Hip Replacement

When Will I Get Out Of Bed?

Most total hip replacement patients get out of bed on the day of surgery or the first day after. It is felt that faster mobilization speeds rehabilitation and prevents medical complications. You will first get out of bed with assistance and move to a chair. You will then stand with a walker or crutches. Some […]

What Kind Of Medication Will I Be Given for Pain?

Pain medication after hip replacement surgery can be given through an epidural catheter, through an intra-venous line (IV), or by mouth. Postoperative pain is greatest in the first 2 or 3 days after surgery. If you have had epidural anesthesia during surgery, the epidural catheter may be left in place for an additional 24–48 hours. […]

How Long Will I Need To Be In The Hospital?

Most patients who undergo total hip arthroplasty will need to be in the hospital for 3 to 4 days following surgery. After their hospital stay, many patients choose to go to a secondary rehabilitation facility for physical therapy and gait training. Most patients stay at the rehabilitation facility until they are strong enough to function […]

What are Ceramics?

Ceramics are hard materials that are inorganic and nonmetallic. They are materials which are formed by the action of heat. The word ceramic comes from the Greek keramikos. Examples of ceramics are clay, glass, cement, and porcelain. Ceramics are used in many structures including bricks, tiles, china dishes, and pottery. Ceramic materials can also be […]

Can A Hip Replacement Be Metal On Metal?

Metal on metal total hip replacements have been in use for approximately 50 years. Because the combination of metal on polyethylene has been so effective and so popular, far fewer metal on metal total hip replacements have been performed. The two opposing sides of a total hip replacement are called the bearing surfaces. The goal […]

Why Are Components Modular?

Modular parts are interchangeable pieces that go together to make up one structure. Both the femoral and the acetabular components of a total hip arthroplasty may be modular. The original total hip components were monoblock. Each component was one single piece and a surgeon had relatively few choices. The addition of modularity gives the surgeon […]

What Is Bone Cement? What Is It Made From?

Bone cement is an acrylic cement used to hold implants in bone in joint replacement. Bone cement is not really a glue. It is a filler, or grout used to keep the implants in place. Acrylic cement was originally used for dental work in 1951. Later in the 1960s, Sir John Charnley in Wrightington, England […]

How Are The Components Implanted?

The components of a total hip replacement may be either press fit or cemented into bone. Press fit means that the specific component is impacted tightly into a space of the same size as the component. At first, all total hip components were cemented in place. The cement acts as a filler or grout, not […]

What Are The Components Made Of?

Most hip replacements are made up of a combination of metal and plastic. The femoral head and femoral stem are metal. The acetabular component is a durable plastic. Together, these materials work together to create a strong joint that moves smoothly as you sit, stand and walk. There is very little friction as the ball […]

How Long Does The Procedure Take To Perform?

It takes most surgeons between 1 and 2 hours to per-form a routine total hip replacement. Not all of the time spent in the operating room, however, is taken up by the surgery itself. You will first be brought to the operating room in a bed or on a stretcher, then transfer to the operating […]

How Is The Surgery Done?

Surgery is done with the patient either lying down (supine) or on his or her side (lateral decubitus). Several surgical approaches can be made—anterior (from the front), posterior (from the back) or approaches closer to the side—anterolateral, posterolateral. An incision is made through the skin and the fat layer beneath the skin. Depending on the […]

Who Else Will Be In The Operating Room?

In the operating room, an orthopaedic surgeon doing hip replacement will have one or two assistants at the operating table. The assistant may be another orthopaedic surgeon, a physician’s assistant (PA) or registered nurse first assistant (RNFA). Both PAs and RNFAs are trained to work with surgeons in the operating room as first assistants. A […]

Who Will Do The Surgery?

Hip replacement surgery is done by an orthopaedic surgeon. An orthopaedic surgeon is a physician trained in the care of problems and diseases of the muscu-loskeletal system. The term orthopaedic was first used by Nicholas Andry, a professor of medicine at the University of Paris. It is derived from Greek words, which literally mean straight […]

What Kind Of Anesthesia Will I Have?

If you are having surgery you will need to have anesthesia. Anesthesia means without feeling. For hip replacement surgery, anesthesia can be either general or regional. With general anesthesia, you are completely asleep. Regional anesthesia means you are awake but the lower part of your body is numb and you can’t feel any pain. Each […]

Should I Donate Blood Before Surgery?

Can my friends and family donate blood? Many patients undergoing total hip arthroplasty will require transfusion either during surgery or in the postoperative period. For this reason, you may choose to donate your own blood in the weeks before surgery in case a transfusion is necessary. The process by which you donate blood for surgery […]

Should I See My Regular Doctor Before Surgery?

Your orthopaedic surgeon may ask that you have a general medical checkup before you come in to the hospital. The place to start is with your regular physician. Usually, this is a physician who specializes in internal medicine or family practice. He or she will have a good knowledge of general medicine and will identify […]

How Can I Prepare For Surgery?

Once you have decided to have total hip surgery it is important to plan for your procedure and your care after surgery. It is helpful to involve your family or caregivers in the planning process. First you will arrange a date for surgery with your doc-tor’s office. Most surgeons have 1 or 2 specific days […]

Is There A Role For Arthroscopy?

Arthroscopy is being used more and more for treatment of a painful hip. While arthroscopic procedures are most commonly done in the knee, shoulder and elbow, more surgeons are gaining experience with arthroscopy of the hip. Arthroscopy is a technique that uses a fiberoptic scope and small instruments to perform surgery on a joint. The […]

What Is Core Decompression?

Core decompression is a surgical procedure used to treat hip pain in the early stages of avascular necrosis. One of the causes of pain in AVN is increased pressure in the bone marrow of the diseased portion of the femoral head. Reducing the pressure in this area may relieve the pain of AVN and allow […]

What Is An Osteotomy?

Osteotomy literally means cutting of the bone. In orthopaedic surgery, an osteotomy is an operation where a section of the bone is cut so that the bone may be realigned to a better position. An osteotomy can change the angle or the rotation of a bone which, in turn, can affect the function of a […]

What Is A Hip Fusion?

A hip fusion is a procedure where the ball of the femur and socket are brought together to form a single bone. The purpose of the fusion is to relieve pain and to sta-bilize the hip joint. In a hip fusion, the articular cartilage on the two joint surfaces is removed. This exposes raw cancellous […]

What Is Resurfacing?

Resurfacing is a type of hip replacement that preserves bone in the proximal femur. In a standard total hip, the entire femoral head and a large part of the femoral neck are removed and replaced with the femoral component. In resurfacing, only the articular cartilage and the outer portion of the femoral head are removed. […]

What Is Bipolar (Partial) Hip Replacement?

Bipolar replacement, or arthroplasty, is one type of partial hip replacement that is frequently done for fractures, but can also be done for Arthritis, avascular necrosis, and other problems about the hip. It is an option when there is disease of the femoral head, but the acetabulum or socket is not involved. Bipolar arthroplasty provides […]

Can I Have A Total Hip Replacement If I Have Had Previous Hip Surgery?

Many patients who are candidates for total hip surgery have had a previous surgical procedure on their hips. Having surgery on your hip in the past does not pre-vent you from having a total hip in the future. In fact, many patients have surgery for one problem which leads to Arthritis later in life. For […]

Can I Be Too Young To Have Hip Replacement Surgery?

For many years, surgeons felt that hip replacement surgery should be reserved for elderly patients. No one knew how long a hip replacement would last. It made sense to only do the operation in older patients whose life expectancy was shorter. Over time, implant design has improved. Better materials have made the components more durable. […]

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