Total Hip Replacement

Procedure

Prior to your hip replacement, you will get X-rays of your hip. These X-rays will be used for preoperative Templating. This will provide your surgeon with a detailed view of your hip so a precise surgical plan with exact implant sizes can be determined.

Your surgery will most likely be performed with a Minimally Invasive Approach. The main muscle in the hip (gluteus medius) for ambulation is preserved. This allows for a quicker recovery with a decreased chance of a limp.  A cup is placed in the pelvis and a stem is placed in the femur. A metal or ceramic ball is placed on the stem which articulates with a polyethylene liner. The soft tissue in the hip are then repaired with absorbable suture.

Recovery

With the Rapid Recovery Program, surgery typically only requires one night in the hospital.

Use of an assistive device, such as a walker, cane or crutches, may be required for several weeks post-surgery.

Most patients can resume driving approximately three weeks after the procedure if they feel safe and are off narcotics. Your doctor will discuss all of the restrictions of higher-impact activities that you will need to follow and for how long.

After surgery, most patients experience minimal pain. You will be given pain medication to take as needed.

Physical therapy starts the day 0f surgery with the goal of strengthening the muscles and preventing scarring (contracture). Therapy begins with the patient sitting in a chair and progresses to stepping, walking and climbing stairs, first with crutches or walkers and then without supportive devices. Patients are encouraged to stand up and walk around as soon as they feel comfortable.

Risks

Risks associated with total hip replacement are considered rare but can be serious. They include include, but are not limited to: infections (including severe sequelae), potential component failure, component loosening,  fracture, deep vein thrombosis, pulmonary embolus, nerve palsy, dislocation, leg length inequality, the possibility of bone grafting, persistent pain, wound healing complications, blood transfusions and death.  These risks can be further reduced by choosing an experienced surgeon to perform your procedure, and by adhering to your surgeon's instructions before and after surgery.

These risks, along with any concerns you may have, will be discussed during a pre-surgical consultation to ensure that patients understand all aspects of their procedure and maintain realistic results for their total hip replacement.


Contact our office to learn more about Hip Replacement or to make an appointment.

back to top