Rapid Discharge Hip Replacement After 24H

Hip pathologies are common disorders stemming from various causes that substantially hinder mobility and daily routines. In selected clinical scenarios, total hip arthroplasty is indicated to restore ambulation and improve overall quality of life. Within this framework, 24-hour rapid-discharge total hip arthroplasty represents a breakthrough surgical advancement offering swift, effective recovery, reduced discomfort, same-day ambulation, and the luxury of same-day discharge. Aftersurgery is a breakthrough medical advancement for rapid and effective recovery with many outstanding advantages, patients recover quickly, experience less pain, walk on the very first day after surgery, and are discharged on the same day.

What is hip replacement surgery?
Total hip arthroplasty entails the precise excision of pathological, pain-inducing joint structures and their replacement with high-performance prosthetic components. This advanced procedure presents patients with an opportunity to be liberated from chronic osteoarticular pain and regain optimal mobility. Given the surgical complexity and exceptional clinical dexterity demanded, optimal clinical outcomes require a premier healthcare facility furnished with renowned orthopedic specialists and state-of-the-art operative instrumentation.

What is rapid-discharge hip replacement surgery with discharge 24 hours postoperatively?
This is a minimally invasive joint replacement technique that requires only a small incision and navigates through the superior joint capsule without cutting muscles or the capsule, preserving the entire posterior tendon system of the hip joint. Consequently, patients recover rapidly with minimal pain, can walk on the very first day after surgery, and are discharged within the same day.

To successfully implement this program, a team comprises orthopedic specialists intensively trained in minimally invasive hip replacement techniques, anesthesiologists responsible for executing multimodal pain management protocols to keep patients pain-free, and physical therapists providing pre- and post-operative exercise programs for patients.

Multimodal analgesia from general anesthesia, regional anesthesia, and local joint capsule infiltration helps patients remain pain-free postoperatively so they can practice walking early. Physical therapy will help patients learn how to walk with crutches or a walker and practice balance exercises to prevent falls.

What are the advantages of 24-hour fast-track hip replacement surgery?

• Time savings: The 24-hour surgical service allows you to complete all procedures and be discharged on the same day. This enables patients to return home early, offering greater convenience and comfort in their daily routine, while avoiding the inconveniences of extended hospitalization.
• Cost savings: same-day discharge will help patients save on inpatient hospital costs and other related expenses.
• Early recovery: with the Superpath 24h hip replacement technique, patients will undergo early postoperative rehabilitation and early mobilization, helping them quickly regain movement and recover promptly.
• Minimize cross-infection: same-day surgery and discharge help minimize the risk of cross-infection with other diseases.
• Care from the Heart: the team of experts at Sante Hospital always ensures that the surgical and recovery processes take place safely, while implementing remote care services for patients to consistently ensure optimal recovery efficiency.

Which cases indicate hip replacement surgery?

• Avascular necrosis of the femoral head: Surgery is indicated when there is extensive necrosis of the femoral head, femoral head collapse, severe hip joint damage, and conservative management such as core decompression or medical therapy is no longer indicated.
• Hip osteoarthritis: When the disease becomes severe, the articular cartilage surface of the hip joint is damaged, losing its smoothness and becoming deformed, which causes severe pain during movement.
• Femoral neck fracture: In geriatric patients presenting with displaced femoral neck fractures, reliable bone union is rarely achievable through conservative measures such as casting or standard internal fixation.In some cases of femoral neck fractures in young individuals, inappropriate treatment, missed diagnosis, or delayed presentation leads to resorption of the femoral head.

Who is eligible for the 24-Hour Rapid-Discharge Total Hip Replacement Program?

This specialized pathway is indicated for younger patients (under 60 years of age) with avascular necrosis of the femoral head who do not have concurrent systemic medical conditions. Candidates undergo comprehensive preoperative screening alongside an in-depth pre-anesthetic consultation.
 
What makes hip replacement at Sante Hospital different?

The Orthopedic and Traumatology Center – Sante Hospital gathers a team of leading Vietnamese physicians and experts in specialized fields such as: Dr. Tang Ha Nam Anh, MD, PhD: Medical Advisor of the Center, President of the Vietnam Arthroscopy and Arthroplasty Association…; Trinh Duc Tho, MSc, Specialist Doctor II: Medical Director, former Head of the Department of Orthopedics and Traumatology, Military Hospital 175; Dr. Do Anh Viet, MD, PhD: Specialist Doctor, fellowship-trained in the Russian Federation; Nguyen Quoc Sang, MSc, MD: Specialist Doctor; Do Van Loi, MSc, MD: Specialist Doctor, fellowship-trained in France; Le Dang Phong, Specialist Doctor I: Specialist Doctor, one of the outstanding students of Dr. Tang Ha Nam Anh; Trinh Truong Tin, MD: Specialist Doctor.

Recently, Sante Hospital admitted Mr. T.V.T (born in 1968, HCMC) presenting with avascular necrosis of the femoral head; due to severe pain, he was unable to walk and was wheelchair-bound. He had undergone treatment at multiple facilities, utilizing both traditional and modern medicine, without success. Subsequently, he presented for an examination at Sante Hospital and was indicated for a fast-track hip replacement with discharge 24 hours postoperatively.

Dr. Tang Ha Nam Anh, MD, PhD, Professional Advisor at the Orthopedics and Traumatology Center of Sante Hospital, who directly operated on Mr. T, stated that the patient's condition was suitable for the 24-hour rapid discharge hip replacement program.

Before deciding on surgery, Mr. T shared that facing surgery, he was very worried about whether his health would improve, whether he would be able to walk, or if he would be confined to one place... But thanks to the dedicated consultation, encouragement, and care from the team of doctors and nurses, he felt reassured.

When deciding on surgery, Mr. T and his family prepared themselves mentally for an inpatient stay of at least 5 days. However, just 6 hours postoperatively, Mr. T was able to ambulate independently, bringing astonishment and emotional joy to his family. Given his favorable postoperative condition, Mr. T was discharged in less than 24 hours after surgery.

Mr. T choked up: ”I never thought I would have today after seeking treatment in so many places without results, I feel truly lucky and choosing Sante Hospital was the best decision I have ever made. Now I no longer have to writhe in pain in a wheelchair, but can instead move on my own two feet. I feel like this is a miracle”

Postoperatively, he recovered well, experienced complete pain relief, and ambulated with ease. He was discharged home amidst the joy and happiness of his family. During this period, the medical team at the Orthopedic Center, Sante Hospital continuously monitored, cared for, and provided remote guidance to Mr. T to ensure optimal recovery.

Dr. Tang Ha Nam Anh stated that, alongside a skilled and dedicated team of physicians, the state-of-the-art equipment at the Orthopedic Trauma Center of Sante Hospital is also one of the key strengths contributing to optimal diagnosis and treatment outcomes. Consequently, patients are discharged quickly, return home sooner, reduce treatment costs, and resume their daily activities early.

The Orthopedic and Traumatology Center of Sante Hospital focuses on investing in facilities and modern diagnostic imaging equipment, which significantly contributes to clinical examination, lesion detection, and successful surgical treatment for patients, including: Philips CT-Scanner, C-Arm machine. Modern, comfortable operating tables meeting 5-star standards… The examination rooms are fully equipped to ensure a scientific, convenient, and absolutely safe medical examination and treatment process for patients.

Is hip replacement at Sante Hospital covered by Health Insurance?

When undergoing examination and treatment for medical conditions at Sante Hospital, patients will incur very reasonable costs. Sante Hospital consistently facilitates nationwide health insurance coverage and direct billing insurance, helping patients optimize costs while ensuring their full benefits.

What precautions should be taken after hip replacement surgery?

Postoperatively, patients may need to remain in bed with an abduction pillow between their legs to maintain the new hip joint in proper alignment. Physical therapy is typically initiated on postoperative day one. Approximately 6 hours postoperatively, patients can stand and ambulate using a walker, crutches, or a cane. The patient will be discharged following 24 hours of physician observation and will receive remote care from the expert team at Sante Hospital.

Important notes patients need to know:

1. Prevention of coagulopathy

Initially, the patient has limited mobility. Consequently, coagulation disorders represent a particular concern. The physician will prescribe anticoagulant therapy to prevent thrombus formation.

Additionally, patients may be advised to wear graduated compression stockings immediately postoperatively. Early lower-limb mobilization and sitting up are recommended, as this significantly reduces the risk of thromboembolism.

2. Physical therapy, rehabilitation

Postoperatively, depending on the condition of the hip joint and the surgical site, the physician or physical therapist will guide the patient through appropriate exercises. Early and proper mobilization yields positive outcomes, accelerates post-hip replacement rehabilitation, and restores functional mobility.

Physical therapy exercises focus on strengthening and restoring mobility. Concurrently, patients are instructed on how to use assistive ambulation devices such as walkers, canes, and crutches. Over time, the exercises will require patients to progressively increase weight-bearing on the affected limb until unassisted ambulation is achieved.

3. Nutritional regimen

To accelerate the recovery process, in addition to physical therapy exercises, patients should pay attention to nutrition to enhance health, specifically:

• Supplement calcium-rich food groups along with nutrient- and vitamin-rich foods. Green vegetables and protein-rich foods should also be incorporated into the daily menu to help the patient's health recover rapidly.
• Do not consume alcoholic beverages, tobacco, and stimulants.
• Limit spicy, hot foods and fast food.
• Limit the consumption of fishy-smelling foods, particularly chicken, seafood, beef, and water spinach, as these foods may interfere with the recovery process

SuperPath hip replacement is a new technique with outstanding advantages. It is currently widely applied due to its small incision, minimal pain, rapid recovery, and no restriction of hip joint mobility. Patients should choose reputable medical facilities with experienced doctors and modern equipment to undergo this advanced technique. This will help minimize the risk of complications and quickly regain hip mobility.

To schedule an examination at the Orthopedics and Traumatology Center – Sante Hospital, please contact us using the information below:
Sante Hospital – Caring with all our heart

• 11A Dinh Bo Linh, Ward 24, Binh Thanh District, Ho Chi Minh City
• Hotline: (+84) 28 2200 8686 – 0969 499 095
• Email: [email protected]
• Website: www.bvsante.com