How long will my hip last?
In time there is a tendency for hip replacements to become loose. The major factor in this process seems to be the wear particles released from the moving components of the new joint ie. from the material of the new ball and socket. In general there is about a 90-95% chance that the hip replacement will continue to function well for 15 years. With the use of new materials such as ceramics it is hoped that these implants will last a good deal longer but only time and further scientific studies will tell.
Would a hip resurfacing be better for me than a total hip replacement?
Hip resurfacing is still a hip replacement in that both the surface of the femoral head and the lining of the socket (acetabulum) is replaced. The major difference is that more of the native bone of the hip is saved in the resurfacing as the femoral neck and the majority of the femoral head is preserved. There is no proven functional difference comparing a hip resurfacing with a more conventional total hip replacement. Recent studies have indicated some adverse reactions to metal on metal articulations. These have been related, in the most part, to particular implants and most hip resurfacings continue to function well. Current recommendations suggest that hip resurfacing prostheses do best in younger (less than 60) active male patients.
Can I have a minimally invasive hip replacement?
There have been developments in the surgical approaches used for hip replacements. It is possible to perform this procedure through a muscle sparing approach – Direct anterior approach – which has certain advantages in terms of less initial discomfort and earlier return of function.
How long will my incision be?
Replacement done utilizing a minimally invasive technique usually is performed through a 5-9 inch
incision.
Results will vary depending on the quality of the surrounding tissue, the severity of the arthritis at the time of surgery, the patient’s activity level and the patient’s adherence to the doctor’s orders.
Your orthopedics surgeon will decide if you are a candidate for the surgery. This will be based on your history, exam and x-rays. Your orthopedic surgeon will ask you to decide if your discomfort, stiffness and disability justify undergoing surgery. There is usually no harm in waiting if conservative, non-operative methods are controlling your discomfort.
Age is not an issue if you are in reasonable health and have the desire to continue living a productive, active life. You may be asked to see your personal physician for his/ her opinion about your general health and readiness for surgery.
You will have minimal discomfort following the surgery, but we will try to keep you as comfortable as possible with the appropriate medication. Generally most patients are able to stop very strong medication within 1 day.
Yes, a walker is recommended for 2-4 weeks, after that you will progress to a cane. A wheeled walker is preferred. You will not need a walker for too long
The ability to drive depends on whether surgery was on your right hip or your left hip and the type of car you have. If the surgery was on your left hip and you have an automatic transmission, you could be driving in 2 weeks. If the surgery was on your right hip, your driving could be restricted as long as 6 weeks. Getting “back to normal” will depend somewhat on your progress.
We recommend that most people take at least 1 month off from work, unless their jobs are quite sedentary and they can return to work with crutches. An occupational therapist can make recommendations for joint protection and energy conservation on the job.
You are encouraged to participate in low-impact activities such as walking, dancing, golfing, hiking, swimming, bowling, and gardening.
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