Total hip replacement, also known as total hip arthroplasty, is a highly successful surgical procedure that can relieve hip pain and restore mobility for individuals suffering from a variety of hip conditions. At California Pacific Orthopaedics, our team of board-certified surgeons in San Francisco is dedicated to providing comprehensive and patient-centered care for those considering this life-changing procedure.
Overview of Total Hip Replacement
A total hip replacement is a surgical procedure in which the damaged or diseased parts of the hip joint are removed and replaced with artificial components, called a prosthesis. The hip is a ball-and-socket joint, where the “ball” is the head of the femur (thigh bone) and the “socket” is the acetabulum in the pelvis. The prosthesis is designed to mimic the natural movement of the hip joint, allowing for a smooth, pain-free range of motion.
Our surgeons at California Pacific Orthopaedics utilize the latest advancements in surgical techniques and technology to ensure the best possible outcomes for our patients. We understand that the decision to undergo a hip replacement is a significant one, and we are committed to providing you with the information and support you need to make an informed choice.
Why is a Total Hip Replacement Performed?
The most common reason for a total hip replacement is osteoarthritis, a degenerative joint disease that causes the cartilage in the hip to wear away, leading to pain, stiffness, and reduced mobility. Other conditions that may necessitate a hip replacement include:
- Rheumatoid arthritis: An autoimmune disease that causes inflammation in the joints, leading to cartilage damage and pain.
- Avascular necrosis: A condition in which the blood supply to the femoral head is disrupted, causing the bone to die and the joint to collapse.
- Hip fractures: A severe fracture of the hip, particularly in older adults, may be best treated with a hip replacement.
- Post-traumatic arthritis: Arthritis that develops after a hip injury.
If you are experiencing chronic hip pain that interferes with your daily activities and has not responded to conservative treatments such as medication, physical therapy, or injections, a total hip replacement may be the right option for you.
Common Symptoms and Causes
The symptoms of a hip condition that may require a total hip replacement can vary from person to person, but they often include:
- Pain in the hip or groin, which may worsen with activity.
- Stiffness in the hip, making it difficult to walk, bend, or climb stairs.
- A grinding or catching sensation in the hip joint.
- Limping to avoid putting weight on the affected hip.
The primary cause of these symptoms is the breakdown of cartilage in the hip joint, which can be due to a variety of factors, including age, genetics, and previous injuries.
Common Risk Factors
Certain factors can increase your risk of developing a hip condition that may require a total hip replacement, including:
- Age: The risk of osteoarthritis and other hip conditions increases with age.
- Genetics: A family history of arthritis can increase your risk.
- Obesity: Excess weight puts extra stress on the hip joints, accelerating cartilage wear.
- Previous hip injuries: A history of hip fractures or other injuries can increase your risk of developing arthritis later in life.
What to Expect Before, During, and After the Procedure
Before the Procedure
Before your surgery, you will have a thorough evaluation with one of our orthopedic surgeons at California Pacific Orthopaedics. This will include a physical examination, a review of your medical history, and imaging tests such as X-rays or an MRI.
You may be instructed to meet with a physical therapist to learn about the exercises you will need to do after surgery to help you recover. It is important to be in the best possible physical condition before your surgery to ensure a smooth recovery.
During the Procedure
A total hip replacement is performed under general or spinal anesthesia and typically takes one to two hours. The surgeon will make an incision over your hip, remove the damaged bone and cartilage, and then implant the artificial joint.
Our surgeons are skilled in various surgical approaches, including minimally invasive techniques that can result in less pain, a shorter hospital stay, and a faster recovery.
After the Procedure
After your surgery, you will be taken to a recovery room where you will be closely monitored. Most patients are able to go home the same day or the day after surgery.
Pain management is a priority after surgery. You will be given medication to help control your pain and allow you to participate in physical therapy.
Physical therapy is a crucial part of your recovery. A physical therapist will work with you to help you regain strength, flexibility, and mobility in your hip. You will be given a home exercise program to follow to continue your progress.
Most people are able to return to their normal activities within a few months of surgery. With your new hip, you can look forward to a life with less pain and greater freedom of movement.
If you are considering a total hip replacement, contact California Pacific Orthopaedics today to schedule a consultation with one of our experienced orthopedic surgeons. We are dedicated to helping you get back to the activities you love.
