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. The artificial joint is called a prosthesis.
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:
Younger than 50
Healthier than those who undergo the traditional total hip replacement surgery
This surgery is done when pain and stiffness limit your normal activities. This pain and stiffness is usually due to
. Surgery is done when other treatments have been tried and are no longer working. These other treatments include rest, medicines, and physical therapy.
Within six weeks, you should be able to resume normal light activities. A replacement hip typically lasts 10-15 years.
If you are planning to have a hip replacement, your doctor will review a list of possible complications, which may include:
Your doctor may suggest donating your own blood for the surgery. You will most likely lose a lot of blood and fluid during this surgery. If you need a
, the doctor can use your own blood.
If you become sick or have a fever just before the surgery, tell your doctor right away.
Arrange for a ride to and from the hospital. Also, arrange for help at home.
Eat a light meal the night before the surgery. Do not eat or drink anything after midnight. If you have diabetes, ask your doctor if you will need to adjust your medicine.
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.
Description of the Procedure
Total Hip Replacement
The doctor will make an incision along your joint. The muscles will be moved aside. The damaged bone and cartilage of the hip joint will be removed. The doctor will then prepare the remaining bone for the prosthesis. The new plastic and metal 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.
Minimally Invasive Total Hip Replacement
This surgery may be done with one or two incisions.
For both types, 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, the doctor will make an incision over the outside of your hip. The doctor will move the muscles and tendons out of the way. Next, the damaged bone and cartilage of the hip joint will be removed. The doctor will prepare the remaining bone for the prosthesis. The new plastic and metal 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, the doctor will make an incision over the groin and another over the buttock. The above process will then be followed.
Minimally invasive total hip replacements: 2-3 hours
How Much Will It Hurt?
You will have pain after the surgery. Pain medicine will be given to help with pain.
Average Hospital Stay
This procedure is done in a hospital setting. The usual length of stay is:
4-6 days for a total hip replacement
1-2 days for minimally invasive total hip replacement
Your doctor may choose to keep you longer, if complications arise. In some case, you may need to stay in a rehab unit. The focus will be on regaining function.
At the Hospital
While you are recovering at the hospital, you may need to:
Walk with help, using a
on the day after surgery.
Be careful. A fall can damage or dislocate the new joint. Do not try to walk without help.
Take medicine to prevent blood clots.
Wear compression boots or stockings.
Begin physical therapy to regain mobility and strength.
Breathe deeply and cough 10-20 times every hour—This will decrease the risk of fluid build-up in the lungs. The fluid can cause
When you return home, do the following to help ensure a smooth recovery:
Keep the incision area clean and dry.
When seated, place a V-shaped pillow between your legs. This will help you to maintain correct positioning of your hip.
Work with the physical therapist. You will learn how to move your hip and maintain proper alignment. You should also talk to your doctor and physical therapist about ways to prevent dislocations. Depending on your surgery, you may need to avoid crossing your legs, flexing your hips more than 90°, and turning your feet very far inward or outward.
Only take medicines recommended by your doctor. Do not take over-the-counter remedies without your doctor's approval.
Inform your dentist of your surgery. You may need antibiotics for some dental procedures. This will decrease the risk of bacteria entering the bloodstream and traveling to the prosthesis.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a