You talk with Mrs. Morgan about her surgery and she mentions possible complications, which she has discussed with her healthcare provider (HCP). Which complications are potential risks with hip replacement surgery?
Select all that apply (there are 4 correct answers).
Wound infection
Wound infection is a potential major complication of hip replacement surgery. Wound infection can result in the need for repeat surgery, which may be less successful in improving mobility. Typically, antibiotics are given preoperatively (started just before surgery), and continued for a few days postoperatively. Invasive procedures are kept to a minimum after surgery to reduce risk of infection. Invasive lines (IVs) are removed as quickly as possible, because they increase risk for infection.

Dislocation of the prosthetic hip
Dislocation of the prosthetic hip is a potential major complication after hip replacement surgery. Mrs. Morgan will learn about measures to avoid this complication.

Blood clotting in the leg
Deep vein thrombosis (DVT) is a potential major complication after hip replacement surgery. Deep vein thrombosis (DVT) involves thrombus (clot) formation, usually in a deep vein in the pelvis or leg. Risk for DVT is especially increased with orthopedic surgeries, because of the immobility required after surgery. Bed rest and immobility are associated with venous stasis. Any factor that alters blood flow and results in venous stasis may contribute to thrombosis. With any surgery, imposed immobility and the depressive effects of anesthetics on circulation increase risk for deep vein thrombosis (DVT). Any surgery that requires administration of anesthesia and immobilization for more than 45 minutes increases risk for DVT. Mrs. Morgan has varicose veins (incompetent valves in leg veins cause venous congestion), which also increase risk for DVT.

Bleeding
Bleeding during hip replacement surgery can be significant. Blood must be available for use during or after surgery. Mrs. Morgan has been type- and cross-matched for blood.