Common Complications After Hip Surgery and How to Avoid Them

If you’ve recently had hip surgery—or have one coming up—you’re likely looking forward to moving more freely and living with less pain. When it goes smoothly, hip surgery can be a life-changing experience.

While complications after hip surgery are uncommon, it is always beneficial to be aware of potential issues so you can take the necessary steps to prevent them when they arise.

Paying attention to the warning signs and following your surgeon’s post-operative instructions closely can help keep you on track toward a strong, steady recovery.

Infection

Infections after hip surgery are rare, but they can still occur, especially if the surgical site isn’t kept clean and protected.

Signs to watch for

• Redness or swelling around your incision
• Warmth or tenderness at the site
• Fever or chills
• Drainage or pus from the incision

How to avoid it

• Follow your wound care instructions exactly, including how to clean the area, when to change dressings, and when it’s safe to get the incision wet. If you need help, don’t be afraid to reach out to loved ones or medical professionals for support.
• Take all prescribed antibiotics on time and complete the full course.
• Keep the area clean and dry, and avoid touching it unless absolutely necessary.
  

Even if something seems slightly off, it’s better to call your care team and let us know. Catching an infection early can make a significant difference in how quickly and easily it is treated. An untreated infection can lead to other more serious complications, so it’s never something you’d want to ignore.

Blood Clots

Blood clots, especially deep vein thrombosis (DVT), are a potential concern after any lower body surgery. However, there are several simple ways to help prevent them.

Signs to watch for

• Swelling in one leg (especially the calf)
• Pain or tenderness that wasn’t there before
• Warmth or redness in the leg
• Shortness of breath or chest pain (this may indicate a clot has traveled to the lungs, which is a medical emergency)

How to avoid it

• Get moving as soon as your doctor gives you the green light. Even gentle walking can help.
• Use compression stockings to improve circulation, especially if you typically spend most of your day on your feet.
• If you’ve been prescribed a blood thinner, take it exactly as directed. Don’t skip or double doses.
  

Staying active (within safe limits) and following your care plan will go a long way in keeping your blood flowing properly.

Hip Dislocation

Your new hip joint is still settling into place in the first few weeks after surgery, so it’s important to treat it with care to avoid dislocation.

Signs to watch for

• A sudden sharp pain in your hip
• A popping sound or sensation
• Inability to move the leg normally
• The leg or hip looks out of alignment

How to avoid it

• Carefully abide by your surgeon’s specific movement restrictions. These are designed to protect your new joint while it heals. Even if you’re starting to feel better and think you can move like normal again, it’s best not to take any risks.
• Use tools like grabbers, shower chairs, or a raised toilet seat to avoid bending too far.
• Don’t cross your legs or twist at the waist when standing, sitting, or lying down.
  

If you start feeling frustrated by these precautions, remember that they aren’t forever, and they’re crucial while your hip heals.

Nerve Damage

Nerve damage after hip surgery is uncommon, especially when the procedure is done by an experienced surgeon, but it can happen.

Signs to watch for

• Tingling or numbness in your foot, toes, or leg
• Weakness when moving your foot or leg
• A persistent pricking or “pins and needles” sensation

How to avoid it

• Choose an experienced surgeon. At Summit Orthopaedics, our board-certified providers take every precaution to protect surrounding nerves during surgery.
• Let your doctor know right away if you notice anything that feels strange or off. Early treatment can help prevent long-term issues.
  

Listening to your body is key. If something doesn’t feel right, don’t wait to reach out.

Leg Length Discrepancy

After hip replacement, one of your legs may feel slightly longer than the other. This sensation can occur due to changes in the implant's alignment or position within the socket.

Signs to watch for

• Feeling off-balance or unsteady when walking
• Difficulty standing evenly on both feet
• A visible difference in leg length

How to avoid it

• Stick to your physical therapy plan. Strengthening your muscles and improving your alignment can help your body adjust.
• Your physical therapist or doctor may recommend an orthotic insert for your shoe to even out the pressure.
  

Most of the time, this uneven feeling improves with time and rehab. If you experience it, try not to get discouraged. It’s often a temporary part of the healing process.

Stiffness and Limited Mobility

After surgery, it’s common to experience some stiffness. Consistent movement can prevent your new joint from becoming too tight.

Signs to watch for

• Difficulty bending your hip or walking
• Pain when trying to sit or stand
• Trouble doing everyday tasks like getting in and out of a car

How to avoid it

• Keep doing your therapy exercises—even on the days you’d rather not.
• Gradually increase your activity level.
• Don’t skip stretches! They keep your hip joint loose and flexible.
  

Every preventative measure you take gets you closer to feeling like yourself again.

Healing After Hip Surgery in Idaho Falls

Everyone’s recovery is different after hip surgery, and healing takes time. Some days may be easier than others, and that’s okay. What matters most is staying committed to your care plan and speaking up if something feels off.

By understanding potential complications and how to prevent them, you’re setting yourself up for success. Remember:

• Attend your follow-up appointments so your provider can monitor your progress.
• Follow the aftercare instructions provided by your surgeon.
• Stay active within safe limits and listen to your body.
  

If you ever have concerns during your recovery, our team at Summit Orthopaedics is here for you. We’re proud to serve the Idaho Falls community with expert orthopedic care, and we’re happy to answer your questions or assist you in scheduling a follow-up visit. Contact us today.

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