At Texas Joint Institute, we're dedicated to providing the highest quality care for our patients seeking relief from hip pain and improved mobility. Our team specializes in state-of-the-art orthopedic procedures, including total hip replacement surgery. We strive to minimize tissue damage, promote faster recovery, and enhance the range of motion through advanced surgical techniques, such as minimally invasive approaches. Experience the numerous benefits of our innovative methods for total hip replacement at Texas Joint Institute and take the first step toward a pain-free and active life.
To learn more about our services or to schedule an appointment with our orthopedic surgeon, call (972) 566-5255 or contact us online.
Hip anatomy
The hip joint is one of the body's largest weight-bearing joints. It is located where the thigh bone (femur) meets the pelvis. It is a ball-and-socket joint consisting of the femoral head (the ball) and the acetabulum (the socket). The joint is surrounded by a strong capsule and supported by ligaments, tendons and muscles, including the gluteal muscles, which provide stability and allow various hip movements.
What is a total hip replacement?
Total hip replacement is a surgical procedure in which the damaged hip joint is removed and replaced with an artificial implant. Another term for it is total hip arthroplasty. The implant typically consists of a metal or ceramic ball that replaces the femoral head and a socket component that replaces the damaged acetabulum. This artificial joint allows for smooth movement, reduces pain and restores the function of the hip joint.
Indications for total hip replacement
The main indication for total hip replacement is arthritis. Additionally, several factors determine whether a person is a suitable candidate for total hip replacement. These indications include:
Patient age and activity level
As age-related wear and tear or degenerative conditions often cause hip joint deterioration, total hip replacement is far more common among older adults.
Severity and localization of joint damage
Individuals with advanced hip joint damage may need a total hip replacement. Hip joint damage includes severe osteoarthritis, rheumatoid arthritis, avascular necrosis, or hip fractures. The extent and localization of joint damage help determine the need for surgical intervention.
Body weight and body mass index (BMI)
Excessive body weight or high BMI can increase stress on the hip joint and accelerate joint deterioration. Some people may need a total hip replacement to improve overall joint function and alleviate pain.
Joint deformity and alignment
Hip dysplasia and abnormal bone growth are hip joint deformities that can lead to significant pain and limited mobility. A total hip replacement procedure may be necessary to correct these deformities and restore proper joint alignment.
Muscular strength and flexibility
The strength and flexibility of the surrounding muscles play a role in the success of total hip replacement. Persons with adequate muscular support and range of motion are more likely to experience positive outcomes from the surgery.
Common conditions treated with total hip replacement
What are the common conditions treated with total hip replacement? Here are some examples:
- Osteoarthritis: A degenerative joint disease that causes the cartilage in the hip joint to wear away, resulting in pain, stiffness and reduced mobility.
- Rheumatoid Arthritis: An autoimmune disease that causes joint inflammation, leading to pain, swelling and joint damage.
- Avascular Necrosis: A condition where the blood supply to the hip joint is compromised, causing the bone tissue to die and leading to joint collapse.
- Hip Fractures: Severe fractures in the hip joint, often due to trauma or osteoporosis, may require total hip replacement to restore function.
Types of total hip replacement surgery
Total hip replacement surgery can be categorized into different approaches, including minimally invasive hip replacement and traditional total hip replacement. Learn more in-depth about the types here.
Minimally invasive hip replacement
Minimally invasive hip replacement is an approach to total hip replacement surgery that involves smaller incisions and less disruption of surrounding tissues compared to traditional methods. This approach aims to minimize post-operative pain, accelerate recovery and reduce scarring.
Minimally invasive posterior hip replacement
On the other hand, a minimally invasive posterior hip replacement is when the surgeon makes a smaller incision at the back of the hip joint to access the damaged joint. This technique allows for the preservation of important muscles and tendons, resulting in potentially faster recovery and reduced post-operative pain.
Traditional total hip replacement
Traditional total hip replacement involves a larger incision, typically at the side or back of the hip, to access the hip joint. This approach provides excellent exposure to the joint, allowing for precise placement of the artificial implant components. It has a long-standing track record of success and remains the standard technique for hip replacement surgery.
Anterior hip replacement
Anterior total hip replacement is a variation of traditional hip replacement where the surgeon accesses the hip joint from the front. This approach involves a specialized surgical table and allows for muscle preservation, potentially leading to faster recovery, reduced pain and decreased risk of hip dislocation.
Posterior hip replacement
Posterior hip replacement is the most commonly performed approach in traditional total hip replacement. The surgeon makes an incision at the back of the hip, enabling them to remove the damaged joint and insert the artificial implant. This technique provides good access to the joint and has a long history of successful outcomes.
Lateral hip replacement
Lateral hip replacement is a less common approach where the incision is made on the side of the hip. This technique provides good exposure to the hip joint and can benefit specific cases, such as individuals with certain anatomical considerations or previous hip surgeries.
Total hip replacement vs. hemiarthroplasty
Total hip replacement involves replacing both the ball (femoral head) and the socket (acetabulum) of the hip joint with artificial components. In contrast, hemiarthroplasty only replaces the femoral head, while the natural acetabulum is preserved. Hemiarthroplasty is commonly performed in cases of hip fractures or when the damage is limited to the femoral head. Total hip replacement is a more comprehensive procedure typically recommended for individuals with more extensive hip joint damage.
Partial hip replacement vs. total hip replacement
Partial hip replacement, also known as hip hemiarthroplasty, involves replacing only the femoral head while preserving the natural acetabulum. This procedure is commonly performed in femoral head fractures or avascular necrosis cases. Total hip replacement, on the other hand, involves replacing both the femoral head and the acetabulum. The choice between partial and total hip replacement depends on the specific condition and the extent of joint damage.
Advantages of total hip replacement surgery
The total hip replacement surgery offers many advantages for the patients recommended to undergo it. Here are some well-known benefits of proceeding with the treatment:
Relief from chronic hip pain
Total hip replacement effectively alleviates chronic hip pain that is unresponsive to conservative treatments. By replacing the damaged joint surfaces, the surgery eliminates the source of pain, allowing individuals to experience significant pain relief.
Improved joint function and mobility
Total hip replacement restores the functionality of the hip joint, enabling an improved range of motion and mobility. Individuals can regain the ability to perform daily activities, such as walking, climbing stairs and participating in recreational activities, without experiencing pain or limitations.
Restored quality of life
By reducing pain and improving mobility, total hip replacement surgery can significantly enhance an individual's overall quality of life. It allows them to return to their desired activities, hobbies and social interactions, leading to a more fulfilling and active lifestyle.
Correction of hip deformities
Total hip replacement can correct hip deformities caused by conditions such as osteoarthritis, rheumatoid arthritis, or hip dysplasia. The surgery can help improve body mechanics and prevent further joint damage by restoring proper joint alignment and function.
Long-term durability
Artificial hip implants are designed to be durable and long-lasting. While individual results may vary, total hip replacements can provide decades of functional use, allowing individuals to enjoy long-term relief from hip pain and improved joint function.
Increased ability to engage in physical activities
Following total hip replacement, individuals often experience increased participation in physical activities. With reduced pain and improved mobility, they can engage in exercises, sports and recreational pursuits that were previously challenging or impossible.
Correction of leg length discrepancy
In cases where a leg length discrepancy is present, total hip replacement surgery can help correct and balance leg lengths, improving gait and overall body alignment.
How to prepare for total hip replacement surgery
In order to keep yourself prepared for the upcoming total hip replacement surgery, here are some important steps to look out for:
- Medical Evaluation: Your surgeon will conduct a comprehensive medical evaluation, including physical examination, imaging tests and blood work, to assess your overall health and ensure you are a suitable candidate for the surgery.
- Preoperative Instructions: You will receive specific instructions regarding medications, fasting guidelines and any necessary preoperative tests or consultations.
- Lifestyle Adjustments: Your surgeon may recommend certain lifestyle modifications, such as losing weight, quitting smoking, or adjusting medications, to optimize your health before the surgery.
- Rehabilitation Planning: It is beneficial to discuss post-operative rehabilitation plans with your healthcare team, including physical therapy and assistive devices, to ensure a smooth recovery process.
- Home Preparation: Make necessary arrangements at home, such as arranging for someone to assist you during the initial recovery period, creating a comfortable and safe environment and organizing any necessary medical equipment.
What to expect during total hip replacement surgery
The following steps are typically involved in the total hip replacement surgery protocol:
- Anesthesia: You will receive anesthesia to ensure you are comfortable and pain-free throughout the procedure. The type of anesthesia used (general or regional) will be determined based on your specific case and discussions with the anesthesia team.
- Incision: The surgeon will make an incision over the hip joint following the chosen surgical approach. The length and placement of the incision depend on the specific technique used and the individual's anatomy.
- Joint Access: The surgeon will carefully access the hip joint by separating muscles and ligaments, providing clear visibility of the damaged joint surfaces.
- Joint Preparation: The damaged parts of the hip joint, including the femoral head and acetabulum, are removed using specialized surgical tools.
- Implant Placement: The artificial implant components, including the femoral stem, ball and socket, are carefully inserted and secured into place. These implants are designed to replicate the natural anatomy and provide a stable and functional hip joint.
- Incision Closure: The incision is closed using sutures or staples and a sterile dressing is applied to protect the wound.
When it comes to the duration of the surgery, it can vary depending on the chosen surgical approach and how complex the case is.
Post-operative recovery and rehabilitation
After total hip replacement surgery, it’s crucial to ensure a comprehensive week-by-week recovery and rehabilitation process to optimize healing and regain functionality. Here are aspects that will most likely be involved with post-op recovery and rehabilitation:
Pain management
Pain management is a key component of the postoperative phase. Your healthcare team will prescribe appropriate pain medications to control discomfort and facilitate mobility and rehabilitation.
Physical therapy
Physical therapy is important in your recovery. A physical therapist will guide you through exercises and movements designed to improve joint mobility, strengthen surrounding muscles and promote overall function.
Mobility exercises
Gradual and controlled mobility exercises are important for restoring proper joint function and flexibility. These exercises may include gentle movements, walking and progressively increasing the intensity and range of motion as directed by your physical therapist.
Home care instructions
You will receive specific home-care instructions, including wound care guidelines, activity restrictions and guidance on using assistive devices such as crutches or walkers. It is crucial to follow these instructions diligently to support proper healing and minimize complications.
Risks & complications of total hip replacement surgery
While total hip replacement surgery is generally safe, some potential risks and complications can occur, such as:
- Infection
- Blood clots
- Dislocation of the hip joint
- Nerve or blood vessel injury
- Fracture during surgery
- Implant loosening or wear over time
- Allergic reactions to anesthesia or implant materials
Discussing these risks with your surgeon before the surgery is important, as well as following post-operative care instructions to minimize their occurrence.
Frequently Asked Questions
How much does total hip replacement surgery cost in Texas?
The cost of total hip replacement surgery in Texas can vary depending on factors such as the geographic location, hospital facilities, surgeon's fees, type of implant used and insurance coverage. It is advisable to consult with your healthcare provider and insurance company to understand the potential costs and coverage associated with the procedure.
How long does the recovery from total hip replacement surgery take?
The recovery timeline varies for each individual. Generally, the initial recovery period lasts a few weeks, during which mobility and strength gradually improve. Full recovery can take several months and it may take up to a year to complete healing and restore function. Your surgeon and physical therapist will provide specific guidance based on your progress.
After total hip replacement surgery, how long will I need to use assistive devices (such as crutches or a walker)?
The duration of using crutches or a walker will depend on several factors, including the surgical approach, overall health and rehabilitation progress. While some individuals may transition to walking without assistance within a few weeks, others may require assistive devices for a longer duration. Your healthcare team will guide you on the appropriate timeline for discontinuing their use.
What types of physical therapy will I need after total hip replacement surgery?
Physical therapy after total hip replacement surgery typically includes exercises to improve the range of motion, strength and stability around the hip joint. It may involve stretching, strengthening, balance exercises and functional activities tailored to your needs. Your physical therapist will develop a personalized plan based on your condition and progress.
How long does a total hip replacement last?
Total hip replacements are designed to be durable and can last for 15 to 20 years or more. The longevity of the implant depends on factors such as implant design, patient age, activity level and adherence to post-operative care instructions. Regular follow-up appointments with your surgeon are necessary to monitor the implant's condition over time.
What are the alternatives to total hip replacement surgery?
Alternatives to total hip replacement surgery may include conservative treatments such as pain management, physical therapy, medications, assistive devices and lifestyle modifications. However, if these measures fail to provide sufficient pain relief and improve functionality, total hip replacement surgery may be the most effective long-term solution.
Can total hip replacement surgery be performed on elderly patients?
Total hip replacement surgery can be performed on elderly patients as long as they are in overall good health and can tolerate the surgery. Age alone is not a contraindication for the procedure. However, the healthcare team should assess individual health factors and potential risks to ensure the best possible outcome for each patient.
Experience advanced total hip replacement surgery at Texas Joint Institute!
Discover the transformative power of advanced total hip replacement surgery at Texas Joint Institute! Our renowned specialists are at the forefront of joint repair, providing exceptional care for even the most complex cases. Utilizing state-of-the-art technology, we offer muscle-sparing hip replacement techniques that minimize trauma and accelerate recovery. With a focus on compassionate, personalized care, our professional team is dedicated to helping you regain mobility and enhance your quality of life. Contact us today at (972) 566-5255 to schedule a consultation and experience the unparalleled expertise of Texas Joint Institute.