Hip Replacements

GENERAL OVERVIEW

Hip replacements involve surgically removing damaged bone and cartilage from the hip joint and replacing it with an artificial implant. This procedure aims to relieve pain and restore mobility, allowing patients to return to their daily activities.

Arthritis

What is it?

Arthritis is one of the most common reasons patients require hip replacement surgery. Over time, the inflammation and joint degeneration caused by arthritis lead to the gradual breakdown of the hip’s protective cartilage. As the cartilage wears away, the bones in the hip joint begin to rub against each other, resulting in pain, stiffness, and reduced mobility. These progressive changes can make everyday activities—such as walking, climbing stairs, or even resting—painful and difficult.

What is arthritis?

Osteoarthritis happens as cartilage thins and roughens.

Common signs

Activity pain, morning stiffness, swelling, grinding, loss of motion.

Risks

Age, prior injury, genetics, excess weight.

Early care

Activity, PT, weight optimization, meds, injections.

01.

Direct Anterior Hip Replacement

The hip is replaced through the front of the thigh without cutting major muscles. Most patients walk the same day and have fewer precautions afterward.

What is a total hip replacement?

Hip replacement resurfaces the ball‑and‑socket with smooth, durable implants to remove bone‑on‑bone friction. The goal is pain relief and a strong, stable hip that moves freely.

Who is it for?

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Benefits

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Recovery timeline
  • Days 0-1: Walk with assistance and return home (same day or next morning).
  • Week 1–2: Cane as needed with light household activity.
  • Week 3–6: Drive when safe, return to desk work, and gentle gym.
  • Wk 6–12: Return to low‑impact sports and travel.
What to expect (Day of surgery)
  • Same-day or 1-night stay
  • Walk with assistance the day of surgery
  • Home exercise program and follow-up

02.

Posterior Hip Replacement

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What is a posterior hip replacement?

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Who needs it?

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Benefits

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Recovery

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Prepare for your visit

If there’s a question that isn’t answered here, please feel free to inquire and I can answer other questions you may have.

New Patient Form

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Hip Replacement Basics

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Robotics Basics

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HIP REPLACEMENTS

Frequently Asked Questions

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Most people have a dramatic drop in hip pain and can return to everyday activities with better function once healing progresses. Surgical soreness improves over the first few weeks, and by ~6 weeks many daily tasks feel much easier.

  • Both are proven, safe approaches.
  • Direct anterior (front): uses a natural muscle interval; often fewer early precautions and faster initial mobility.
  • Posterior (back): time-tested, versatile, excellent long-term results.
  • Bottom line: the best approach is the one your surgeon performs most precisely for your anatomy and goals.
  • Sleep on your side: usually within weeks as comfort allows; a pillow between the knees is often recommended. Your specific hip precautions guide timing. (OrthoInfo)
  • Drive: when you’re off narcotics and your strength/reflexes are back, commonly ~4–6 weeks (sometimes sooner for a left hip in an automatic car). Always confirm at follow-up. (AAHKS)
  • Travel (car/plane): discuss timing with your surgeon. Early on, reduce clot risk: walk/stretch regularly, hydrate, do calf pumps; consider compression socks on longer trips

Modern hips have low annual failure rates (~0.5–1%/yr). That translates to about 90–95% still functioning at 10 years and 80–85% at 20 years (and likely improving as materials advance). (AAHKS)

For most patients, routine antibiotics are not recommended for dental cleanings or minor procedures. Decisions are individualized if you have special risks (e.g., immune suppression or prior joint infection). We’ll guide you. (AAHKS)

Possibly. Hip implants can trigger security alarms. Tell the TSA officer you have a joint implant; screening can be done safely (often with advanced imaging instead of a standard metal detector). (OrthoInfo)

Either general or regional (commonly spinal)—often with sedative so you “sleep” through surgery. Many centers favor regional because it can mean less nausea, fewer clots, and less opioid use, when appropriate. Your anesthesia team will tailor the plan to you. (AAHKS)

Typically about 1–2 hours of operative time (your overall time in the OR is a bit longer for anesthesia and setup). (OrthoInfo)

Ready to feel better?

Book an appointment with our online booking tool or call the office. Most new patients are seen within two weeks, and there’s free parking at both clinics.

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