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Pre-Op Information for Total Hip Replacement Patients

A comprehensive pre-operative guide for Dr Liew's total hip replacement patients — everything you need to know before surgery day.

Dr Chien-Wen Liew
Orthopaedics 360

This guide covers everything you need to know before your total hip replacement via the direct anterior approach. Preparation is a key part of a successful outcome — understanding the admission process, your hospital stay, and how to prepare your home will help you recover efficiently and with confidence.

01

Before Surgery Day

Medications to stop: Blood thinners, anti-inflammatories, aspirin, and certain supplements must be stopped before surgery. Your anaesthetist and Dr Liew will provide a specific list at your pre-admission appointment.

Pre-admission clinic: Attend the hospital pre-admission appointment for blood tests, ECG, and anaesthetic review, usually 1–2 weeks before your procedure.

Fasting: No food or drink from midnight the night before surgery. Some medications may be taken with a small sip of water — confirm with our team.

02

Your Hospital Stay

You will be admitted on the day of surgery. After your anterior approach hip replacement, you will spend 2–4 nights at Eastwood Private Hospital.

  • Physiotherapy begins on the day of surgery — you will walk with your physiotherapist the same day as your operation.
  • There are no hip precautions required with the direct anterior approach (no raised toilet seat, no hip restriction rules in most cases).
  • Pain is managed with regular medications. Please communicate your pain levels clearly to the nursing team.
  • You will be discharged with your Hypafix dressing in place, medications, wound care instructions, and a physiotherapy plan.
Pre-Op Information for Total Hip Replacement Patients
Watch — Dr Liew Explains
Pre-Op Information for Total Hip Replacement Patients

Watch Dr Chien-Wen Liew discuss this topic.

03

Early Recovery Milestones

Here is what to expect in the weeks following your hip replacement:

  • Week 1–2: Walking with a stick. Pain managed with oral medications. Wound dressed. 2-week review with Dr Liew.
  • Week 3–6: Increasing independence. Most patients drive an automatic vehicle at 4–6 weeks. Hip precautions (if any) typically lifted by 6 weeks.
  • Month 2–3: Walking without aids. Returning to most activities. Swimming from 4 weeks post-op.
  • Month 6–12: Ongoing strength improvement. Bone ingrowth completing. Returning to golf and low-impact activity.
04

Frequently Asked Questions

With the direct anterior approach, traditional hip precautions (no crossing legs, no bending beyond 90°) are generally not required. Dr Liew will advise based on your specific anatomy and implant.
Yes. The anterior approach does not require a raised chair or special bed height in most cases. You can sleep in your own bed from the night of discharge.
Most patients return to light activities by 6 weeks, driving at 4–6 weeks, and most normal activities by 3 months. Full recovery and bone ingrowth are typically complete by 12 months.

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Medical Disclaimer: General educational purposes only. Individual outcomes vary. AHPRA Registered Specialist.