|►Results of surgery|
|►Advances in total hip replacement|
|►Advice sheet about total hip replacement|
|►Advice sheet about hip injection|
►Surgery for hip fracture
►After hip replacement
A Stanmore hip with a
plastic cup, metal ball and
smooth cemented stem
In a hip replacement the ball of the normal joint is replaced by a metal or ceramic ball. This is fixed by means of a stem that is inserted into the thigh bone. There are 2 common types of stem; one is smooth and is cemented into place whilst the other has a roughened surface that allows bone to grow into it. The decision as to which type is used is made on the quality of the bone; in thin bones a cemented stem will be favoured.
A new lining is also inserted into the hip socket. There are a number of different designs:
The lining may be made of plastic (high density polyethylene), ceramic or metal
Like the stem the lining may either be cemented or rely on bony ingrowth for its fixation
Hip replacement is done under either a general or regional anaesthetic. An incision about 10 to 15 cm long is made over the side of your hip. The operation typically takes about 1 hour.
When you return to the ward you will have a 'drip' in your arm and may also have a drain coming out of your wound. Blood transfusion is required in only about 10% cases. You will be given painkillers to relieve any discomfort.
You will start walking within 12 to 24 hours of surgery. Initially you will require a frame but within a day or so you will be using crutches or sticks. You will be taught to climb stairs after 2 to 3 days. You will then be fit for discharge which usually occurs on the third or fourth postoperative day.
If necessary outpatient physiotherapy will be arranged. You will be seen in clinic 6 weeks following surgery but should contact the hospital if you have any concerns before then.
|© J M Britton 2007|