Hip Replacement

Hip Replacement Surgery in Gilbert and Chandler AZ

Hip replacement surgery, also called total hip arthroplasty (THA) is a procedure reserved for Hip painpatients who have severe hip joint damage or degeneration. The disability and pain from arthritis can impair your ability to perform daily activities and influence your quality of life.

How long does total hip replacement last?

In general, a total hip replacement lasts over 20 years. However, it is best to consider failure rates. If you have a total hip replacement, you have a 90-95% chance that the joint will hold up for 10 years, and an 80-85% chance that it will last for 20 years. As technology improves, these numbers will go up.

Are all joint implants the same?

The majority of joint implants are similar, with the AZ orthopedic surgeon using the design that works best, lasts longest, and has the fewest complications. However, the variable to consider is the bearing surface, which is the ball and liner that attaches to the stem and the cup that adheres to the bone. Balls may be composed of ceramic or metal, and the liner can be made of metal, plastic, or ceramic.

Which approach is best?

The surgeon may perform one of the following approaches:

  • Posterior approach – This is the most common approach, and it involves surgery done from Hip-Replacement-Anterior-Approach-Incisionthe posterior (back) region of the hip.
  • Mini posterior approach – Done from the back of the hip with smaller incisions and less tissue trauma.
  • Anterior approach – Performed from the front aspect of the hip.
  • Lateral approach – Less common approach done from the side of the hip.

The Board Certified Gilbert orthopedic doctors at OSPI offer the anterior approach in a minimally invasive fashion. This reduces postoperative complications and speeds up rehab.

What type of anesthesia will I be given?

Hip replacement surgery can be performed using both general and regional anesthesia. With general anesthesia, the patient is put to sleep. With regional anesthesia (spinal, epidural, or nerve block), only a portion of the body is paralyzed. This type of anesthesia reduces complications and improves recovery time.

Is this a minimally invasive surgery?

Arthroscopic hip surgery is a minimally invasive procedure, which means smaller incisions and less tissue disruption below the incision. Less muscle cutting is involved with a minimally invasive procedure, as is less tendon detachment from the bone.

How big is the incision be and will it leave a scar?

The size of the incision depends on many factors, such as the patient’s weight and height, the surgeon’s requirements, and the complexity of the procedure. Smaller incisions mean less canstockphoto24680715(1)scarring. The scar will heal after a few weeks, and then change in appearance over time. However, most patients have a small scar for the remainder of their lives.

How long do I have to stay at the hospital?

Because hip replacement surgery involves anesthesia and immediate rehabilitation, you will stay at the hospital overnight, and possibly, for an additional 1-3 days. This depends on your rehabilitation protocol, how fast you progress, your age, your medical conditions, and the surgeon’s preference.

How soon before I can walk?

After a total hip replacement, most surgeons recommend that you get up and start moving immediately. Most people can walk with a walker the day following the procedure and with a cane in 2-3 weeks. Most people who undergo THA are able to fully participate in daily activities after 6 weeks. By the third month, many patients have regained strength and endurance and can fully participate in usual activities.

What can I expect with physical therapy?

You will receive physical therapy during your hospital stay, and for 1-4 weeks after you go home. Much of the therapy involves general stretching and muscle strengthening exercises, as well as learning to use assistive devices, such as the walker, cane, and hand held devices. The therapist works with you to return to work activities, but if you have a physically demanding job, you may have to wait 2-3 months.

What restrictions follow the surgery?

Depending your individual case (condition, type of surgery, extent of repair, etc.), you may have certain rehabilitation restrictions. Most surgeons give you instructions on which positions of the hip increase your risk for dislocation, and these positions should be avoided. After 6 weeks, the restrictions are lifted. In addition, you must avoid high-impact activities, such as long distance running, skiing, and basketball.

Total Joint Replacement at OSPI – AZ Orthopedic Surgeons

Total Joint Arthroplasties

Joint replacement surgery, also called a total joint arthroplasty (TJA), is a common procedure used to relieve pain, improve mobility, and restore quality of life. There are many types of joint replacement procedures. Joint replacement surgery is used to replace damaged cartilage and any loss of bone structure.

The procedure is a resurfacing of the damaged joint, which relies on the ligaments and muscles for function and support. The replacement joint is called a prosthesis, which can be made of cobalt chrome, stainless steel, titanium, ceramic, or polyethylene.

Osteoarthritis and Joint Dysfunction

The most common conditions that cause joint dysfunction are osteoarthritis and rheumatoid arthritis. Many factors contribute to joint degeneration and damage, which leads to arthritis. Factors include:

  • Developmental abnormalities of the jointknee replacement
  • Heredity
  • Minor repetitive injuries
  • Abnormal cartilage metabolism
  • Severe trauma to the cartilage
  • Being overweight

Total Knee Replacement

The knee is the body’s largest joint, and it is necessary for walking, climbing stairs, and everyday activities. With age, excessive weight, and wear-and-tear from arthritis, the knee joint becomes damaged, making movement painful.

In a total knee replacement, the Gilbert orthopedic surgeon removes the degenerated cartilage surfaces at the ends of the shinbone (tibia) and thighbone (femur), and then replaces these areas with metal or plastic components. A spacer is inserted between the components so the joint will glide in a smooth fashion.

Patients who are candidates for a knee replacement are those with a knee deformity, people with chronic knee inflammation, persons who do not respond to conservative treatment, and anyone with limited movement of the knee. The Centers for Disease Control and Prevention (CDC) reports, in the U.S., more than 719,000 total knee replacements are performed each year.

Total Hip Replacement

The hip is a mobile joint, formed with a ball-and-socket. The ball and socket are both coveredcanstockphoto24680715(1) with articular cartilage, which can wear down from injury, trauma, or arthritis. This causes pain and limited mobility.

A total hip replacement involves removing the ball of the joint (femur head) and replacing it with a metal stem that attaches to the thigh bone. The damaged area of the socket is also replaced with a metal socket, and between these implants, the surgeon places a spacer that helps the joint glide easily. Candidates for a total hip replacement are patients who experience significant hip pain and stiffness, as well as people who have not responded to non-surgical methods. According to the CDC, there are more than 330,000 total hip replacements performed each year in the U.S.

Shoulder Joint Replacement

The shoulder joint consists of three bones: the humerus (upper arm bone), the clavicle (collarbone), and the scapula (shoulder blade). The shoulder is a ball-and-socket joint with cartilage on the ends of the structures to help them glide smoothly against one another. This cartilage breaks down due to arthritis and trauma, causing significant pain and loss of function. A total shoulder joint replacement involves use of prosthetic bone ends to replace the damaged areas. This surgical procedure is used for patients who do not respond to medications and those who have symptoms at rest.

Success Rates of Joint Replacement

The success rate of total joint replacement surgery is quite high. The need for repeat operation in the first ten years is less than 5%. Most replaced joints last from 10-20 years.

The Board Certified hip, knee and shoulder joint replacement surgeons at OSPI are highly skilled in the procedures. The Gilbert orthopedic surgeons offer contemporary, minimally invasive procedures that decrease postoperative pain, bleeding and speed recovery.

Most insurance is accepted at OSPI, call (480) 899-4333 today!

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