About Hip Replacement Surgery
How do you know if you require Hip Replacement surgery?
Typical symptoms requiring Hip Replacement surgery include pain and stiffness which reduces the distance an individual is ordinarily able to walk. Patients usually feel pain deep in the hip but also in the buttock or thigh. For some, it is more a question of experiencing stiffness and reduced mobility rather than specific pain.
Prior to surgery, we will always consider non-surgical treatment which may include drug therapy, physiotherapy and walking aids.
Once the non-surgical options have been explored unsuccessfully, surgery is usually considered. If the pain and disability justify surgery, there is no age limit.
Surgery is now considered as an option at a much earlier stage than in the past due to advances in materials and surgical techniques that are likely to provide longer lasting benefits.
How many different types of Hip Replacements surgery are there?
There are different types of hip surgery, with a wide range of prostheses (artificial joints or parts of joints) available.
I perform total hip replacements on patients who are suffering with an arthritic or damaged joint. The joint is removed and replaced with an artificial joint which I specifically choose with the patient in mind. Working together with the patient, we not only focus on pain relief but also on function, fit, longevity and the lifestyle aspirations of the person I’m treating.
Am i too young to have hip replacement?
I also perform total hip replacements on younger patients who have problems such as hip dysplasia or sports injuries.
Are all hip replacements the same?
No! There are various types of hip replacement depending upon what type of material is used or whether cement is used to glue the hip replacement. It also depends upon your life style, how active you are and any underlying conditions you may have. Mr Moss, will assess your problem and will discuss with you as to what hip replacement would be most suitable for you giving a good outcome and a long term result. Occasionally we use custom-made computer-designed prostheses when a patient’s anatomy fails to fit any ready-made hips.
What material is the hip replacement?
The ball and socket of the new joint can be made from a variety of materials. All prostheses I use incorporate the latest technology. These offer much harder surfaces and reduce the possibility of wear; a major reason for revision surgery.
Broadly hip replacements are of following type (depending upon the lining material):
The ball and socket of the new joint can be made from a variety of materials. All prostheses I use incorporate the latest technology. These offer much harder surfaces and reduce the possibility of wear; a major reason for revision surgery.
What is the outcome?
The most obvious outcome for a total hip replacement patient is dramatic pain relief. Within a few weeks of surgery most patients are usually independently mobile and the vast majority are able to return to their normal activities within a few months.
What does it involve?
During a hip replacement procedure, the arthritic head of the femur (the ball) and the lining of the acetabulum (the socket) are removed and surgically replaced by a femoral stem component (inserted into the thighbone) and a hemispherical socket is inserted into the pelvis.
A large variety of prostheses are available from different manufacturers and I will choose the one that best fits your anatomy, your bones and your level of activity.
I use implants from the largest well established manufacturing companies such as Zimmer products – link to Zimmer site and I have carried out many thousands of successful hip replacements over the last 25 years.
What happens during my admission for hip replacement?
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How long am I going to stay in the hospital?
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What is Enhanced Recovery or Early Discharge?
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I had been in pain with arthritis for a few years but it was getting worse day by day and I simply wanted to get it done so I could enjoy the rest of my life with my husband rather than enduring pain and discomfort. It was getting remarkably more difficult to walk and for us, it was simply a question of paying for the procedure and getting seen as soon as possible. One of my sons lives in Australia and we had booked to see him at Christmas. Given the pain I was in, a long-haul flight was going to be out of the question so instead we put the money towards my new hip and went earlier this year instead.
“The difficult bit was choosing the hospital and surgeon but we rang Nuffield Chichester and arranged a meeting with someone who took us through all our options and answered all our questions. From there we met my consultant Mr Moss and a date was set. The care was wonderful and the nurses were extremely attentive, they always had time to help and clearly enjoyed their place of work. In fact, I had numerous visitors whilst I was in the hospital and amongst them, two of my friends have chosen to have their procedures done there. I’m now up and about and am very much looking forward to doing a lot more in 2014.”
Mrs HuseAldwick