Agency for Healthcare Research and Quality. Chartbook on Patient Safety. National Healthcare Quality and Disparities Report. Updated October Hip Replacement Surgery. Reviewed April University of California San Francisco. Recovering from Hip Replacement Surgery. Factors influencing the outcomes of artificial hip replacements. Cells Tissues Organs Print. How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up.
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We and our partners process data to: Actively scan device characteristics for identification. I Accept Show Purposes. Table of Contents View All. Table of Contents. What It Is. How to Prepare. What to Expect. Long-Term Care. Next in Hip Replacement Surgery Guide. Surgical Approaches to Hip Replacement. Hip Implants: Understanding Your Options. The Risks of Hip Replacement. Hip Replacement: Start to Finish. Recovering From Hip Replacement Surgery. Life After Hip Replacement.
Was this page helpful? Find out about the risks of hip replacement surgery. Metal-on-metal hip resurfacing is done in a similar way, however this is rarely done now because of possible complications and a higher "failure rate".
This means that the hip joint must be replaced rather than resurfaced again. The main difference with this procedure is that less of the bone is removed from the femur, as only the joint surfaces are replaced with metal inserts.
Metal-on-metal MoM hip implants are rarely used now as they can cause complications. Find advice about metal-on-metal implants. The National Joint Registry NJR , which collects details on total hip replacement operations from hospitals in England, Wales, Northern Ireland and the Isle of Man, can help you to identify the best performing implants and the most effective type of surgery.
Page last reviewed: 23 December Next review due: 23 December Your doctor will consider each of the following when planning your care. During total hip replacement total hip arthroplasty , both the ball and the socket are replaced. A partial hip replacement only replaces the ball the head of the femur.
An orthopaedic surgeon can access the hip from different angles. Three common ways to access the hip joint are:. Minimally invasive hip replacement aims to minimize the impact of surgery on healthy tissues, such as muscles and blood vessels. While anterior hip replacement has been marketed as a minimally invasive approach, orthopaedic surgeons nowadays use minimally invasive techniques with all surgical approaches to access the hip.
Your surgeon will discuss which approach might offer the best result. When the surgery is minimally invasive, the surgeon accesses the hip joint though one or two small incisions by moving the muscles aside. This approach may have advantages, such as:.
Minimally invasive hip replacement is not appropriate for all patients. Your age, weight, fitness level and other factors will help the surgeon decide if you are a good candidate. A traditional hip replacement includes a single, large incision that helps the surgeon gain access to the hip, usually through the side lateral approach or from the back posterior approach. Recovery from a traditional hip replacement can take time, because the surgeon needs to cut through or detach some muscles and tendons to get to the joint.
The muscles and tendons are repaired when the hip implants are in place. The surgical approach your doctor will recommend depends on several factors, including how the surgeon will gain access to the hip, the type and style of the implant and how it will be attached, and your age and activity level, and the shape and health of the hip bones.
The likelihood of future surgery also figures into the decision, because some surgical approaches and types of implant attachment can make a revision surgery easier or more challenging. As part of the evaluation for surgery, your orthopaedic surgeon will discuss the options of minimally invasive surgery or traditional hip replacement, as well as how he plans to perform the surgery and what type of implant will be used.
The Johns Hopkins hip and knee replacement program features a team of orthopaedic specialist highly skilled in joint replacement procedures. Our team will guide you through every step, from pre-surgical education to post-surgical care and physical therapy.
Our goal is to return you to your desired level of activity as soon as possible. Both uncemented and cemented approaches can work well to secure the implant. As hip replacement techniques have evolved over the years, the cement used has improved, as have methods to encourage natural bone re-growth.
For some hip replacements, the surgeon will combine methods. He or she might prefer to use cement on the femoral stem while using an uncemented attachment on the socket piece that fits into the hip bone. Both left and right hips can be replaced during a single surgery. A double hip replacement is also called a bilateral hip replacement. If you are having issues with both hips, your doctor might recommend a double hip replacement if you are in good health and can tolerate a longer surgery and a more challenging recovery.
Hip replacements are performed in a hospital or surgery center. They are often considered outpatient procedures, even though you might need to stay a night or two for observation or to resolve complications. On average, hip replacement surgeries last about two hours.
The most common reason for hip replacement surgery is osteoarthritis. Other conditions that can cause hip joint damage include: rheumatoid arthritis a hip fracture septic arthritis ankylosing spondylitis disorders that cause unusual bone growth bone dysplasias Who is offered hip replacement surgery A hip replacement is major surgery.
You may be offered hip replacement surgery if: you have severe pain, swelling and stiffness in your hip joint and your mobility is reduced your hip pain is so severe that it interferes with your quality of life and sleep everyday tasks, such as shopping or getting out of the bath, are difficult or impossible you're feeling depressed because of the pain and lack of mobility you can't work or have a normal social life You'll also need to be well enough to cope with a major operation and the rehabilitation.
How hip replacement surgery is performed A hip replacement can be carried out under a general anaesthetic or an epidural.
The surgery usually takes around minutes to complete. Read about how a hip replacement is performed. Alternative surgery There is an alternative type of surgery to hip replacement, known as hip resurfacing. This surgery may not be suitable for: Adults over the age of 65 years — bones tend to weaken as a person becomes older women who've been through the menopause — bones can become weakened and brittle osteoporosis Resurfacing is much less popular now.
Preparing for hip replacement surgery Before you go into hospital, find out as much as you can about what's involved in your operation. You may be referred to a physiotherapist, who will give you helpful exercises. Recovering from hip replacement surgery The rehabilitation process after surgery can be a demanding time. Risks of hip replacement surgery Complications of a hip replacement can include: hip dislocation infection at the site of the surgery injuries to the blood vessels or nerves a fracture differences in leg length The risk of serious complications is low — estimated to be less than 1 in a Some people may need revision surgery to repair or replace the joint.
Read more about risks of hip replacement Metal-on-metal implants Some metal-on-metal MoM hip replacements wear out sooner than expected. You should also see your doctor if you have: pain in the groin, hip or leg swelling at or near the hip joint a limp, or problems walking grinding or clunking from the hip These symptoms don't necessarily mean your device is failing.
Any changes in your general health should also be reported, including: chest pain or shortness of breath numbness, weakness, change in vision or hearing fatigue, feeling cold, weight gain change in urination habits.
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