- Body Composition Testing
- Open MRI
- Bone Health Clinic
- - Osteoporosis
- - Appointment Visits
- - Safety & Treatment
- Pediatric Orthopedics
- Spine & Pain Clinic
- Sports Medicine
- Injury Walk-In Clinic
- Kiva VCF Treatment System
- Total Ankle Replacement
- Total Hip Replacement
- Total Knee Replacement
- XP Preserving Knee
- Minimally Invasive Procedures
- - Direct Anterior Hip Replacement
- - Direct Superior Hip Replacement
- - Hip Arthroscopy
- - Meniscal Transplant
- - Mini-Posterior Hip Replacement
- - Regenerative Orthopedics
- - PRP Therapy
- - MACI
- - IRAP
- - FloGraft
When it is Recommended
While the majority of patients who undergo a total hip replacement (also called hip arthroplasty) are between 50 to 80 years old, candidates are selected based upon their pain and disability rather than their age. Total hip replacements are common among those whose hips have been severely damaged by arthritis or injury and have found that rest, medications and conservative treatments have been unsuccessful in substantially improving their condition.
The decision to have total hip replacement surgery should be a collaborative one among you, your family, your primary care physician and your Iowa Ortho hip and knee surgeon. The decision-making process usually starts with a referral by your primary care physician to Iowa Ortho for an initial evaluation.
How it Works
Improvements in surgical techniques and technology since hip replacement surgery was first performed in 1960 have significantly increased the procedure’s effectiveness. Nowadays more than 285,000 hip replacements are done each year in the U.S., according to the Agency for Healthcare Research and Quality. The surgery lasts between one and two hours, based on the severity of the deformities present, and consists of four basic steps:
- The damaged femoral head is removed and replaced with a metal stem, which is positioned into the femur’s hollow center.
- A metal or ceramic ball is placed on the upper part of the metal stem, which replaces the femoral head.
- The hip socket’s damaged cartilage surface is removed and replaced with a metal shell into which the patient’s own bone will grow.
- A metal, plastic or ceramic liner is placed between the new ball and the socket to construct a smooth gliding surface.
You can expect to stay in the hospital one or two nights after your surgery, depending on coexisting medical conditions. Discharge from the hospital is dependent on your ability to safely mobilize from bed/chair and to walk by yourself. Physical therapy will be an integral part of your recovery process.
Total hip replacement surgery is one of the most successful procedures that orthopedic surgeons perform. Most people who undergo the procedure have a significant reduction of hip pain and are more easily able to perform any daily activity.
Over time, the material between the head and the liner of every hip replacement implant wears with use and activity. This potential wear is why it is important for individuals to remain at a healthy body weight and why most surgeons advise against excessive activity including running or jogging, jumping and other high-impact sports after hip replacement surgery.
The following are activities that are allowed, and even encouraged, in order to help maintain proper strength and mobility after a total hip replacement:
- Light hiking
- Ballroom dancing
- Other low-impact activities
Although this procedure is elective, it is still covered by the majority of insurance companies; however, some policies do require a small co-pay.
Although the provided information highlights the major aspects of hip replacement surgery, it is not a substitute for a clinical consultation in which an Iowa Ortho hip and knee specialist can carefully evaluate your condition and directly answer your questions. To request an appointment, click here or call our office at 515-247-8400.