A total hip replacement is a surgery to replace a diseased or injured hip joint. An artificial ball-and-socket joint is inserted to make a new hip.
A minimally invasive total hip replacement is also a surgery to replace a diseased or injured hip joint. This surgery only requires one or two tiny incisions and special instruments. People eligible for this surgery are typically:
This surgery is done when pain and stiffness limit your normal activities. This pain and stiffness is usually due to osteoarthritis. Surgery is done when other treatments have been tried and are no longer working. These other treatments include rest, medicine, and physical therapy.
Other reasons for surgery may include a broken hip, rheumatoid arthritis, bone tumors, and loss of blood supply to the bones of the hip.
If you are planning to have a hip replacement, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the surgery.
Your doctor may do the following:
In the time leading up to the procedure:
General anesthesia will be used. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
An incision will be made along your joint. The muscles will be moved aside. The damaged bone and cartilage of the hip joint will be removed. The remaining bone will be prepared for the prosthesis. The new artificial joint will be placed in position. Depending on the type of prosthesis, the doctor may use bone cement to hold one or both parts of the artificial hip firmly to your bone. Lastly, the incision will be closed with stitches or staples.
This surgery may be done with one or two small incisions. Special tools are used that fit into these small incisions. In some cases, x-rays will be used to help guide the doctor.
For the one-incision surgery, an incision will be made over the outside of your hip. The muscles and tendons will be moved out of the way. Next, the damaged bone and cartilage of the hip joint will be removed. The remaining bone will be prepared for the prosthesis. The new artificial joint will then be placed in position. Depending on the type of prosthesis, bone cement may be used to hold the artificial hip in place. Lastly, the incision will be closed with staples or stitches.
In a two-incision surgery, an incision will be made over the groin and another over the buttock. The above process will then be followed.
You will have pain after the surgery. Pain medicine will be given to help with discomfort.
This procedure is done in a hospital setting. The usual length of stay is:
Your doctor may choose to keep you longer, if complications occur. In some cases, you may need to stay in a rehabilitation unit. The focus will be on regaining function.
While you are recovering at the hospital, you may need to:
When you return home, do the following to help ensure a smooth recovery:
Within six weeks, you should be able to resume normal, light activities. A replacement hip typically lasts 10-15 years.
After you leave the hospital, contact your doctor if any of the following occur:
In case of an emergency, call for medical help right away.
American Academy of Physical Medicine and Rehabilitation
National Institute of Arthritis and Musculoskeletal and Skin Diseases
The Arthritis Society
Canadian Orthopaedic Association
Activities after hip replacement. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00356. Updated April 2009. Accessed May 6, 2013.
Al Muderis M, Bohling U, Grittner U, Gerdesmeyer L, Scholz J. Cementless total hip arthroplasty using the Spongiosa-I fully coated cancellous metal surface: a minimum twenty-year follow-up. J Bone Joint Surg Am. 2011 Jun 1;93(11):1039-1044.
Antibiotic prophylaxis for patients after total joint replacement. American Academy of Orthopaedic Surgeons website. Available at: http://orthodoc.aa.... Published February 2009. Accessed May 6, 2013.
Geerts WH, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004;126(suppl 3):338S-400S.
Hip fracture. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated April 24, 2013. Accessed May 6, 2013.
Lindström D, Azodi, Sadr O, et al. Effects of a perioperative smoking cessation intervention on postoperative complications: a randomized trial. AnnSurg. 2008;248:739-745.
Minimally invasive total hip replacement surgery. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00404. Updated August 2007. Accessed May 6, 2013.
Pagnano MW, Trousdale RT, Meneghini RM, Hanssen AD. Slower recovery after two-incision than mini-posterior-incision total hip arthroplasty. Surgical technique. J Bone Joint Surg Am. 2009 Mar 1;91 Suppl 2 Pt 1:50-73.
Questions and answers about hip replacement. National Institute of Arthritis, Musculoskeletal, and Skin Diseases website. Available at: http://www.niams.nih.gov/Health_Info/Hip_Replacement/default.asp. Updated April 2012. Accessed May 6, 2013.
Skerker RS, Mulford GJ. Frontera: Essentials of Physical Medicine and Rehabilitation. Philadelphia, PA: Hanley and Belfus; 2002 (chap 56).
Who needs a hip replacement? NIH SeniorHealth website. Available at: http://nihseniorhealth.gov/hipreplacement/whoneeds/01.html. Accessed May 6, 2013.