Background

Total Hip Replacement (THR) is widely regarded as one of the most successful orthopaedic operations in terms of patient function and satisfaction. Patients report excellent pain relief for a hip which has often been problematic for some time.

Indications

Osteo-arthritis (natural cartilage wear) is by far the most common reason for needing a hip replacement although there are a number of conditions that can predispose to this including previous trauma, certain growth and developmental issues and medication side effects (e.g. high dose steroids).

Treatment/Pathology

Hip arthritis classically manifests as pain (including night pain) which is often felt in the groin and even down to the knee. Decreased walking distance and abnormal walking style are also signs of hip pathology. Dr Bartlett will ask you questions relating to your hip symptoms and examine your hip movement. X-rays are the main method to diagnose hip arthritis and in a small number of cases further imaging may be required.

Surgical Detail

Total hip replacement is performed through an incision around the hip to allow exposure of the involved joint. The old worn out cartilage is removed and replaced with a smooth and stable prosthesis the allows good hip movement.

Post-Operative/Recovery

Patients typically spend a few days in hospital as they recover from their hip surgery under the supervision of a physiotherapist. Patients are allowed to walk on their new hip immediately once pain is controlled and your physiotherapist will advise you of certain hip precautions to avoid damaging your hip replacement. Dr Bartlett will review your hip 6 weeks after discharge from hospital and assess your recovery.

Key Points

• Excellent pain relief

• Improved function and mobility