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We treat patients in need of total joint replacements using the most advanced and as minimally invasive techniques as possible. Replacing all or part of a joint with an artificial device can help relieve pain and discomfort and help you return to your normal life.
Total Hip Replacement (THR) procedure replaces all or part of the hip joint with an artificial device (prosthesis) to eliminate pain and restore joint movement.
An incision is made over the posterior lateral hip to expose the hip joint.
The acetabulum (socket) is prepared using a special instrument called a reamer. The acetabular component is then inserted into the socket. This is sometimes reinforced with screws or occasionally cemented. A liner which can be made of plastic, metal or ceramic material is then placed inside the acetabular component.
The femur (thigh bone) is then prepared. The femoral head which is arthritic is cut off and the bone prepared using special instruments, to exactly fit the new metal femoral component. The femoral component is then inserted into the femur. This may be press fit relying on bone to grow into it or cemented depending on a number of factors such as bone quality and surgeon’s preference. The real femoral head component is then placed on the femoral stem. This can be made of metal or ceramic.
The hip is then reduced again, for the last time. The muscles and soft tissues are then closed carefully.
This maybe because part or all of your previous hip replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full.
All procedures require medical clearance by an internist at HSS which must be done within 28 days prior to your surgery date. We will coordinate these appointments as well as an educational class.
We recommend stopping use of all anti-inflammatory, fish oil supplements, and other blood thinning medications one week prior to surgery. Your clearing doctor will make recommendations regarding other prescription medications.
Your hospital course will entail admission from 1-2 days. Once you are cleared by therapy you can be discharged to home with provided visiting nurse services and physical therapy services at home. This will be followed by outpatient Physical Therapy. Your initial follow-up will be six weeks postoperative.
On average your return to work recovery will be approximately six to eight weeks, depending on individual recovery. The majority of patients will be able to resume most sporting activities in twelve weeks post op.