Overview of hip replacement surgery
Hip replacement surgery involves replacing damaged or deteriorated parts of the hip joint with artificial components, which can alleviate pain and improve hip function.
Surgeons assess factors such as range of motion, stability, and strength, often utilizing X-rays, to determine the suitability of this procedure. The selection of artificial joints and surgical methods is customized to individual factors like age, weight, activity level, hip anatomy, and the patient’s overall health.
The goals of hip replacement surgery include:
- Relieve pain from the damaged or diseased hip joint
- Improve the function of the hip joint
- Increase mobility
Why hip replacement is needed
Hip replacement surgery is usually needed to alleviate pain and improve function in the hip joint that has been damaged or deteriorated due to conditions such as:
- Osteoarthritis
- Rheumatoid arthritis
- Avascular necrosis
- Hip fractures
- Other degenerative joint diseases
How hip replacement surgery is performed
Hip replacement surgery, also known as total hip arthroplasty, is typically performed under general anesthesia or spinal anesthesia.
Your surgeon will make an incision over the hip joint to access the damaged bone and cartilage. The damaged femoral head (the ball-shaped top of the thigh bone) is removed. The surgeon then prepares the femur (thigh bone) and acetabulum (hip socket) by removing any remaining cartilage and shaping them to accommodate the artificial components. The artificial components, which consist of a metal stem with a ball on the end (femoral component) and a metal or plastic socket (acetabular component), are implanted into the prepared bone surfaces using specialized surgical tools. Once the components are securely in place, the surgeon closes the incision with sutures or staples.
After surgery, patients are typically monitored in a recovery area before being transferred to a hospital room. Physical therapy begins soon after surgery to help patients regain strength and mobility in the hip joint.
What sets TidalHealth apart from others?
Using the Stryker’s Mako robotic arm assisted robotic technology, our orthopedic surgeons are changing the way hip replacement is performed for our patients.
Using mapping software, a 3D virtual map is produced before surgery using a CT scan. In the operating room, the surgeon validates the personalized plan and makes any necessary adjustments. Using the robotic arm, the surgeon can precisely remove diseased bone and prepare the hip joint for implantation better than previously available technology. This personalized mapping and robotic assistance technology allows for the very best individualized implant for the patient, which reduces post-surgical pain and allows for a quicker recovery. TidalHealth Nanticoke was the first hospital on Delmarva to offer this technology.
In addition to having the best technology, TidalHealth’s surgeons are also experienced in the anterior approach to hip replacement surgery, which results in reduced pain, faster recoveries, improved stability and reduced risk of dislocation. This advanced approach aims to optimize outcomes and enhance the patient’s quality of life post-surgery.
Risks of hip replacement
Hip replacement surgery is generally considered safe, but like any surgical procedure, it carries some risks, including:
- Blood clots
- Dislocation
- Implant loosening
- Infection
- Nerve or blood vessel damage
- Reaction to anesthesia
Talk to your doctor about any concerns before the procedure.
Preparing for surgery
Preparing for joint replacement surgery involves several important steps to ensure a smooth process and successful recovery. Here's a list of ways to prepare:
- Designate a caregiver: Having someone to support and assist you during the initial days after surgery is crucial for a smooth recovery process.
- Complete paperwork: Fill out any required forms promptly.
- Attend pre-surgical classes: These classes help you understand the procedure and prepare you for what to expect before and after surgery.
- Prepare your home: Make necessary adjustments to your living space to accommodate your post-surgery needs, including installing grab bars and considering medical equipment.
- Attend all appointments and complete pre-surgical testing: There will be appointments and testing for pre-operative clearance. Be sure to attend all to ensure your surgery will be performed as scheduled.
- Attend prehabilitation: Improve your physical condition before surgery to aid in a smoother recovery process.
- Stop or adjust medications: Some medications may need to be stopped or adjusted before surgery to reduce risks and complications.
- Prevent surgical site infections: Follow guidelines to minimize the risk of infections before and after surgery, including dental care, hygiene practices, and skin preparation.
- Pack for your hospital stay: Pack comfortable clothing, necessary toiletries, and any essential medical equipment.
- Follow special instructions: Adhere to specific guidelines provided for the day of surgery, including dietary restrictions and hygiene practices.
Following steps to prepare can help ensure a successful joint replacement surgery and a smoother recovery process.
Hip replacement rehabilitation & recovery
The right post-surgery rehabilitation plan is crucial for a successful recovery. Together with the Joint Replacement Coordinator, you’ll tailor a plan based on your pre-surgery physical condition and available support at home. Options like outpatient physical therapy, home health care, sub-acute care, and acute TidalHealth boasts quick recovery for our patients through the use of our comprehensive rehabilitation program that promotes wellness and personal empowerment. The model of rehabilitation for our surgical patients provides a fun, supportive environment to help patients recover as quickly as possible. It includes support before, during and after surgery to allow our patients to become more mobile, quicker than traditional programs. Our goal is to provide an exceptional experience that involves you and your family every step of the way.
Typical results of a hip replacement
Hip replacement surgery typically results in significant improvement in pain relief, mobility, and overall quality of life for most patients. Patients typically regain functionality in the hip joint, allowing them to resume activities that were previously limited by pain and stiffness. Individual outcomes may vary depending on factors such as the patient’s age, overall health, pre-existing conditions, and adherence to post-operative rehabilitation protocols.
Contact us
TidalHealth Orthopedics
100 Rawlins Drive
Seaford, DE 19973
30265 Commerce Drive, Suite 103
Millsboro, DE 19966
If you already have joint replacement surgery scheduled and have questions, contact the Joint Coordinator at 410-543-7375.
Frequently Asked Questions (FAQs) About Knee Replacement Surgery
What is hip replacement surgery?
Hip replacement surgery, also known as total hip arthroplasty, is a surgical procedure to replace a damaged or diseased hip joint with an artificial joint, called a prosthesis, to relieve pain and improve function. This procedure is commonly performed to treat conditions such as osteoarthritis, rheumatoid arthritis, avascular necrosis, hip fractures, or other degenerative joint diseases.
Why should I get hip replacement surgery?
Hip replacement surgery is recommended for individuals with severe hip pain and limited mobility that significantly impacts their quality of life and daily activities. If conservative treatments such as medication, physical therapy, and lifestyle modifications have not provided adequate relief, and if the hip joint damage is severe, your healthcare provider may recommend hip replacement surgery to alleviate pain, improve mobility, and enhance overall function.
How is hip replacement surgery performed?
During hip replacement surgery, the damaged or diseased parts of the hip joint are removed and replaced with artificial components. The surgeon makes an incision to access the hip joint, prepares the femur (thigh bone) and acetabulum (hip socket), and implants the artificial components, which may include a metal stem, a metal or ceramic ball, and a plastic socket. The surgery aims to restore mobility, relieve pain, and improve the function of the hip joint.
How long does it take to walk normally after hip surgery?
The time it takes to walk normally after hip surgery varies from patient to patient and depends on factors such as the individual's overall health, the extent of hip joint damage, and the success of rehabilitation. In general, patients begin walking with assistance, such as a walker, the same day surgery is performed. With proper rehabilitation and adherence to post-operative guidelines, many patients can regain the ability to walk normally within a few weeks to several months after surgery.
What activities should you avoid after hip surgery?
While hip replacement surgery significantly improves mobility and function, there are certain activities and movements that should be avoided to prevent complications and protect the artificial hip joint. These may include:
- Avoiding high-impact activities such as running, jumping, or participating in contact sports.
- Avoiding excessive bending or twisting of the hip joint beyond the recommended range of motion.
- Avoiding activities that put excessive stress on the hip joint, such as lifting heavy weights or engaging in strenuous activities without proper guidance from a healthcare provider.
- It’s essential to follow your surgeon’s specific recommendations and guidelines for activity restrictions after hip replacement surgery.
How long do you stay in the hospital after a hip replacement?
The length of hospital stay after hip replacement surgery varies depending on factors such as the patient’s overall health, the extent of hip joint damage, and the surgical approach used. With the use of technology and our comprehensive rehabilitation program, our length of stay has decreased. Most patients leave the same day of surgery or stay just one night; however, some patients may require a longer hospital stay if additional medical care or monitoring is needed. Your healthcare team will determine the appropriate length of hospitalization based on your individual needs and recovery progress.
