Total Hip replacement surgery is a procedure in which a Hip Joint Replacement Specialist doctor surgically removes a painful total hip joint with arthritis and replaces it with an artificial Hip joint often made from ceramic, metal, or plastic parts to replace the ball at the upper end of the thighbone (femur) and resurface the hip socket in the pelvic bone. It is usually done when all other treatment options have failed to provide adequate pain relief. The procedure should relieve a painful total hip joint, making walking easier.
If hip joint pain is keeping you up at night and making it difficult for you to get up from stand, chairs, use stairs, or walk, a total hip replacement (THR) surgery may be a possible treatment option. The goal of a THR is to improve the motion in your hip and reduce hip pain.
What to Expect Before, During, and After the Procedure
Before Hip Replacement Surgery:
Our orthopedic surgeon will suggest some tests to make sure you are healthy enough for surgery.
- EKG measures your heart
- Blood tests measure your red blood cell count
- X-rays check your lungs
- Urine tests for infection and pregnancy
Certain problems, like diabetes (sugar), may slow the healing process, so have your complete medical record available. Also, certain medications, like blood anti-inflammatory medications and thinners may result in excessive bleeding and may need to be stopped at a determined time before surgery. It is common for your surgeon and your primary care provider to work together in this pre-operative medical evaluation. An anesthesiologist will be there to discuss your options, such as general anesthesia versus a regional or spinal anesthesia.
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- Minimally Invasive Techniques
- Traditional Hip Replacement
During some minimally invasive hip replacement surgery procedures, the person lies on one side. However, in the Minimally Invasive incision total hip replacement procedure, the person lies flat on his or her back. Fluoroscopy is used to precisely guide the placement of the incision. Special instruments are used to make the small incisions. Also, the total hip implants are slightly different in design than the implants that are used during a standard total hip replacement surgery.
Your total hip joint is made up of two parts: the socket, in your hip or pelvic bone, and the ball, at the top of your upper leg bone (femur).
Our surgeons perform the planned approach procedure and will reshape the socket to fit the new cup implant that replaces your diseased socket. After the socket is reshaped, a new cup will be placed in the socket. The cup usually consists of a polyethylene or metal liner and a metal shell.
Our surgeon then prepares your femur for the femoral stem, which will hold the new ball part of your hip joint. The head of your femur is removed and the bone is prepared for the new femoral stem. Your orthopedic surgeon will most likely use a trial implant to verify the correct fit.
After your permanent hip stem is implanted, the ball that sits at the top of the femoral stem will be placed into place.
Once our surgeon is satisfied with the position and movement of your new hip joint, it will be flushed with cleansing fluid and closed.
After Hip Replacement Surgery
Following surgery, you will be sent to the recovery room where our health care team will monitor your blood pressure, heart rate, and respiration. You will be given pain medication, by various means depending on your surgeon’s plan. The goal of our inpatient hospital stay is to prepare you for discharge from the hospital. During hospitalization period, all the people involved in your care – our Physiotherapists, our surgeon, our nurse and our discharge planner—will meet to discuss your health condition and progress.
Leaving the Hospital
Our orthopedic surgeon will help you decide whether you should return home after surgery or go to an inpatient rehabilitation center.