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A patient's guide to hip replacement sponsored by Spire Healthcare
Hip replacement

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Who needs a hip replacement?

A hip replacement operation can help anyone whose hip joint has become badly worn so that it no longer works properly and causes them pain. The hip joint consists of a ball and socket joint in which the rounded head of the thigh bone (femur) rotates within a socket in the hip. When this joint breaks down, through wear and tear, disease (such as hip arthritis) or damage, it can cause severe pain and significantly restrict the movement of the joint. This can have devastating consequences on mobility and quality of life.

 

A common solution to this problem is a hip replacement, with over 50,000 operations performed on the NHS each year and half as many again undertaken in private hospitals.

 

What is a hip replacement? 

Hip replacement surgery involves removing the worn head of the femur and replacing it with a new ball joint. A new socket is also created in the hip. The ball joint is usually replaced with metal, such as titanium alloy, while the socket is lined with high-density polythene. Longer lasting ceramic parts are sometimes used as an alternative.

 

A hip replacement is a major operation and is only undertaken once a range of other possible treatments have been tried, or once the pain from hip arthritis becomes intense and impacts too much on the normal activities of daily life.

 

Reasons for having a hip replacement 

Most hip replacements are done as a result of hip arthritis, which can take several forms:

 

  • Osteoarthritis – hip arthritis caused by wear and tear, which damages the cartilage and connecting tissue and causes the bones to rub together

  • Rheumatoid arthritis – hip arthritis caused by a disease which makes the immune system attacks the lining of the joint

  • Septic arthritis – hip arthritis caused by infection in the joints

 

Whatever the root cause, hip arthritis can lead to significant discomfort, restrictions in lifestyle, lack of mobility, loss of sleep and many other distressing issues. Hip replacement surgery will usually cure most, if not all of these problems.

 

Benefits of a hip replacement 

There are many benefits to having a hip replacement. These include:

 

  • Greatly increased mobility - although a replacement hip will not give you quite the same level of movement as your natural hip.

  • No more pain –recovery and physiotherapy can be uncomfortable in the short term but the result should be a pain free hip.

  • Improved quality of life – a new hip will allow you to return to a normal life, doing most of the activities that you had stopped doing because of your hip arthritis

  • A lasting solution – modern hip replacements are designed to last up to 20 years, providing long-term relief from hip arthritis and other problems.

 

Although a hip replacement is often an ideal solution to severe hip arthritis it should not be undertaken lightly. A complete hip replacement is a major operation involving a general anaesthetic, a large wound of around 30cm, at least a week in hospital and many weeks of recovery and rehabilitation. In the early stages of hip joint damage, using painkilling drugs and having physiotherapy are worth trying and your surgeon may suggest alternatives such as hip resurfacing or minimally invasive hip replacement surgery, depending on your circumstances.


 

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