During hip replacement surgery, a surgeon removes the damaged parts of the hip joint and replaces them with parts made of metal, ceramic, or very hard plastic. This artificial joint (prosthesis) aids in the reduction of pain and improvement of function.
Hip replacement surgery, also known as total hip arthroplasty, may be an option if hip pain interferes with daily activities and nonsurgical treatments haven't helped or are no longer effective. The most common reason for hip replacement is arthritis damage.
How do you prepare and is hip replacement implant?
You will have an examination with the orthopedic surgeon prior to the operation. The surgeon could:
- Inquire about your medical history as well as your current medications.
- Examine your hip, paying special attention to the joint's range of motion and the strength of the surrounding muscles.
- Request bloodwork and an X-ray. An MRI is rarely required.
- Ask any questions you have about the procedure during this appointment. Find out which medications you should avoid or continue to take in the week leading up to surgery.
Tobacco products should be avoided because they can interfere with healing. Consult your doctor if you need assistance quitting.
Are hip replacements successful ?
When you arrive for your surgery, you will be asked to Put on a hospital gown instead of your clothes. You'll be given either a spinal block to numb the lower half of your body or a general anesthetic to put you to sleep.
To help block pain after surgery, your surgeon may also inject a numbing medicine around nerves or in and around the joint.
Throughout the procedure
The surgical procedure takes about two hours to complete. In order to perform a hip replacement, the surgeon must:
- Makes an incision through the layers of tissue over the hip.
- Removes diseased and damaged bone and cartilage while preserving healthy bone
- The replacement socket is implanted into the pelvic bone.
- Inserts a metal stem into the top of the thighbone, followed by a replacement ball.
What hip replacement look like?
You'll be moved to a recovery area for a few hours after surgery to allow your anesthesia to wear off. Your blood pressure, pulse, alertness, pain or comfort level, and medication requirements will be monitored by medical personnel.
To help keep fluid out of your lungs, you'll be asked to take deep breaths, cough, or blow into a device. The length of your stay after surgery is determined by your specific needs. Many people can leave that day.
Hip Replacement Procedures
Hip replacements are classified into several types, including:
- Hip replacement surgery
- Partially replaced hip
- Hip replacement on both sides
- Surgery for a second time
To understand a hip replacement, you must first understand how the hip joint works. Because of the appearance of a ball (femoral head) fitting nicely in a cup-like socket (acetabulum), the hip joint is frequently described as a ball-and-socket structure. The ball is at the top of the thigh bone (femur), and the socket is in the pelvis. The area where the bones come together is covered by cartilage, which allows the joint to move smoothly.
Smooth cartilage covers the ends of the thigh bone and pelvis in a healthy hip. This allows the ball to easily guide. The worn cartilage no longer serves as a cushion in a hip that requires replacement surgery. The damaged bones become rough and painful as they rub together. A surgeon will replace a worn out or damaged hip with an artificial joint to relieve pain and improve mobility.
Hip Replacement Surgery
A total hip replacement replaces the ball, socket, and cartilage with prosthetics made of a super alloy, plastic, or another material. We provide traditional and robotic-assisted total hip replacement.
Previously, bone cement was used in the replacement process, but Penn now offers a more durable, cementless implant. This is a biologic process in which the implant is held in place by the living bone.
Partially Replaced Hip
In the case of a partial hip replacement, we Replace only the ball of the hip joint, not the socket. A metal stem holds the ceramic or metal ball. The stem is inserted into the femoral core of the thigh bone. It is securely embedded in the femur.
Non-degenerative arthritis injuries benefit the most from partial hip replacements. If a fracture occurs in the femoral neck, for example, the socket may still be strong and only the ball must be replaced. This is usually reserved for more active patients.
Hip Replacement on Both Sides
A patient may have degenerative joint disease with severe and limiting pain in both hips on occasion. If this is the case, and we determine that replacing both joints is safe for you, You will be scheduled for a bilateral hip replacement at the same time. We perform bilateral hip replacement surgeries using both traditional and robotic-assisted techniques.
Bilateral hip replacement is an excellent option for those who do not wish to have the surgery and postoperative rehabilitation performed twice.
Surgery for a Second Time
We perform many revisions on hip replacements that patients received elsewhere and did not last as long as expected. An artificial hip joint has a typical lifespan of 20 years. During that time, the artificial hip joint may sustain damage from infection or normal wear and tear, causing it to fit less securely or function less effectively.