Practice Policy Update regarding COVID-19

Before & After Surgery

First appointment

In order to make an appointment please call my scheduler Elia or send an e-mail.

Contact information:

Elia Garza

Tel: (281) 664-2238

Please Bring the following:

  • X-rays or MRIs or other imaging studies (if available)
  • Clinic notes, operative reports, and photographs from your referring physician that relate to your condition
  • List of current medications
  • List of Allergies
  • Other medical information
  • Your insurance card or other health coverage information
  • Some insurance carriers require you to have a referral or primary care physician authorization before treatment is given. Please check with your carrier if you are in doubt

At the first appointment, a careful medical history and thorough physical examination will be performed. X-rays will be taken in the office. The x-rays taken in the office will be digitized and magnification will be corrected using a computer software program that will allow us to correctly size the hip joint. X-rays and MRIs brought in from outside facilities will also be reviewed. A diagnosis will be established. Treatment options will then be discussed.

If you’re a candidate for anterior hip replacement my scheduler Elia will give you a list of possible dates for surgery. We will also obtain appropriate pre-surgical clearances from your doctors.

Our surgeries are performed at the North Cypress Medical Center, Joint Center.

The Joint Center at North Cypress Medical Center is one of the best in the city of Houston. It is completely dedicated to patient’s undergoing joint replacement surgery. All the nurse’s and staff have specialized training and are dedicated to patient’s with total joint surgeries. The Center has performed over 1200 total joint procedures since opening about 3 years ago.

A preoperative joint class will be a given about a week before surgery. It is highly recommended that you attend to the joint class which will give you the ability to have all your questions answered and know what to expect after surgery. We have found that patient’s attending the joint Center classes have easier recovery and shorter hospital stays. Preoperative laboratory studies will also be scheduled and performed at the hospital.

You will also be given antimicrobial soap to use for a few days before surgery and also nasal antibiotic ointment Bactroban to apply daily for a week.

Day of surgery

You will be asked to arrive to the hospital about 2 hours prior to surgery. There you will meet the anestesiologist who will give you the general anesthetic. We have found that most of our patients have minimal pain after surgery and we do not use regional anetshtitic blocks. I will see you before the surgery, to answer any questions, and I will identify the correct hip by writing my initials on the skin with a surgical marker.

You will then be taken to the operaing room where after anesthesia you will be placed on the special anterior hip table.

You will return to recovery room after surgery and will be there for about 2 hours. You will then be transferred to the joint center. Physical therapy will be started on the first day. We do not use urinary catheters in order to prvent urinary infections. After surgery you will get 2 to 3 doses of antibiotics to prevent infection. You will also get a blood thinner called Lovenox that needs to be continued for 14 days after surgery to avoid blood clots.


You will work with therapists and nurses during you stay. There are no specific precautions for anterior hip replacement. Pain is usually very well controlled. The small drain left in at the end of surgery will be pulled. You will feel like going home on the first day following surgery or on the second day. You will be given pain meds and blood thinners before you go. Home therapy will be setup for you.

Follow up

You will come in for a wound recheck at 2 weeks. An xray will be taken at 6 weeks and three months and then yearly after that.

Do not run or participate in high impact or contact sports until the xray shows that the components are well bonded to the bone, usually at three to 4 months.