What is a Conversion of Prior Hip Surgery to Total Hip Replacement?
Patients who have had prior surgery involving their hip, such as hardware placed to treat a fracture, are at increased risk of developing hip arthritis. When conservative measures are insufficient, conversion of the prior to hip surgery to total hip replacement may be recommended.
What Should I Expect During Conversion of Prior Hip Surgery to Total Hip Replacement?
Surgery is done under spinal or general anesthesia and takes longer to perform than a typical total hip replacement. Depending on the surgical approach, you may be lying on your back or on your side during surgery. After the initial approach is performed, any hardware that interferes with replacement of the hip will be carefully removed using image guidance technology. The damaged bone is then removed from the hip. The socket is resurfaced and replaced, followed by the femoral component and ball. The hip is thoroughly tested for stability and range of motion. Accurate implant sizing and position are confirmed on imaging prior to final implant placement. Once all components are in place, the incision is typically closed with a dissolvable suture beneath the skin.
What is the Postoperative Course After Conversion of Prior Hip Surgery to Total Hip Replacement?
Immediately after the procedure most patients can put their full weight on their surgical leg. Many patients are discharged home on the day of surgery. Outpatient physical therapy is usually not required, as the best therapy consists of walking. Depending on the approach utilized, you will have a range of motion restriction for 6 weeks following your procedure. By 12 weeks, most patients are well recovered and returning to athletic activities. However, small gains can be made out to the 1 year mark when full recovery has occurred.
Is Conversion of Prior Knee Hip to Total Hip Replacement Right For Me?
Conversion to total hip replacement may be recommended when non-invasive treatments are not sufficient at combatting severe degenerative changes of the hip. Dr. Phillips will thoroughly discuss the risks and benefits of surgery and any alternative options to ensure that the best treatment for you is mutually selected.