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OFFICE HOURS: Mon-Thu: 08h00-16h30 | Fri: 08h00-13h00 | Sat-Sun/Public Holidays: closed
Total hip arthroplasty, also known as total hip replacement surgery, is a comprehensive surgical intervention that involves the replacement of diseased components of the hip joint with prosthetic counterparts. This is typically undertaken by a skilled orthopaedic surgeon.
During the procedure, the surgeon removes the upper section of the thigh bone (femur), including the neck and ball portion, and replaces it with a metallic alloy stem, which is carefully inserted into the remaining thigh bone structure. A head, crafted from either a metal alloy or ceramic, is subsequently attached to this stem.
The surgeon then meticulously prepares the socket side of the hip joint. Arthritic bone is excised, and the surgeon works to create a smooth base to accommodate the new prosthetic cup. The socket is deliberately roughened and reshaped using specialized instruments to ensure a secure fit for the metal cup. In some instances, a specialized bone cement may be used to solidify the positioning of the stem and/or cup.
Once the metal cup is securely in place, a liner made of either polyethylene (a form of durable plastic) or a robust ceramic is introduced into the cup. This liner securely locks the head into the cup, thus concluding the procedure.
At our practice, we specialize in executing this procedure through the anterior approach, also known as Anterior Minimal Invasive Surgery (AMIS) or Direct Anterior Approach (DAA). This method has proven to yield substantial benefits, including reduced pain post-surgery and expedited patient mobilization.
Please note that the helpful links link to an external source and that the info is only available in English.
Hip replacement surgeries can be categorized based on different factors, including the type of prosthetic used, the surgical technique, and the extent of replacement. Here are some different types of hip replacement surgeries:
This is the most common type. In a total hip replacement, both the femoral head (the ball-shaped bone at the top of the femur) and the acetabulum (the socket in your pelvis where the femoral head fits) are replaced with artificial components.
In a partial hip replacement, only the femoral head is replaced. This procedure is generally used in cases where the acetabulum is still healthy and undamaged, or in older, less active patients.
Rather than removing the entire femoral head and neck, the surgeon reshapes the damaged areas and covers them with a metal cap. This approach is often used for younger, more active patients who may need additional hip surgeries later on.
This is a surgical approach where the surgeon accesses the hip joint from the front of the body, as opposed to the side (lateral) or back (posterior). This approach tends to be less invasive and recovery is often quicker.
This surgical approach involves accessing the hip joint from the back. Although this method has been traditionally more common, it often involves a longer recovery period than the anterior approach.
These surgeries involve smaller incisions and less muscle disruption, leading to potentially shorter recovery times. They require a high level of surgical precision.
This is a procedure to replace worn-out or loosened hip prosthetics from a previous hip replacement. This surgery tends to be more complex and often requires specialized implants and techniques.
Each of these surgeries has its own advantages, risks, and recovery times, and the choice of procedure depends on a variety of factors such as the patient’s age, overall health, lifestyle, and the specifics of their hip condition. As such, it’s important to discuss these options with an orthopaedic surgeon.
Contact us to discover how we can provide you with personalized assistance. Together, we’ll explore a range of treatment options tailored to ensure a healthier, more comfortable, and pain-free life for you.
Hip replacement surgery is a procedure in which an orthopedic surgeon replaces a painful hip joint with an artificial joint often made from metal and plastic components.
Hip replacement is usually needed when the hip joint is worn or damaged to the extent that your mobility is reduced and you experience pain even while resting.
Like any major surgery, there are potential risks including infection, blood clots, hip dislocation, changes in leg length, and prosthesis complications like loosening or wear.
The types of hip replacement surgery include total hip replacement, partial hip replacement, hip resurfacing, and revision hip replacement.
Recovery times can vary, but most people can return to normal activities within 6 weeks.
Yes, physical therapy is a crucial part of recovery. It helps strengthen the hip and restore mobility.
Most modern hip replacements last for 15-20 years or more.
There will be some form of a scar. However, the size and visibility depend on various factors including the specific procedure and your body’s healing process.
Yes, you will likely need help with everyday tasks such as cooking, shopping, and bathing in the early weeks after surgery.
Typically, patients can resume driving when they can bend their knee comfortably and control their vehicle, usually between 2 and 6 weeks after surgery.
This depends on your personal health situation and should be discussed with your healthcare provider.
Yes, non-surgical treatments like pain management, physical therapy, and lifestyle modifications are options but their effectiveness depends on the severity of your condition.
Prostheses are typically made from metal alloys, ceramics, or durable plastic.
Post-surgery pain varies but modern techniques in anesthesia and pain control make this manageable.
It's a technique that uses smaller incisions to reduce muscle damage and may lead to quicker recovery.
The success rate is very high, with over 95% of patients experiencing significant pain relief and improved function.
After a full recovery, most patients can participate in low-impact sports, but high-impact activities may be discouraged.
Some prostheses can set off metal detectors. Your surgeon can provide you with a card stating that you have an artificial joint.
vary widely based on location, insurance, and specific medical needs.
These are two surgical approaches from different directions. The Anterior approach enters from the front of the hip, while the Posterior
Recovering from hip replacement surgery is a multifaceted process that involves managing pain, participating in physical therapy, and following your surgeon’s instructions to ensure the best outcome. Here are steps and tips for a successful recovery:
Generally, the hospital stay after a hip replacement surgery ranges from 1-4 days. During this time, your pain will be managed, and you may begin physical therapy.
Upon discharge, you will be prescribed pain medications. It’s important to take them as instructed and to communicate with your healthcare provider if you feel that the pain isn’t being managed properly.
Physical therapy is vital in regaining strength and mobility in your hip. You may start physical therapy in the hospital and continue at a facility or at home. Be sure to adhere to the exercise regimen your physical therapist recommends.
Use crutches, a walker, or a cane as advised by your healthcare provider. These aids will help you to move around while your hip is healing.
You might be given blood thinners and be advised to wear compression stockings to prevent blood clots. Follow these instructions closely.
Keep the surgical site clean and dry. Follow your healthcare provider’s instructions regarding when you can shower and change dressings.
Be vigilant for signs of infection, such as redness, increased pain, or drainage from the surgical site, and report any such symptoms to your healthcare provider immediately.
Get plenty of sleep and focus on a balanced diet. Proper nutrition, including adequate protein and vitamins, can aid in the healing process.
Avoid bending your hip beyond 90 degrees, crossing your legs, or twisting your hip in the early stages of recovery, as these movements can cause dislocation of the new hip joint.
Before the surgery, it’s a good idea to make some home modifications such as securing stair railings, removing trip hazards, and setting up a stable chair with a firm seat cushion and armrests to make your recovery safer and more comfortable.
Have family or friends available to help you with daily tasks as you may have difficulty with certain activities initially.
Attend all follow-up appointments with your surgeon to monitor your progress and address any issues or concerns.
As your hip heals and you gain strength and mobility, gradually resume your daily activities. Avoid high-impact activities and consult your surgeon or physical therapist for guidance on what is safe.
Set realistic goals for your recovery and be patient with yourself. Recovering from hip replacement surgery is a gradual process.
Your mental health is also important during recovery. Stay positive and don’t hesitate to reach out to family, friends, or a mental health professional if you’re struggling emotionally.
Please note that individual recovery times and experiences can vary, so it is important to closely follow the guidance of your healthcare provider and communicate openly with them regarding your recovery.
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Our mission is to return our patients back to pain-free mobility and full strength as quickly and as painlessly as possible using both surgical and non-surgical orthopedic procedures
Practice Number: 0713139
Room G17 Panorama Medi Clinic, Rothschild Boulevard, Parow, South Africa, 7500
Office Hours: Monday to Thursday – 08h00 to 16H30 Friday – 08h00 to 13h00
(closed on weekends & public holidays)
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