All About Health Care

Hip arthroplasty or hip replacement

A total hip replacement or hip arthroplasty is a surgical treatment in which the damaged or unhealthy bone is substituted with a prosthetic implant, or you can also call that an artificial joint. The prevalent cause behind hip arthroplasty is arthritis which causes severe hip pain and inflammation. According to the American Academy of Orthopedic Surgeons, this is the major problem in the United States because more than 300,000 people having hip surgery each year.

When you need surgery?

Due to some factors, your doctor may recommend you hip arthroplasty. 

  • If any stiffness or pain in your hip joint that restricts the ability to move your leg and also limits your everyday activities such as walking , bending.
  • You have constant hip pain, day or night
  • If your pain is not relieving or not getting better from physical therapy as well as by taking anti-inflammatory drugs, or walking supports.
  •  Hip fracture
hip arthroplasty or total hip replacement
Anterior view of hip bone prepared for prosthesis implantation.

Surgical Considerations

Total hip replacements(THR) have been performed successfully at all ages, from the young teenager with juvenile arthritis and to the elderly patient with degenerative arthritis. Total hip replacements (THR) have been successfully performed on patients of all ages, from young teenagers with juvenile arthritis to the elderly with degenerative arthritis are age 50 to 80; however, before taking any decision, speak with your doctor as the orthopedic surgeons examine you personally. 

Surgeons perform hip arthroplasty by using an anterior approach or a posterior approach. With an anterior hip replacement, the surgeon makes the incision at the front of the hip. During the posterior hip replacement, the surgeon makes the incision at the side or back of the hip.


The surgical procedure normally takes 1 to 2 hours. 

  • The surgeon performs an incision over the front or side of your hip through the layers of tissue.
  • The damaged femoral head is substituted with a metal stem positioned within the femur’s hollow center. The femoral stem is either cemented or “press-fit” right inside the bone.
  • The orthopedic surgeon installs a ceramic ball on the upper component of the stem. This ball substitues the damaged femoral head, which is substituted.
  • Then, your medical professional replaces the afftected cartilage surface of the acetabulum with a metal socket;this will help to hold the socket in place the surgeon use screws.
  • A ceramic, or metal spacer is implanted between the new ball and the socket to make smooth the sliding surface.

After surgery, the medical staff shifts you to a recovery room for a few hours while your anesthesia wears off and also monitors your vital signs and your needs for medication. Then, you will be brought to your hospital room or may be discharged to your home when you wake up depends on your health condition.

Risks and Complications

  • Blood clots
  • Dislocation
  • Infection
  • Loosening of implant

Source: National Institute of Arthritis and Musculoskeletal and Skin Disease

Blood clot prevention

After your surgery, there is a potential risk of blood clot formation in your legs. Prevention includes:

  • Applying pressure. Your medical professional might recommend you wear elastic compression stockings on your lower legs during and after Surgery. You have to wear this compression stocking becuase this exert pressure which will help keep blood from pooling in the leg veins, that is really helpful and minimize the chance of clot formation.
  • Moving early. After Surgical , Your doctor will encourage you to sit up and walk with crutches or a walker on the same day as your surgery or the next day.
  • Blood-thinning medication. After Surgical treatment your doctor might prescribe an injected or oral blood thinner. 

Physical therapy

Hip arthroplasty

After surgery, keep in mind that post-op exercises are fundamental. Definitely, your physical therapist helps you with post-op exercises. You can do it at home and in the hospital because these exercises will help a speedy recovery.
Exercise and physical activity must be a regular part of your routine to restore the range of motion of your joint and muscles. Your physiotherapist will suggest you mobility and strengthening exercises and help you learn how to use a walking aid, like a cane or crutches and walker. As therapy progresses, you’ll gradually increase the weight you put on your operated leg until you have the ability to walk without any assistance.
You will have a follow-up appointment with your professional surgeon 6 to twelve days following surgery to make sure that your hip is healing properly. If your recovery is going well, you should be able to resume at least part of your activities by then so. Six to twelve months of additional recovery with improved strength is common.


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