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Cemented, Custome made and Uncemeted hip replacement, Long and short stemmed modular hip replacements

Hip Replacement

Hip replacement is a surgical procedure in which the hip joint (ball and socket joint) is replaced by a prosthetic implant. Such surgery is generally conducted to relieve arthritis pain or in some hip fractures.

A total hip replacement (total hip arthroplasty) consists of replacing both the acetabulum (socket) and the femoral head (ball) parts of the joint.

Hip replacement is currently the most common and successful orthopaedic operation resulting in a significant improvement in the quality of life in the vast majority of cases.

Modern day prostheses are manufactured from titanium or stainless steel, come in different designs and can be fixed to the skeleton with or without cement. The bearings can be made out of ceramic or metal, for the femoral side, and ceramic or polyethylene on the acetabular side.

The operation can be performed through different approaches that are defined by their relation to the joint. Hence the hip can be entered from the back, side or front and these constitute the posterior, lateral and anterior approaches that are the most commonly utilized.

There are multiple variations of these approaches and over recent years there has been a proliferation of minimally invasive approaches that have been developed in an attempt to reduce the damage to the muscles around the hip, post-operative pain, speed up the recovery and improve the cosmetic appearance of the surgical scar.

So far these novel approaches have failed to show any advantage over the traditional ones, other than a smaller size scar. If anything, there is some evidence that is some cases they can lead to of a higher incidence of complications such as dislocations and fractures

The most common complications of hip replacement are infection, dislocation and deep vein thrombosis and your surgeon should take the time to talk to you about these when discussing the operation and inform you about the measures he/ she intends to take to minimize the risk of these occurring.

A modern hip replacement of a good design, with the right bearings, performed by a competent surgeon through his preferred approach is expected to have a survivorship of more than 95% at 10 years. Ultimately, the expectation is that in the vast majority of cases the new hip will last for much longer and that the patients will forget that they carry a prosthetic hip.

The current variety of stem and cup designs, bearing options and approaches should not lead patients to confusion. Such a variety of options available means that an experienced surgeon should be able to come out with a bespoke plan that better meets the patient’s needs on the basis of age, gender and activity levels.

When choosing a surgeon it is important that patients stay away from sensationalist front pages on tabloids that are of questionable reliability and often driven by financial interest from manufacturers, private healthcare organizations or individual surgeons.

Any patient looking for hip a surgeon in England should take advantage of the information available from the National Joint Registry that gets published on line on a yearly basis under the heading “NJR surgeon and hospital profile” that is of open access to the members of the public. Read More Here

Warwickshire Hip & Knee Clinic | P.O. BOX 6114 | Coventry | West Midlands CV3 9GR | Tel: 024 7661 2681 |