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Hip Replacement Surgery

When non-operative treatments such as medication, changes in your everyday activities, and the use of walking supports no longer provide relief from your hip pain, and your limited level of activity is keeping you from things you enjoy, it may be time to consider hip replacement surgery. Sauk Prairie Healthcare’s Joint Health Center offers total hip replacement for the appropriate candidates. Many factors determine which treatment option is best for you, including your age, bone quality, and other medical conditions. Your orthopedic surgeon will perform a complete evaluation and discuss your hip replacement options with you.

In total hip replacement surgery, the arthritic ball of the upper femur (thighbone) is removed, as well as damaged bone and cartilage from the hip socket. The ball is replaced with a ceramic or metal ball that is fixed solidly inside the femur. The socket is replaced and a durable bearing, or liner, is placed within that socket to create a smoothly functioning joint.

Hip Arthritis

Hip replacement surgery at Sauk Prairie Healthcare is a long-term solution for those with joint pain caused by end-stage hip arthritis. The vast majority of those with this problem have osteoarthritis, a condition caused by cartilage wearing out that used to protect the bones from friction during movement. The cause can also be rheumatoid arthritis, AVN or avascular necrosis, hip dysplasia, or even post-traumatic arthritis.

Although the effects of osteoarthritis cannot be reversed, there are steps that your orthopedic surgeon can recommend to slow symptom progression and relieve some of the pain and swelling, such behavior modifications and exercise. Following examination, doctors typically first recommend conservative, non-operative treatment. If those options don’t provide relief, your Orthopedic surgeon may suggest hip replacement surgery.

Hip Replacement Surgery — Posterior Approach

The posterior approach to hip replacement surgery begins with an incision on the side of the hip. Muscles are then split or detached from the hip, allowing the surgical team to view and access the hip joint.

The ball and socket of the hip is separated and the damaged head of the joint at the top of the thigh bone is removed with the femoral neck. A metal socket is implanted in the pelvis, and a liner is placed within it. A ceramic or metal ball is attached to a titanium stem. That stem sits securely within the femur, or thigh bone. The new ball in the new socket makes up the new hip joint.

At Sauk Prairie Healthcare, recovery begins with hip recipients getting out of bed the same day as the surgery and going home the next day or within a couple days. At home arrangements will need to be made to limit undue stress such as going up and down stairs and being able to follow through with prescribed exercises for the recovering hip. Physical therapy will be a part of healing and recovering strength and flexibility in the joint.

Over the first two weeks, recovery goals include moving with a walker or crutches, walking several hundred feet several times a day, and going up and down a flight of stairs once a day. In the beginning, pain management will be part of recovery as well as taking care of the incision area as it heals and recovering from bruising and swelling.

In the following weeks, the incision will heal and stitches will come out as swelling and stiffness becomes less severe and less frequent. Your goals will shift so you can resume everyday housekeeping tasks and regularly walk a quarter of a mile with less use of mobility aids such as a walker or crutches and you will transition to a cane or a single crutch.

Within a few weeks, your goals begin to resemble full recovery, including walking without assistance for a half mile or a mile at a time, using stairs with normal movement, and resuming low-impact activities like dancing, bowling, or golf.

Progress and recovery vary from person to person. Adherence to your doctor’s orders and exercise plans is extremely important.

Hip Replacement Surgery — Direct Anterior Approach

In the direct anterior approach, an orthopedic surgeon accesses the hip joint by making a roughly 4-inch incision in the front of the leg and then separating the two muscles in front of the hip. This differs from a posterior approach from the side of the leg, in which muscles are cut and then reattached. Both methods are acceptable and provide reliable outcomes, but there are some advantages to the anterior approach.

The anterior approach to hip replacement has been in practice since the 1980s but has become more common and reliable with the availability of new specialized surgical tools. The technique has been described as a “tissue-preserving” method of joint replacement.

The hip is exposed by going in between the muscles. Other benefits to the anterior approach to total hip replacement surgery include the fact that the incision is shorter, which means less muscle detachment, which can lead to faster recovery. During the operation, the surgeon uses a real-time x-ray to ensure all of the hip components are well-aligned and that the leg lengths are appropriate.

Expectations of Hip Replacement at Sauk Prairie Healthcare

When you have hip replacement surgery at Sauk Prairie Healthcare’s Joint Health Center, you can expect to be actively involved in your treatment through each step of the program. Preparation, education, continuity of care and a pre-planned discharge are essential for your optimal results. Every detail, from pre-operative teaching to post-operative exercising, is considered and reviewed with you. Our Joint Care Coordinator will be a resource for you, assisting by coordinating all pre-operative care and discharge planning.

Our team approach to care makes Sauk Prairie Healthcare’s Joint Health Center unique. By incorporating family involvement, patients are encouraged and motivated in their recovery. We encourage you to have a family member or friend be your “coach” to help you stay on track as you recover from surgery.

Before hip replacement surgery, we will set you up on our Guided Care Path. This is an online tool for you and your coach to follow from six weeks pre-op until three months post-op and beyond. The Guided Care Path is designed to help you know what to expect from each step along the way, what you need to do to prepare for surgery and make the most of recovery, and how to care for your new hip as you begin using it.

Physical therapy is very important when you have hip replacement surgery. We get you out of bed the same day as surgery to take small steps. The next morning we’ll help you start walking, then you’ll have group therapy twice a day as well as individual walking goals. All our hip replacement and knee replacement patients have therapy together to helps motivate everyone to do their exercises and reach their goals. Depending on their situation, a hip replacement patient might not need physical therapy after they leave the hospital.

Our team of joint replacement experts will help you find out if hip replacement surgery is right for you and help you learn about the process and preparation. Then after surgery, will guide you through recovery and rehabilitation.

Contact Us for Orthopedics

Orthopedics Nurse Navigator: 608-643-7689
Request information online here.