Hip surgery Beenleigh is a common procedure that relieves pain and allows you to do daily activities more easily. It’s usually done for severe arthritis or a hip fracture.
The surgeon replaces the damaged bone and cartilage with artificial parts. They remove the head of the thigh bone (femur), trim damage from the socket surface and insert a metal stem with a plastic liner. The stem is held in place with a screw or special cement.
Subchondroplasty
This surgery replaces the hip socket or acetabulum, and the head of the thigh bone, or femur. It is typically used to treat severe arthritis or a hip fracture. The operation can last up to several hours. You will probably stay in the hospital for three to five days.
In this procedure, your surgeon uses a frame to locate the chronic bone marrow lesions (BMLs). He or she then drills into the lesion using fluoroscopy, which provides a real-time x-ray of the area during surgery. A small, drillable delivery cannula is then inserted and a flowable bone substitute material is injected into the cavity. The calcium phosphate bone substitute hardens and improves the structural integrity of the lesion, and then is resorbed and replaced with new bone.
Some people may develop extra bone around the hip joint, a condition known as heterotopic ossification. This can cause stiffness and pain, but it can be treated with medication or a dose of radiation.
Total hip replacement
Hip replacement surgery is not a cure for arthritis, but it should reduce pain and allow you to resume your normal activities. It's a major operation, so it's important to weigh the pros and cons carefully before you decide to have it.
Your surgeon will make a cut (incision) in your hip, remove the damaged joint and replace it with an artificial one. You may be under general anaesthetic or regional (spinal or epidural) anesthesia.
Using a muscle-sparing approach, surgeons at HSS avoid cutting through major muscles. This allows for quicker recovery and a better chance of rehabilitation success.
Most people can return to work or light activities within six weeks of surgery. Your physical therapist can help you decide when you're ready to stop using assistive aides, such as a cane or walker. Your doctor will also let you know if it's safe to resume jogging or other high-impact activities.
Hip resurfacing
Hip resurfacing is a bone-preserving alternative to traditional total hip replacement. It involves capping the head of your femur (thighbone) with a metal cap, allowing very high levels of activity and preserving bone structure and anatomy. It is especially suitable for young active males whose hip arthritis is caused by femoro-acetabular impingement and can be particularly difficult to treat with conventional total hip replacement.
Mr McMinn uses the BHR technique which is a contemporary metal-on-metal hip replacement system that has been shown in several peer-reviewed studies to perform as well as or better than traditional stemmed implants, with low risk of dislocation, wide range of motion and excellent stability. This is the only type of hip resurfacing that preserves the natural geometry of your hip joint and therefore has a very good chance of a long-term, trouble-free, functional outcome.
Hip resurfacing also allows easier future follow-up (revision) surgery than does a traditional hip replacement because it leaves more bone intact. This is one of the reasons that it is particularly suited for active, young patients who wish to maintain an active lifestyle.
Physical therapy
Hip replacement surgery involves replacing the hip's ball end (the head of your femur) and socket with artificial parts. These work like a natural joint.
Physical therapy starts right after your procedure, helping you regain movement and strength in your hip. Depending on your situation, you may need to use crutches or a walker. Eventually you'll progress to a cane.
Patients who undergo anterior hip replacement surgery have less pain, less need for painkillers and are able to walk sooner than those who have the posterior approach. They also have a shorter hospital stay and lower risk of complications, such as limb length discrepancy (LLD).
However, some people experience sharper pain after the operation. This usually indicates that you've overtaxed the new hip and should take it easy for a while. You should be able to drive again about a month after surgery, though it may take longer if you are taking medications that affect coordination.
