Case Steven Q13: When can the patient have his hip replacement surgery following an acute ischemic stroke and treatment with thrombolysis (tPA)?

Correct answer is C: After 1 month, following a thorough evaluation Explanation: Timing for Hip Replacement Surgery: After 1 Month, Following a Thorough Evaluation: Typically, elective surgeries such as hip replacement are postponed for at least 1 month after an acute ischemic stroke and thrombolysis. This allows time for recovery and reduces the risk of perioperative complications, such as bleeding or thromboembolic events. A thorough evaluation is required to ensure that the patient’s condition is stable and that he has recovered sufficiently from the stroke. Incorrect Timing: Immediately After the 24-Hour Post-Thrombolysis Period: Immediate surgery is not advisable due to the need for a period of stabilization and recovery after thrombolysis. After 1 Week, Provided There Are No Complications: While the patient might be stable, 1 week is generally too soon for elective surgery due to the need for a longer recovery period and risk management. After 3 Months, Based on a Complete Recovery from Stroke: Waiting 3 months may be excessive unless there are specific complications or delays in recovery. However, assessing readiness at 1 month is typically sufficient for planning elective surgery. A careful assessment by both the stroke care team and orthopedic surgeon is essential to determine the optimal timing for surgery based on individual patient recovery and risks.