Hip Replacement Total

General Information

A total hip replacement is performed to restore strength, stability and function in an otherwise damaged hip. A metal prosthetic ball replaces the ball portion of the upper femur where it inserts into the hip socket. The hip socket itself may also be replaced with a prosthetic socket for additional strength and stability.

Reasons for Total Hip Replacement

• Decreased quality of life
• Limited ability to get around
• Osteoarthritis
• Weak hip joint caused by prior injury
• Bone tumors found in the hip joint or upper head of the femur or thigh bone
• Broken hips, especially among the elderly where healing processes may not induce complete fusion or healing of a fractured or displaced hip bone

Diagnosis

• X-rays of the hip joint, before, during and after the surgery
• CS scan
• MRI
• Joint aspiration to check for any signs of infection
• Laboratory tests such as blood and urine

Surgery

Before the surgical procedure, you'll be placed under general anesthesia, meaning you'll be asleep during the procedure. The doctor will:

• Make an incision along the outside of the hip
• Surgically separate and remove the ball and neck of the upper femur
• Ream the femoral canal so it will accept the prosthetic neck
• Cement the prosthetic ball portion into the upper end of the femur
• Shape the hip joint socket to accept the new prosthetic or insert a new prosthetic socket into the hip
• Test the function and range of motion of the hip
• Close the incision and apply appropriate dressings

What to Expect

The hip replacement surgery may cause a few side effects, which can include bleeding and/or blood clots. You'll wear compression stockings to help prevent blood clots. The approach and type of hip replacement you receive will depend on your condition, your doctor and surgeon's recommendation and your current state of health. The procedure generally takes two to three hours, but again depends on the approach. You'll be encouraged to move your hip as soon as possible following the procedure to help healing and enhance circulation. As soon as you're able, you'll be encouraged to start physical rehabilitation therapy.