Woman cyclist with hip pain

Key Takeaways

  • Hip replacement surgery involves replacing a damaged hip joint with a prosthetic implant to relieve pain and improve mobility.
  • The most common reason for hip replacement is severe arthritis, but it can also treat hip fractures and other conditions that cause chronic pain and stiffness.
  • Benefits include significant pain relief, restored movement for daily activities, and an overall improved quality of life.
  • As with any major surgery, there are risks, including infection, blood clots, and implant issues, which your surgeon will discuss with you.
  • Dr. Collin Haben is an expert orthopaedic surgeon in IA, providing advanced care using state-of-the-art technology like Enovis™ implants to help you walk, work, and live comfortably. Schedule an appointment to discuss your options.

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Understanding Hip Pain and When to Consider Surgery

Chronic hip pain can make even the simplest activities, like walking to the mailbox or getting out of a chair, feel like a monumental task. If you've tried conservative treatments like medication, physical therapy, and injections without finding relief, it might be time to consider a more permanent solution.

Hip replacement surgery is one of the most successful procedures in modern medicine. For many people, it offers a definitive end to the persistent pain caused by arthritis or other joint damage. By replacing the worn-out joint, this surgery can restore fluid movement and help you get back to the life you love.

Deciding to have surgery is a significant step, and it's important to be fully informed. This guide will walk you through what hip replacement entails, who makes a good candidate, and what you can expect from the procedure and recovery.

What is a Total Hip Replacement?

A total hip replacement, or total hip arthroplasty, is a surgical procedure where a surgeon removes the damaged sections of your hip joint and replaces them with an artificial joint, also known as a prosthesis. The hip is a ball-and-socket joint. The 'ball' is the head of your femur (thighbone), and the 'socket' is a part of your pelvis called the acetabulum.

During the procedure, the damaged femoral head is removed and replaced with a metal stem and a ball. The damaged cartilage in the socket is also removed and replaced with a metal socket, sometimes with a plastic or ceramic liner. Dr. Haben utilizes advanced implant systems, such as those from Enovis™, a leader in orthopaedic technology, to ensure a durable and smoothly functioning new hip joint.

Common Reasons for Hip Replacement Surgery

While several conditions can lead to the need for hip replacement, the vast majority of procedures are performed to address severe arthritis.

  • Osteoarthritis: Often called 'wear-and-tear' arthritis, this is the most common cause. It happens when the protective cartilage that cushions the ends of your bones wears down over time, leading to pain, stiffness, and bone-on-bone friction.
  • Rheumatoid Arthritis: This is an autoimmune disease where the body's immune system attacks the joint lining, causing inflammation that can destroy cartilage and bone.
  • Post-Traumatic Arthritis: This can follow a serious hip injury or fracture. The injury can damage the cartilage, leading to premature joint deterioration.
  • Avascular Necrosis: If blood supply to the femoral head is disrupted, the bone can collapse and deform, causing severe pain and damage to the joint.

Am I a Good Candidate for Hip Replacement?

The decision to undergo hip replacement is a personal one, made in consultation with an orthopaedic specialist like Dr. Collin Haben. Generally, the ideal candidate is someone whose hip pain significantly impacts their quality of life and has not responded to non-surgical treatments.

Consider the following questions:

  • Does your hip pain keep you awake at night?
  • Is it difficult to perform simple tasks like putting on socks and shoes?
  • Do you struggle with walking, climbing stairs, or getting up from a seated position?
  • Have you had to give up activities you enjoy because of your hip pain?

If you answered 'yes' to several of these questions, a hip replacement could be a transformative solution for you. Age is less of a factor than overall health and activity level. Dr. Haben evaluates each patient individually to determine the best course of action.

Anterior vs. Posterior Hip Replacement

There are two primary surgical approaches for hip replacement: anterior and posterior. Both have the same goal of replacing the hip joint, but they differ in the location of the incision and how the surgeon accesses the joint. Dr. Collin Haben is skilled in both techniques and will recommend the approach best suited for your specific anatomy and condition.

FeatureAnterior Hip ReplacementPosterior Hip Replacement
Incision LocationAt the front of the hip.At the back of the hip, through the gluteal muscles.
Muscle ImpactThe surgeon works between the muscles, avoiding the need to detach them from the bone.The surgeon must split the large gluteus maximus muscle and detach short external rotators.
Initial RecoveryOften associated with a faster initial recovery and fewer early mobility restrictions.Has a slightly longer initial recovery period with specific precautions to prevent dislocation.
Long-Term OutcomesExcellent long-term results.Excellent and time-tested long-term results; it remains the most common approach.

Schedule Your Consultation with Dr. Collin Haben

If chronic hip pain is holding you back, a hip replacement can help you move freely and live comfortably again. Dr. Collin Haben and his dedicated team are here to guide you through every step of the process.

To explore your treatment options, schedule an appointment to discuss whether hip replacement surgery is the right choice for you.

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Frequently Asked Questions

How long does a hip replacement last?

Modern hip implants are incredibly durable. Most are expected to last for 20 years or more. Factors like your activity level, weight, and overall health can influence the longevity of the prosthesis.

What is the recovery time for a hip replacement?

Initial recovery focuses on wound healing and managing pain, with most patients walking with an assistive device like a walker or cane within a day of surgery. Many people return to office work and light activities within a few weeks. Full recovery, including the ability to return to more strenuous activities, typically takes several months.

Will I have a lot of pain after surgery?

You will experience some pain after the procedure, but it is managed with medication. Most patients report that this post-operative pain is significantly different and more manageable than the chronic arthritis pain they lived with before surgery. The goal is for the surgical pain to resolve completely, leaving you with a pain-free hip.

When can I drive after hip replacement surgery?

You can typically resume driving once you are no longer taking narcotic pain medication and have regained sufficient muscle control and reaction time in your operative leg. For most patients, this is around 4 to 6 weeks after surgery, but you should always get clearance from your surgeon first.