It might also become damaged if you have an injury or dislocation. You may need a revision surgery to replace the damaged parts of the prosthesis. Most hip prostheses last 20 years or longer. You might be able to extend the life of your implant by doing regular low impact exercise, avoiding high impact exercise such as jogging and taking precautions to avoid falls.
A rare risk of hip replacement is infection, which can happen if bacteria circulating in the bloodstream get caught in the prosthetic pieces. An infection may require a revision surgery to remove the infected tissues, and a course of antibiotics to kill the bacteria. When the infection is gone, a new prosthetic can be put back in. If you had a partial hip replacement only the ball part of the joint , you may need a revision down the road to replace the socket as well.
Health Home Treatments, Tests and Therapies. What is a hip replacement? Who can benefit from a hip replacement? Your doctor may recommend hip replacement if you have significant pain, inflammation and damage to your hip joint due to conditions such as: Osteoarthritis most common Rheumatoid arthritis Osteonecrosis avascular necrosis Injury such as hip fracture Tumor in the hip joint.
How do you know if you need a hip replacement? Signs of declining quality of life include: Inability to get restful sleep because of pain Difficulty doing simple tasks such as getting dressed or climbing stairs Inability to fully participate in the activities you enjoy At first, your doctor may recommend other treatments such as medicine for pain or inflammation, walking aids, joint injections and physical therapy. Types of Hip Replacement Surgery Several factors help determine the type of hip replacement you may need.
Total and Partial Hip Replacement: Which parts need to be replaced? Three common ways to access the hip joint are: From the front anterior approach to hip replacement From the side lateral approach to hip replacement From the back posterior approach to hip replacement. Approaches to Hip Replacement Surgery Dr. Savya Thakkar. Minimally Invasive Hip Replacement Minimally invasive hip replacement aims to minimize the impact of surgery on healthy tissues, such as muscles and blood vessels.
This approach may have advantages, such as: Lower risk of muscle damage Less pain Quicker and easier recovery Less limping Shorter hospital stay Lower chance of hip dislocation Minimally invasive hip replacement is not appropriate for all patients.
Traditional Hip Replacement A traditional hip replacement includes a single, large incision that helps the surgeon gain access to the hip, usually through the side lateral approach or from the back posterior approach. Talk with your orthopaedic hip surgeon to discuss which surgical approach may be best for you. Discussing the Best Approach With Your Doctor The surgical approach your doctor will recommend depends on several factors, including how the surgeon will gain access to the hip, the type and style of the implant and how it will be attached, and your age and activity level, and the shape and health of the hip bones.
Hip and Knee Replacement at Johns Hopkins The Johns Hopkins hip and knee replacement program features a team of orthopaedic specialist highly skilled in joint replacement procedures.
Learn more about our hip and knee program. Parts of a Hip Replacement Implant Hip Prosthesis The hip replacement implant, also called hip prosthesis, has two parts: A ceramic ball attached to a metal stem, which is inserted into the thigh bone femur for stability A metal cup typically made of titanium with an inner plastic layer, which is attached to the socket part of the hip joint acetabulum to allow the prosthetic joint to rotate smoothly In the past, the ball was made of metal as well, but the current standard is ceramic.
Types of Socket Implant Attachment Uncemented prosthesis attaches with a porous surface, which allows bone to grow over time and hold it in place. Cemented prosthesis attaches with bone cement. Can you get both hips replaced at the same time? What happens during a hip replacement surgery? A typical, uncomplicated total hip replacement surgery has the following steps.
Once in the operating room, you will get an intravenous IV line in your hand or arm. A urinary catheter may be inserted as well.
You will receive anesthesia , either general whole body or below-the-waist epidural , depending on the recommendation of your anesthesiologist and orthopaedic surgeon. The surgeon will place you in an appropriate position to access the hip joint and make an incision. The surgeon will remove the head of the femur the ball part of the joint and make an opening in the top of the femur. He or she will then insert the stem of the ball prosthesis, with or without cement.
The ceramic replacement head will then be attached to the top of the femur implant. The surgeon will then remove the damaged cartilage from the acetabulum the socket part of the joint and attach the new cup. Your surgeon will bend and move your leg to ensure that it functions properly. Anterior Higher risk of injury to lateral femoral cutaneous nerve, which may cause numbness in the outer thigh.
Precautions Posterior Low risk of dislocation when performed by a specialty-trained surgeon with a high volume of hip replacement. Discuss with your surgeon, some do not have post-operative precautions with this procedure. Anterior Low risk of dislocation when performed by a specialty-trained surgeon with a high volume of hip replacement. Dislocations are usually anterior and can occur with external rotation of the leg during any activity. Post-operative Experience Posterior Hospital stay is days at St.
Charles Medical Center. This procedure may also be performed in an outpatient returning home the same day for some patients. Postoperative complications are the same for both approaches, including risk to structures, blood clots, infection, death, anesthesia risks.
The medical equipment required for recovery for both approaches is the same. You may need a front-wheeled walker, cane, leg lifter, grab bars, and an elevated toilet seat. Anterior Hospital stay is the same for both approaches. Return to Activity Posterior Sedentary work — 2 weeks Light activity walking, stationary bike, etc.
Search for:. Now What? One of the problems we've see with the anterior approach is that it has become a marketing tool for surgeons. So surgeons will use that to bring patients into their practice and start saying, "I do the anterior approach, please come and get your hip done with me. It's got a significant learning curve, probably around hip replacements before you really are competent with the approach, and so patients may not know that their surgeon has had very little experience on the approach yet says that they do the approach and the surgeon may say that they prefer that.
So I think it's wise for patients to always ask their surgeon what's your experience with this approach, why are you saying that I need this approach and be educated on that. Miller: What's nice in your practice or your group practice is that you have surgeons doing both. Have you had a patient request a posterior approach that you've then referred to your colleague or vice versa?
I think that. If they are not comfortable with it, they can find somebody else who may be comfortable to do that approach but we offer all approaches here at our practice. I think we all have very very good success with our hip patients regardless of approach.
Again I think it boils down to surgeon's comfort and patient's comfort with their surgeon. Miller: On the redo prosthetics of patients will come back and they'll need a new hip after a number of years. Either approach or one in particular? Gililand: I think the posterior approach is generally the workhorse for us when it comes to going for revision surgery. They are certain cases when I will do revision surgery through an anterior approach but that really is somewhat select.
Most of the time we're using the posterior approach, again, because of the nature of it being a more extensile approach that gives us better visualization of both the pelvis and the femur. Announcer: Thescoperadio. If you like what you heard, be sure to get our latest content by following us on Facebook.
Just click on the Facebook icon at thescoperadio. Subscribe to Our e-Newsletter. Find a doctor or location close to you so you can get the health care you need, when you need it. Miller: That's pretty good basic advice. Know your approach and know it well. Gililand: Exactly. Miller: Mainstream procedure.
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