TOTAL HIP REPLACEMENT
Total hip replacement was dubbed "The Operation of the Century" for its remarkable success at alleviating pain and restoring function in patients suffering from end-stage degenerative disease of the hip. Engineering advancements, namely involving plastic/polyethylene, have improved the longevity of hip replacement implants. This means that younger and more active patients are now able to safely have hip replacements.
Who is a candidate for hip replacement?
Patients suffering from end-stage degenerative joint disease of the hip. The causes of this include primary osteoarthritis ('wear-and-tear'), inflammatory arthritis (e.g. Rheumatoid), avascular necrosis, and post-traumatic arthritis. The treatment is virtually identical regardless of the cause of arthritis, though there are some unique considerations with each that should be discussed with your surgeon.
What is unique about my approach to hip replacements?
Preparation
templating cases to match your natural anatomy
Minimally invasive surgical approaches
direct anterior approach
Spinal anesthesia
minimize nausea, less cognitive impact
Proven implants
Multimodal, rapid recovery protocols
Expertise with revision surgery
What are the risks of hip replacement surgery?
Hip replacement is arguably the most successful elective surgical procedure. However, there are risks - as with any procedure - that you should be aware of prior to having surgery. Fortunately, most of these complications are very rare (less than 1%), especially in the hands of a well-trained surgeon. I feel strongly that all patients should understand these risks beforehand.
Infection ܁ Fracture of the bone around the implants ܁ Dislocation ܁
Wear/loosening of the implants ܁ Discrepancy in leg lengths ܁
Medical/anesthetic complications
Direct Anterior Approach
This is my preferred approach for suitable patients because it is the only true internervous, intermuscular approach to the hip. This means that there is less muscle injury, less pain, and a quicker recovery after the surgery. It also allows for X-ray use, potentially leading to more precise implant placement. However, this approach is not appropriate for all patients and could lead to increased complications if used indiscriminately.