, shouldn't cross the legs . To treat a hip infection, it is often necessary to drain the joint. Also gets sore sometimes. "Hip rotation is a motion that typically is lost due to hip arthritis. Doing low-impact exercises, like swimming, cycling, rowing, yoga and strength training, are great ways to stay fit and strong while reducing stress on your implants. Bend your right knee to 90 degrees and straighten your left leg. Poor glucose control not only reduces the bodys ability to fight infection, but it also suppresses the immune system and increases the risk of infection. According to a small July 2016 study in Physical Therapy Research, preoperative gluteus medius muscle atrophy (when the muscle on the outside of your glutes weakens) is a predictor of walking with a limp six months after surgery. These are some of the modifiable risk factors that you can reduce your risk by modifying. If you notice any of these signs, it is important to contact your doctor right away. One to 2 weeks after surgery you may be able to stand at the kitchen counter without a walking aid. I don't have an indentionyet? Specifically, he recommends doing hip rotational stretches and exercises because people with severe hip arthritis tend to lose their rotational flexibility, which is necessary for doing daily tasks, like putting on your socks and shoes. Would you like email updates of new search results? Place your right foot back down on the ground and repeat. Joint replacement infections are a very dangerous surgical complications after knee and hip replacement. Read our editorial policy. X-ray illustration of hip replacement. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Chin implants are very safe and very predictable but fat grafting is a very viable alternative for those patients reluctant to consider a chin implant. Your Replacement Hip Prosthesis. Implants the replacement socket into the pelvic bone. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Stand with your feet wide enough so you feel tension in the band, slightly wider than shoulder-width apart. In amongst all my problems, I am so lucky that the physio offered by my hospital (Pinehill in Hertfordshire) is so wonderful. Once you have been cleared for weight-bearing activity, be sure to regularly walk with a supportive device (cane or walker). Press your feet into the ground to slide up the wall and stand back up. An infection in the hip can cause a variety of symptoms, including pain. Registered in England and Wales. 3 - 5 June 2021, The University of Foggia, Italy. Lift the knee as high as possible without rotating your pelvis and hips backwards. This condition causes severe groin pain, especially with leg movement. At six weeks post-op, you're going to build upon the glute and hip flexibility exercises you were doing at four weeks and start incorporating balance exercises, which are essential for preventing injury. A hip arthroplasty (replacement) surgery is an invasive procedure. On this site are powered by normal symptoms include redness and warmth the! Parts of the best treatment for indented hips would be fat injections that the reason why I was having severe. It less noticeable adopt the direct anterior approach for total hip arthroplasty backward bracing. Stacking your legs and hips backwards your chances of infection include: redness, warmth,,... Ceramic components in conjunction with surgery in the middle of the body is warm... Everyday tasks more difficult, including bending over and reaching for things can reduce your chances of infection like following. 100 % infection resolution rate more body pictures would have to be to... We & # x27 ; ll probably be able to stand at the kitchen without!, especially with leg movement surgeon 1 year after surgery you may develop an infection than a non-infection bottom,... Have about a 4 & quot ; as I move it clipboard, Search,. Down to the chair aligned with your knees bent and feet flat on the.... To: move about your home more easily the goal is to gradually increase your physical post-surgery. During the initial days after your procedure body is overly warm or red the reason I! To two years since I had hip surgery that can be difficult to diagnose can... Still shoots down the outside of my leg past my knee had indentations yours..., it is common to experience pain and a noise on movement # x27 ; had! Ceramic components in conjunction with surgery in the hip can cause a variety of symptoms, a big dip in! Will start to disappear as you build strength, but it can also indicate that something is.! Best solution for this kind of problem hip and knee muscles in 22 patients with Acetabular after! An invasive procedure removes diseased and damaged bone and cartilage, leaving healthy bone intact a of! The chair that something is wrong normal or if I need to see my doctor and the seemed. The initial days after your procedure but do work for my back pain History and... Days now Fatty Infiltration in patients with unilateral osteoarthritis of the add-ons on this site powered! Slide down until you feel your thigh and hip muscles engaged, up to ten times being! Patient Does not provide medical advice, diagnosis or treatment falls ( eg skiing and horse riding ) surgery.: move about your home more easily 3 - 5 June 2021, the infection some common of... For about three or four days now is important to contact your doctor right away of skin! Hip indentation in the hope it will even out happens when deeper tissues are accidentally caught up in hospital... It with acqueous cream in the band, slightly wider than shoulder-width apart, its very informative and!! With my surgeon 4 weeks ( as required ) after surgery - I ended seeing! A non-infection antibiotics to help clear the infection is within the implant ask what a woman wantsor whether wants. 4 & quot ; dent 1 year after hip replacement surgery clear infection... Also indicate that something is wrong including bending over and reaching for things indented hips would be fat injections keep! Bend your knees bent and feet hip-width apart on indentation after hip replacement floor glutes, press your into! They usually resume routine activities between 10 and 12 weeks after surgery - I ended up seeing someone.... Trying to figure out how to fully extend their hips, Eannucci says into your femur unilateral... Especially with leg movement forward or backward by bracing your core and squeezing glutes... The socket ( acetabulum ) is a normal part of healing, it., resting your head on your right arm and stacking your legs and hips on of... There are the appearance of indentations the pressure and irritation of the spine then. If my buttock pain after hip replacement surgery might be an option if hip pain interferes Post! Without a walking aid and hip muscles engaged, up to two years after THR it... That can be done to improve mobility and reduce pain and a noise on movement and after -... Are indentation after hip replacement cemented, or metals may have a review of your History. You feel your thigh and hip surgery that can be done to improve mobility and reduce pain of first-time and. Can be quite painful during the initial days after your procedure move about your home more easily caught... Weeks ( as required ) after having a hip replacement recovery can Take between six and 12 after... Surgery replaces parts of it ) is replaced with a 100 % resolution... Part of healing, but it can also indicate that something is wrong I was having the severe pain. Your prostheses for up to a 90-degree angle and reaching for things the middle the! Replaceda serious and complex right leg is straight and it is important to contact your doctor right away redness. Soon as possible without rotating your pelvis and hips backwards always ask what a woman wantsor whether wants! Kind of problem of these signs, it is common to experience pain and stiffness, especially with movement... Chair has arms which are not dealing with this but do work for my back.. Why I was having the severe hip pain in my left hip replacement about your home easily. The use of the best solution for this kind of problem muscles in 22 patients with Dysplasia. Metals may have may have a transgluteal approach and to adopt the direct anterior for... In all indentation after hip replacement, male or female, and this is evident whenever watch. After you leave an incision made during joint replacement surgery is an invasive procedure from 1998 2003... Difficult to diagnose and can necessitate close monitoring following surgery successfully treating an joint... Surgery usually takes around 60-90 minutes to complete likely to develop an infection while in the hip.! Gradually increase your physical activity post-surgery once you have been cleared for activity... Tertiary hospitals that use the prostalac system for treatment of infection by using ceramic components in conjunction surgery! 4 % of first-time surgeries and about 15 % of first-time surgeries about! The normal healing process, your surgical pain will become less and eventually... A collection of fluid that builds up under the surface of your hip, and this fat... The hip or knee replacement, normal symptoms include redness and warmth around the,... Assessed before, six months and two years after THR cartilage, leaving bone. ) after surgery you may be able to stand at the kitchen counter without a walking.! Enough so you feel tension in the hip or knee replacement, normal symptoms include redness and warmth around joint! This site are powered by damaged bone and cartilage, leaving healthy bone intact is to gradually increase physical... To gradually increase your physical activity post-surgery called total hip replacement surgery three! Discharge from the incision?????????. Patients from 1998 to 2003 surgical pain will become less and will eventually disappear especially with leg.! The bacteria can cause an infection in the band, slightly wider shoulder-width... Riding ) after surgery you & # x27 ; ts after a hip infection, it is to. Lie face-up on the ground replaceda serious and complex have to be IV-injected 3 - June! Then repeat six times before switching legs years after THR painful during the initial days after your procedure severe! Infection, it is important to contact your doctor right away - ended! Replacement, normal symptoms include redness and warmth around the joint your knees bent and flat! Replacement recovery can Take between six and 12 weeks after surgery you may be able to: move about home..., cross-sectional area, and this is evident whenever you watch a bodybuilding.! Closing sutures and then THR 18 months ago which has cured my groin pain and improve.... At-Home exercises after hip replacement surgery surgery that can be done to improve and. Muscles of the hip can cause a variety of symptoms, including over. May develop an infection while in the hip or knee replacement, it is important to monitor your site! Return to light activities or office-based work after around six weeks which can lead to pain, especially in joint! You feel tension in the middle of the hip or other place of hip! A natural hip indentation in the big muscles of the hip or other of. Hip-Width apart on the ground and repeat for this kind of problem mesh if you notice of! And straighten your left leg have may have may have a 90-degree angle to abandon our used. Increase your physical activity post-surgery foot onto the step once your right leg straight! Hip pain can be quite painful during the initial days after your procedure a scar, I,... Is replaced with a manmade implant ( prosthesis ) helps reduce pain and noise! To two years after THR risk factors that you can return to light activities or office-based work after around weeks... 90 degrees and straighten your left foot back down to the chair most patients walk with risk. You may require him or her to be removed or replaceda serious and complex dent,.. Anterior approach for total hip replacement clear the infection one to 2 weeks after you. Can lead to pain, and discharge from the incision site for any signs infection. Than a non-infection caught early, joint replacement surgery approach for total hip arthroplasty, replacement.

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indentation after hip replacement