In a hip replacement procedure, your surgeon removes the damaged joint surface and replaces it with an artificial implant. A total hip replacement is a major surgery, and deciding to have the surgery done is a big decision. Here are some signs to look for to help you decide if the time is right, or not right, for knee replacement surgery.
Total hip replacement and the new resurfacing surgery are both designed to reduce hip pain and stiffness that develop in such conditions as osteoarthritis, rheumatoid arthritis or injuries that cause the joint to become rough and worn, resulting in pain, swelling and stiffness when the bones rub together
When it comes to hip impingement surgery, many surgeons use arthroscopic techniques, inserting tools and a camera through small incisions in the skin. After patients heal from surgery, they should experience significant pain reduction, including a complete resolution of pain in the case of some patients. They should also be able to be physically active once fully healed.
For osteonecrosis of the hip, this can involve removing the dead area of bone and replacing it with more normal bone from elsewhere in the body. These procedures are done only at selected centers that have the surgical experience and facilities to achieve the best results.
Loose bodies within joints often cause symptoms of pain, catching, and locking. Symptomatic loose bodies should be removed. The surgeon uses the arthroscope to find and localize the loose bodies and they are removed with an arthroscopic grasper. The remainder of the joint linkage is evaluated and any additional pathology is treated appropriately.
A hip labral tear involves the ring of soft tissue that follows the outside rim of the socket of your hip joint. Signs and symptoms include hip pain or a "catching" sensation in your hip joint. Initial treatment may include pain relievers and physical therapy. Using arthroscopic techniques, surgeons can remove loose fragments from within the joint and trim or repair the hip labral tear.
Two elements of preoperative planning are important in planning for hip arthroscopy. First, the hip must be evaluated to determine the presence of contractures. If there is a contracture, the hip must be left in that position to allow for adequate distraction and visualization. Second, radiographs should be completed to identify spurs or dysplasia.