Hip Replacement

A total hip replacement, also known as total hip arthroplasty, is a surgical procedure that replaces both surfaces of the patient’s damaged hip joint with artificial components to restore mobility and relieve pain. The hip joint is a ball and socket joint where the femoral head (the ball) moves within the acetabulum (the socket). The surfaces of the joint can become damaged due to arthritis, fractures, or other conditions, resulting in pain and limited mobility. Hip replacement surgery involves removing the damaged sections of bone and replacing them with prosthetics that can restore both the structure and function of the hip.

Did You Know?

In recent years, hip replacement surgery has become one of the most reliable orthopedic procedures for patients with severe arthritis in their hips. This is partially due to modern techniques that have evolved to minimize pain, blood loss, and the amount of time spent in a hospital.

Knee Replacement
Knee Replacement
Knee Replacement x-ray

Frequently Asked Questions:

Am I a candidate for a total hip replacement?

Total hip replacements are an appropriate treatment for people who have significant arthritis or pain in the hip and who are no longer experiencing adequate relief from non-surgical treatment options. Total hip replacements can be used to provide relief from primary osteoarthritis, secondary osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, traumatic arthritis, avascular necrosis, failed prior hip surgery, arthritis secondary to congenital hip dysplasia, gout, pseudogout, certain tumors of the hip and, in certain instances, infection.

To determine if you are an ideal candidate for a total knee replacement, schedule a consultation with Dearborn & Associates — the best knee replacement providers in the Bay Area.

Knee Replacement
Knee Replacement

What happens during a total hip replacement surgery?

The first step of a traditional hip replacement is to make a 6-10 inch curved surgical incision on the side of the hip. In some cases, they may also go through the back of the hip. Approaching the joint from the back decreases postoperative limping, but has a higher risk of dislocation, while the other approach has a lower risk of dislocation, but more post-operative limping.

After making the incision, the surgeon will then cut through or detach muscles and tendons to reach the hip joint. The femur head will be removed and an opening will be made for the stem of the ball prosthesis. The ball prosthesis will be inserted and cemented in place. Then, damaged cartilage will be removed from the socket portion of the joint and a new socket surface will be cemented in place. The muscles and tendons will be repaired and the entire incision will be closed with dissolvable stitches and surgical glue.

Although the traditional approach to hip replacement was once the most ideal method for performing hip replacement surgery, there are now less invasive surgical techniques that can be used. These techniques generally have smaller incisions, cause less bleeding, minimize the soft-tissue trauma, and have faster recovery times compared to the traditional approach. At Dearborn & Associates, we specialize in providing these minimally-invasive hip replacement methods:

Mini-Posterior Method

A 3 inch incision is made in the side of the hip and the muscles are moved aside to reach the joint and allow the prosthetic components to be easily placed. The mini-posterior method works by dislocating the hip towards the back of the body. This method, combined with the use of special surgical instruments, significantly decreases the risk of postoperative limping, nerve damage, and other complications.

Anterior Method

An incision is made on the front side of the hip, between natural muscle intervals. The muscles are then moved aside to reach the joint and allow the prosthetic components to be placed. This method results in a faster recovery and a lower risk of dislocation. However, it also has higher complication rates, more blood loss and nerve injuries, and unrecognized intraoperative femur fractures that can hinder recovery.

What can I expect during recovery?

After your operation, you can expect to spend about an hour in the recovery room. You will then be transferred to a private room in our quarantined unit. Within a few hours, one of our physical therapists will have you up and moving as they show you post-operative exercises and techniques for everyday tasks. At this point, which is about 4-5 hours after surgery, most patients can expect to be discharged. In some cases, an overnight stay may be required.

During your recovery process, medical assistive equipment such as a cane, walker, or crutches may be needed. You can expect to have a physical therapist come to your house to assist you with an exercise program to promote proper healing. Follow up visits are also usually scheduled at the two week, six week, and three month marks.

In most cases, you should be able to walk independently as soon as 2-3 weeks after surgery. At the 6 week mark, you will be able to resume most of your regular activities. Your doctor will let you know if you have any restrictions at this point.

Schedule a consultation with Dearborn & Associates in Menlo Park today to see if a total hip replacement is the right treatment for you!

Total Hip Replacement X-ray

Total Hip Replacement
This helpful pamphlet describes hip replacement surgery in easy-to-understand terms, including the potential complications. It is required reading for our hip patients prior to surgery and has a section on minimally invasive hip surgery techniques.
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Biomaterials & Bearing Surfaces

Biomaterials & Bearing Surfaces
Read here about the pros and cons of the various materials used in hip replacement surgery today, including ceramics and metal-on-metal bearings.
Download 24KB PDF

Surgical Approaches to the Hip

Surgical ApproachesĀ to the Hip
This document reviews the pros and cons of anterior and posterior approaches to the hip joint during hip replacement surgery and answers questions raised by patients about the anterior approach, as well as the two-incision technique.
Download 28KB PDF

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