Get answers to your total joint replacement questions.
Hip arthroplasty; Total hip replacement; Hip hemiarthroplasty
Hip joint replacement is surgery to replace all or part of the hip joint with an artificial joint. The artificial joint is called a prosthesis.
The artificial hip joint has four parts:
You may receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. You may have a spinal or epidural anesthesia. In this kind of anesthesia, medicine is put into your back to make you numb below your waist.
After you receive anesthesia, your surgeon will make a surgical cut to open up your hip joint. Often this cut is over the buttocks. Then your surgeon will:
This surgery usually takes 1 to 3 hours.
The most common reason to have a hip joint replaced is to relieve severe arthritis pain that is limiting your activities.
Hip joint replacement is usually done in people age 60 and older. Younger people who have a hip replaced may put extra stress on the artificial hip. That extra stress can cause it to wear out. Part or all of the joint may need to be replaced again if that happens.
Your doctor may recommend a hip replacement for these problems:
Other reasons for replacing the hip joint are:
Even when you need a hip replacement, some medical problems may lead your doctor to recommend that you not have it done. Some of these problems are:
Eikelboom JW, Karthikeyan G, Fagel N, Hirsh J. American Association of Orthopaedic Surgeons and American College of Chest Physicians guidelines for venous thromboembolism prevention in hip and knee arthroplasty differ: what are the implications for clinicians and patients? Chest. 2009;135:513-520.
Harkess JW. Arthroplasty of the hip. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 7.
Jones CA. Total joint arthroplasties: current concepts of patient outcomes after surgery. Rheum Dis Clin North Am. 2007;33(1):71-86.
St Clair SF. Hip and knee arthroplasty in the geriatric population. Clin Geriatr Med. 2006;22(3): 515-533.
Schmalzried TP. Metal-metal bearing surfaces in hip arthroplasty. Orthopedics. 2009;32.
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