Total Hip Arthroplasty
Replacement of a hip joint with prosthetic components.
Total Hip Arthroplasty
Hip arthritis is common and often occurs as we advance in age from chronic “wear-and-tear” of the joint where the cartilage damages and wears away over time decreasing the protective joint space between the femoral head (ball) and acetabulum (socket). Pain at the hip, in the groin, and down the leg to at the level of the knee are common symptoms of hip arthritis. As arthritis progresses, you may experience loss of motion at the hip, crepitus, limping, tenderness and difficulty leaning on the effected side. Lifestyle modifications, physical therapy, and NSAIDs are standard as the initial treatment for hip arthritis. If initial therapy fails to alleviate pain, a cortisone injection, often done under ultrasound guidance, can be offered for acute pain relief. It is important to note that cortisone injections only provide temporary pain relief in most cases. If conservative treatment fails or the arthritis in the hip is too severe causing significant pain and limitations of everyday life, you may be a candidate for a total hip arthroplasty (also known as a total hip replacement). In this procedure, the damaged bone and cartilage of the femoral head (the “ball) is removed and replaced with prosthetic components. Then the damaged cartilage of the acetabulum (the “socket”) is removed and resurfaced with a metal socket prosthesis. Finally, a spacer, usually made of plastic, is placed between the new ball-and-socket prosthetic components to create adequate joint space and creates a smooth surface to glide upon when the joint is in motion. Patients who undergo this procedure should expect to a short hospital stay for post-operative monitoring and to begin a formal physical therapy regimen. It is important to begin moving the new hip joint soon after surgery to avoid post-operative complications. There are some key facts to note when considering total hip replacement surgery. First, these prosthetics do have a lifespan and it is important to talk with your surgeon to decide when would be an optimal time to proceed with a total hip arthroplasty. Another important fact to consider is that while total hip replacement surgery can greatly improve pain, and therefore lifestyle for most, there will be activity limitations placed (such as high-impact activities like running and jumping). Additionally, patient who proceed with this surgery are taught to avoid certain movements of the new hip joint to avoid complications like hip dislocations.
Every Patient Matters
Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.
With proper treatment, Dr. DeNoble can treat and fix even complete tears. He is an expert in the current minimally invasive standard of arthroscopic repair, avoiding the need for large incisions, and ensuring you can get back to your life in tip-top form.