Hip Replacement Surgery

 Hip replacement surgery, also known as total hip replacement or arthroplasty, can help relieve pain and restore function in a severely damaged hip joint. During the procedure, the damaged bone, femoral head, gets removed and the damaged bone and cartilage from the head joint are scraped away using a tool called Reamer. The damaged areas are then replaced by a prosthesis.

There are several conditions that can  damage the hip joint, among which we find the following:

Rheumatoid arthritis: Inflammation of the synovial lining of the joint, which causes extra synovial fluid

Osteonecrosis: Lack of blood supplied to the ball portion of the hip joint. The bone could end up deformed

Osteoarthritis: Due to the degeneration of the cartilage that covers the ends of the bones, commonly known as wear and tear

Traumatic arthritis: Caused by an injury

Quick Details

The average cost of a hip replacement in the U.S is $40,000

MedicW price in Mexico is $13,500, which represents a 66% savings

Check our hip replacement surgery prices by country

Surgery duration, about 2 hours

Duration of hospital stay: It requires to stay at the hospital several days (likely a couple of days), depending on the case

How Does It Work?

Step 1:  Hip incision

An incision is done over the front or side of the hip area

Currently, there are two different ways of performing the surgery, through the front of the joint or through the back of the joint. Patients may recover a little faster after surgery through the anterior approach

 

Step 2:  Remove the worn-out hip joint ball (femoral head)

The damaged area, bone, and cartilage is carefully measured and cut from the femoral head

 

Step 3: Remove the worn-out hip joint socket

To remove the damaged area the surgeon will use a tool called a reamer

Given that the joint socket cannot be cut, the reamer will be used to scrape away the damaged bone and cartilage

 

Step 4: Placement of the joint socket (Acetabular) component

After removing the damaged area from the acetabulum the component of the prosthesis, sometimes called cup, is inserted

The implant is wedged into the bone

 

Step 5: Preparing the femur and placement of the stem

The center of the femur is shaped to accommodate the femoral stem

The femoral stem is inserted down the hollow center of the femur

The stem can be held in the bone with or without cement

 

Step 6: Insertion of the ball

On the top of the stem is where the ball of the ball and socket joint is inserted

 

Step 7: Final hip replacement implant

With all the components inserted the prosthesis can be placed in the final position, making sure that all the implants are stable and fit perfectly

MedicW Insider tips

You will be asked to fast for at least eight hours prior to the surgery

After disclosing to the doctor any medication you might be taking, you might get asked to stop taking them

If you are a smoker, it is recommended to stop smoking prior to the intervention, usually around a month prior. 

Your doctor might ask for some additional imaging

Usually, you will be given antibiotics to help prevent post-surgical infection

Surgery duration is around 2 hours

You might get an IV line

A urinary catheter is used on some occasions

Excessive hair from the surgical area will be clipped off

The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery

After the surgery:

You will have an increased risk of blood clots in your legs. There are several measures that will help prevent this complication. Your doctor will walk you through them

You will be taken to a recovery room for observation, usually, for one to two hours

You will be taken to your hospital room, where you will be encouraged to start to move your new joint, this will increase your blood flow to your leg.

Your pain will be controlled with medication so that you can participate in the exercise

You will be given an exercise plan to follow both in the hospital and after discharge

Once at home, it is really important to follow all doctor´s guidelines, such as:

The surgical area needs to be clean and dry. Follow the given bathing instructions

Do the exercises prescribed by your doctor

Results:

Between six to twelve weeks is usually what it takes to resume most daily activities

After recovery, you can engage in various low-impact activities, such as walking, swimming, golfing, or biking. High-impact activities might be too stressful on your artificial joint 

Where Can I Find A Doctor?

MedicW Care team can help you with any question you might have .

Contact MedicW

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