TYPES OF HIP PROCEDURES
Total hip replacement is a surgical operation involving the replacement of the cup-shaped hip socket and the ball of the thigh bone that have worn from arthritis, or from other conditions which deteriorate the cartilage and bone of the joint. In cases requiring total hip replacement, the cartilage becomes worn and the underlying bone develops spurs and various irregularities which produce hip pain and loss of motion.
Your surgeon reshapes the socket to fit the new cup implant that replaces your diseased socket. After the socket is reshaped, a new cup will be placed in the socket. The cup usually consists of a metal shell and a polyethylene or metal liner.
Your surgeon then prepares your femur for the femoral stem, which will hold the new ball part of your hip joint. The head of your femur is removed and the bone is prepared for the new femoral stem. Your surgeon will most likely use a trial implant to verify the correct fit.
After your permanent hip stem is implanted, the ball that sits at the top of the femoral stem will be put into place. Once your surgeon is satisfied with the position and movement of your new hip joint, it will be flushed with cleansing fluid and closed.
Anterior Approach to Hip Replacement
This hip surgery replaces diseased and damaged portions of the hip with implants designed to restore function to the hip joint. The surgeon uses an incision on the anterolateral part of the hip, instead of a more traditional incision on the side or back of the joint.
Hip arthroscopy is a surgical procedure in which a small, flexible tube with a camera attached, called an arthroscope, is inserted into the hip joint. Two or three small incisions are typically made to allow the scope and other surgical instruments to enter a narrow space between the ball and socket of the hip joint. A monitor attached to the camera enables the surgeon to see inside the hip joint to diagnose and even treat certain hip joint problems. This minimally invasive procedure has advantages over traditional open hip surgery because it causes very little trauma to the hip joint, is generally done on an outpatient basis where patients return home after the procedure, and typically has a short recovery period.
Hip Joint Resurfacing
The hip joint provides the ability to move your leg through a wide range of motions. The joint is made up of a cup-shaped socket that is part of the pelvis and a ball (femoral head) at the top of your thigh bone (femur). The socket, called the acetabulum, is lined with cartilage that cushions the bones and allows smooth leg rotation. If the cartilage begins to wear or degenerate, the hip loses its flexibility and the bones may begin to scrape against each other, causing restricted motion and significant hip pain.
Hip resurfacing is a procedure that replaces worn cartilage and damaged bone by capping the femur with a metal covering and placing a metal cup-shaped liner in the acetabulum. The best candidates for hip resurfacing are physically active and typically younger than 60 years of age. Solid bone tissue in the femur is a requirement for hip resurfacing.
Partial Hip Replacement
Partial hip replacement is a surgical procedure used to replace half of the hip joint. The operation involves replacing the ball of the femur that has worn from arthritis, degeneration, or a serious fracture involving the ball of the hip joint. Normal motion becomes restricted and painful with advanced wear of the hip joint.
Revision Hip Replacement
Over time the original components of a total hip replacement can break down and loosen from the bone surface they were once firmly attached. Revision hip replacement involves the exchange of some or all worn components with new ones. The degree of complexity for this procedure is dependent on the amount of loosening and associated damage to the underlying bone surfaces that may have occurred over time. Specialized components, bone graft and cement may be used to rebuild the hip joint.
For more information and a schedule of upcoming joint replacement seminars, call our Community Connection referral line at 410-368-3330.
To speak with a physician about joint replacement surgery or to attend a pre-operation surgery class, call: 1-866-690-9355 (WELL).
A PATIENT'S STORY
Jim Struggled for years with hip pain until he met the team at the Saint Agnes Orthopaedic & Spine Institute. Watch his story.
FREQUENTLY ASKED QUESTIONS
Whether to have joint replacement surgery is a difficult decision. Get all your questions answered at our Frequently Asked Questions section.
CONTACT REHABILITATION SERVICES
When you have joint replacement surgery, supervised rehabilitation is required. Our rehabilitation experts help patients get back to a normal life as safely and quickly as possible.
Call 410-368-2800 or visit Rehab Services online for more information.
AWARDS & RECOGNITION
Industry peer groups applaud our Orthopaedic & Spine Institute for its quality of care and treatment. Recent honors include:
- Designated Institute of Quality For Spine, Hip and Knee surgery by the Aetna Institutes of Quality for Orthopaedic Care
- Achieved status as a Blue Distinction Center for Spine Surgery and Knee and Hip Replacement by CareFirst BlueCross BlueShield
To speak with a physician about joint replacement surgery or to attend a pre-operation surgery class, call:
View interactive 3D animations of orthopedic surgical procedures.