Total Hip Replacement

Whether you have just begun exploring treatment options or have already decided to undergo hip replacement surgery, this information will help you understand the benefits and limitations of total hip replacement. Symptoms of the need for Hip Replacement:

• >Hip pain that limits everyday activities, such as walking or bending
• >Hip pain that continues while resting, either day or night
• >Stiffness in a hip that limits the ability to move or lift the leg
• >Inadequate pain relief from anti-inflammatory drugs, physical therapy, or walking supports

Causes

The most common cause of chronic hip pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms of this disease. Osteoarthritis: This is an age-related “wear and tear” type of arthritis. It usually occurs in people 50 years of age and older and often in individuals with a family history of arthritis. The cartilage cushioning the bones of the hip wears away. The bones then rub against each other, causing hip pain and stiffness. Rheumatoid arthritis: This is an autoimmune disease in which the synovial membrane becomes inflamed and thickened. This chronic inflammation can damage the cartilage, leading to pain and stiffness. Rheumatoid arthritis is the most common type of a group of disorders termed “inflammatory arthritis.” Post-traumatic arthritis: This can follow a serious hip injury or fracture. The cartilage may become damaged and lead to hip pain and stiffness over time. Diagnosis Diagnosis with an orthopedic surgeon consists of several components. Medical history: Your orthopedic surgeon will gather information about your general health and ask questions about the extent of your hip pain and how it affects your ability to perform everyday activities. X-rays: These images help to determine the extent of damage or deformity in your hip. Other tests: Occasionally other tests, such as a magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of your hip.   Hip Replacement Procedures Your skin should not have any infections or irritations before surgery. If either is present, contact your orthopedic surgeon for treatment to improve your skin before surgery. The surgical procedure takes a few hours. Your orthopedic surgeon will remove the damaged tissue and bone and then position new metal, plastic, or ceramic implants to restore the alignment and function of your hip.