Total hip replacement surgery, also known as total hip arthroplasty, is a surgical procedure to replace a damaged or worn-out hip joint with an artificial joint, called a prosthesis. This surgery is typically recommended for individuals suffering from severe hip pain and limited mobility due to conditions such as osteoarthritis, rheumatoid arthritis, avascular necrosis, or hip fractures.
Dr Shales typically chooses to use the following hip prosthesis
During the surgery, the damaged parts of the hip joint are removed and replaced with prosthetic components made of metal, plastic, or ceramic materials. The procedure can be performed using either traditional or minimally invasive techniques, with the choice depending on various factors including the patient's condition and the surgeon's preference. The surgeon will make an incision, prepare the bone surfaces, and secure the prosthetic components in place, ensuring stability and proper alignment for improved function and mobility.
Dr Shales performs a hip replacement through an anterior approach in the majority of cases. Literature has shown superior results in the early recovery period when using an anterior approach. The complication rate is similar to the other approaches. Dr Shales will discuss these with you at the time of your consultation.
Before undergoing total hip replacement surgery, patients will typically undergo a thorough evaluation to assess their overall health and suitability for the procedure. This may include medical history review, physical examination, blood tests, imaging studies (such as X-rays or CT scans), and possibly consultation with other specialists. Patients may be advised to discontinue certain medications, refrain from eating or drinking for a specified period before surgery, and make necessary arrangements for post-operative care and rehabilitation.
Following total hip replacement surgery, patients will spend some time in the hospital for initial recovery and monitoring. Pain management techniques will be implemented to ensure comfort, and physiotherapy will begin soon after surgery to promote healing and regain strength, flexibility, and mobility. Patients will gradually progress from using assistive devices such as walkers or crutches to walking independently, with the goal of returning to normal activities as soon as possible.
Rehabilitation plays a crucial role in the recovery process after total hip replacement surgery. Physiotherapy exercises are tailored to each patient's specific needs and may include strengthening exercises, range of motion exercises, and gait training to improve function and mobility. Patients are encouraged to actively participate in their rehabilitation program and adhere to any instructions provided by their healthcare team to optimise outcomes and minimise complications.
While total hip replacement surgery is generally safe and effective, like any surgical procedure, it carries certain risks and potential complications. These may include:
- Infection
- Blood clots
- Implant dislocation
- Nerve injury
- Implant wear or loosening
- Leg length discrepancy
- Prosthesis failure
Patients should discuss these risks with the Dr Shales and follow all pre- and post-operative instructions to minimise their likelihood.
The outcomes of total hip replacement surgery are typically positive, with the majority of patients experiencing significant pain relief and improvement in mobility and quality of life. However, individual outcomes may vary depending on factors such as age, overall health, severity of hip damage, and adherence to rehabilitation protocols. Most patients can expect to enjoy long-term benefits from their hip replacement, with many experiencing restored function and the ability to engage in activities they were previously unable to enjoy. The Australian Orthopaedic Association National Joint Registry (AOANJRR) reports that after 20 years over 90% of Total hip replacements are still in-situ.
Total hip replacement surgery is a highly effective treatment option for individuals suffering from debilitating hip pain and limited mobility due to various hip conditions. By replacing damaged joint surfaces with artificial components, this procedure can provide lasting pain relief, improved function, and enhanced quality of life for many patients. With advances in surgical techniques and implant technology, total hip replacement continues to evolve, offering hope and restored mobility to countless individuals around the world.
Here are a number of the questions we often get asked.
Recovery times vary, but most patients can expect to return to normal activities within a few weeks to a few months after surgery, depending on individual factors and adherence to rehabilitation protocols.
As long you are off the stronger pain killers you may return to driving after 2 weeks. It can however take up to 6 weeks until you feel comfortable and safe to drive.
