What is a Total Hip Replacement?
When conservative treatments for conditions of the hip joint have failed, the damaged ball and socket of the hip joint can be removed and replaced by artificial components in a procedure known as a total hip replacement. One of the most common indications for a total hip replacement is severe hip arthritis.
What Should I Expect During a Total Hip Replacement?
Surgery is usually done under spinal anesthesia and takes about an hour to perform. There are three main surgical approaches to hip replacement surgery: direct anterior, anterolateral and posterior. Dr. Phillips is skilled in all three approaches and uses data-driven practices to customize the surgical approach to her patient and their goals. Depending on the approach selected, you may be lying on your back or on your side during surgery. After the hip is exposed, the damaged bone is removed from the joint. The socket is resurfaced and replaced, followed by the femoral component and ball. The hip is thoroughly tested for stability and range of motion 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 a Total Hip Replacement?
Immediately after the procedure patients can typically put their full weight on their surgical leg. The majority of 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 Total Hip Replacement Right For Me?
Total hip replacement may be recommended when there is severe knee degeneration that involves a large portion of the joint and conservative treatments are inadequate at controlling your symptoms. Dr. Phillips will thoroughly discuss the risks and benefits of total hip replacement surgery and any alternative options to ensure that the best treatment for you is identified.