During hip replacement surgery, your doctor replaces the worn parts of your hip joint with artificial parts made of metal, ceramic, or plastic.
You may want this surgery if you have hip pain and trouble moving that you can't treat in other ways.
Osteoarthritis or rheumatoid arthritis can cause these types of problems. And so can bone loss caused by a poor blood supply.
In open hip replacement surgery, your doctor makes a 15 to 25 centimetre cut (incision) on the side of your hip. You will be asleep during the surgery. Your doctor will then:
Hip replacement can also be done with one or two smaller incisions. This is called minimally invasive surgery.
The incisions in both types of surgery leave scars that usually fade with time.
Surgery may take 1 to 3 hours.
There are two kinds of replacement joints.
Sometimes, the doctor uses a cemented ball and an uncemented socket.
Talk to your doctor about the best type of new hip joint for you.
You will stay in the hospital for a few days after surgery. Your rehabilitation program (rehab) will start at this time. When you go home, you will be able to move around with crutches or a walker. But you will need someone to help you at home for the next few weeks until your energy returns and you can move around better. If there is no one to help you at home, you may go to a rehab centre or an extended care centre after you leave the hospital.
After your surgery, you may have much less pain than before. You may have a better quality of life.
Some doctors say you may feel better sooner if you have minimally invasive surgery. Experts do not yet know how the risks and benefits of this type of surgery compare to an open surgery.
You will be in a rehab program. Rehab helps you get better faster.
If you commit to your rehab and work hard, you will see a lot of improvement in a few months.
Most artificial hip joints last for 10 to 20 years or longer. It depends on your age, how much stress you put on the joint, and how well your new joint and bones mend. Your weight can make a difference. Every extra kilogram of body weight adds 3 kilograms of stress to your new hip joint. More weight may cause it to wear out sooner.
Your doctor may want to see you about once a year to see how you and your new hip are doing.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
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Current as of: March 21, 2017
Adam Husney, MD - Family Medicine
& Jeffrey N. Katz, MD, MPH - Rheumatology
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