Hip arthroplasty; Total hip replacement; Hip hemiarthroplasty; Arthritis - hip replacement; Osteoarthritis - hip replacement
Hip joint replacement is surgery to replace all or part of the hip joint with a man-made joint. The artificial joint is called a prosthesis.
Your hip is hurting so bad, you can't sleep. It's hard to bathe, to clean, make it to the mailbox or shop at the mall. You may have severe arthritis in your hip, and there's a good chance you need a hip replacement.Hip replacements are usually done in people age 60 and older. If you need one, you probably have severe arthritis that limits your daily life, or perhaps have a hip fracture.Your hip joint is made up of two parts, the hip socket and the upper end of the thigh bone. One or both parts may be replaced during surgery. Your new hip will probably have a socket made of strong metal, a liner that fits inside the socket, usually plastic, a metal or ceramic ball to replace the round head of your thigh bone, and a metal stem attached to the thigh bone to make your joint more stable.So, how is the hip replacement procedure done?Well you won't not feel any pain during surgery because you will have medicine to make you fall asleep. The surgeon will cut and remove the head of your thigh bone and clean out your hip socket, removing cartilage and damaged or arthritic bone. The surgeon will put the new hip socket in place, insert the metal stem into your thigh bone, and place the ball for a new joint. Cement will probably hold the new joint in place. The surgery can take several hours. After the surgery, you will probably stay in the hospital for three to five days. As soon as the first day after surgery, you will be asked to start moving and walking around with a walker, crutches, or a cane. You will need physical therapy to strengthen your new joint for up to several weeks after your operation. Some people need a short stay in a rehabilitation center after they leave the hospital. At the rehab center, you will learn how to safely do your daily activities on your own.Your new hip should allow you to resume your daily activities once you've learned to move around on your own. In the long run, over 20 years or so, the joint may need to be placed again. But, in the short run, most or all of your pain should go away. The stiffness should go away. Your doctor should be able to monitor any problems and you should enjoy your new joint.
Your hip joint is made up of 2 major parts. One or both parts may be replaced during surgery:
The new hip that replaces the old one is made up of these parts:
You will not feel any pain during surgery. You will have 1 of 2 types of anesthesia:
After you receive anesthesia, your surgeon will make a surgical cut to open up your hip joint. This cut is often over the buttocks. Then your surgeon will:
This surgery takes about 1 to 3 hours.
The most common reason to have this surgery is to relieve arthritis. Severe arthritis pain can limit your activities.
Most of the time, hip joint replacement is done in people age 60 and older. Many people who have this surgery are younger. Younger people who have a hip replaced may put extra stress on the artificial hip. That extra stress can cause it to wear out earlier than in older people. Part or all of the joint may need to be replaced again if that happens.
Your doctor may recommend a hip replacement for these problems:
Other reasons for replacing the hip joint are:
Always tell your provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.
During the 2 weeks before your surgery:
On the day of your surgery:
Your provider will tell you when to arrive at the hospital.
You will stay in the hospital for 1 to 3 days. During that time you will recover from your anesthesia, and from the surgery itself. You will be asked to start moving and walking as soon as the first day after surgery.
Some people need a short stay in a rehabilitation center after they leave the hospital and before they go home. At a rehab center, you will learn how to safely do your daily activities on your own. Home health services are also available.
Hip replacement surgery results are often excellent. Most or all of your pain and stiffness should go away.
Some people may have problems with infection, loosening, or even dislocation of the new hip joint.
Over time, the artificial hip joint can loosen. This can happen after as long as 15 to 20 years. You may need a second replacement.
Younger, more active people may wear out parts of their new hip. It may need to be replaced before the artificial hip loosens.
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Svege I, Nordsletten L, Fernandes L, Risberg MA. Exercise therapy may postpone total hip replacement surgery in patients with hip osteoarthritis: a long-term follow-up of a randomised trial. Ann Rheum Dis. 2015;74(1):164-9. PMID: 24255546
Last reviewed on: 4/17/2016
Reviewed by: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.