Putting It All Together

Here is a summary of the important facts and information related to hip replacement:

• Individuals suffering from a variety of hip problems can benefit from total hip replacement especially when pain results from wear and tear, disease, and injury.

• Following total hip replacement, most people are up and around walking to some degree the day after surgery. They also can expect to return to normal or near normal activities very soon and without much pain.

• Some of the common hip problems leading to total hip replacement are: osteoarthritis, rheumatoid arthritis, traumatic arthritis, and avascular necrosis.

• Depending on the condition, people in their late teens and in their 90s can possibly be candidates for a hip replacement. However, the majority of individuals in need of hip replacement are in their 60s and 70s.

• During hip joint replacement surgery, the head and neck of the femur are removed and replaced with a ball and stem. The acetabulum is reamed to accept a plastic cup. The ball and socket are then replaced into normal position and fastened into the bone with or without special cement.

• To ensure the newly discharged individual is safe in and about his or her home, a nurse, physical therapist, and an occupational therapist will likely see the patient for in home treatment.

• Home health visits are important for a safety check and review of an exercise program.

• The person with a hip replacement may be able to take part in physical activities which were impossible before surgery

• Loosening of the implant is the most frequent cause of failure of a total hip replacement, and may require revision surgery.

• Alternatives to total hip replacement include medication, femoral osteotomy and arthrodesis.