What is a total hip replacement?

A total hip replacement, also called total hip arthroplasty, is a surgery where the surgeon replaces the arthritic cartilage with a combination of metal, ceramic and plastic.  The acetabulum (socket) is replaced with a metal cup and a plastic insert is secured to the cup.  The femoral head (ball) is replaced with a new metal or ceramic head. To secure the new head to the femur, a stem is inserted into the femoral canal for a secure fixation.

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When should I have a total hip replacement?

After an evaluation by Dr. Waddell, he will tell you when you meet the criteria for a total hip replacement based on your symptoms, history, physical and imaging studies.  Once you discuss all the possible treatment options, you will decide which treatment option is best for you.  Deciding when to have a total hip replacement usually comes down to how often your pain is affecting you.  In general, when you have more bad days than good days, when your pain is keeping you from your daily activities, and when all non-operative treatments have failed, it is time to consider total hip replacement.

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What can I expect after my hip replacement?

After a total hip replacement, most patients can expect to return to an active lifestyle.  While in the hospital, you will work with physical therapy to learn restriction specific to the approach used for your hip replacement.

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Most patients will walk with the aid of crutches, a walker or a cane for the first few weeks. On average, patients return to normal function within a few weeks to months. 

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How long will my hip replacement last?

Based on studies performed over many years, we expect most hip replacements to last 15-30 years. Improvements in the parts used for the replacement and improvements in the ability to accurately place the components will likely lead to longer survivor-ship of the implants.

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What approach will you use for my surgery?

Dr. Waddell performs hip replacement almost exclusively through the muscle-sparing minimally invasive anterior.  Most importantly, he uses your goals and expectations after surgery, the degree of deformity present in your hip and your anatomy to decide which approach will give you the best possible outcome!

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Am I too young for total hip replacement?

In the past, receiving a total joint replacement at a young age typically meant a subsequent surgery later in life would be necessary. While this is still possible, it is more likely that joint replacements will last much longer then previously thought. Joint replacements today benefit from advanced materials and approaches, which can allow young active patients to return to their activities with little to no pain.