Total Hip Replacement Surgery
Total Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. Hip replacement is a common treatment for severe osteoarthritis.
Total hip replacement is a safe, reliable procedure that can relieve your pain and stiffness and return you to most of the activities that you enjoy.
There are several ways for a surgeon to perform total hip replacement surgery including (but not limited to): posterior (Moore), lateral (Hardinge or Liverpool), antero-lateral (Watson-Jones), minimally invasive and The Direct Anterior (Hueter) AMIS® approaches.
Remember that ALL approaches if performed correctly will result in a successful pain free outcome that should last at least 20-30 years using modern day implants.
The main benefits of a successful Total Hip Replacement are:
– Reduction in Hip Pain: The pain will be rapidly and dramatically reduced and usually eliminated.
– Recovery of Mobility: Your hip will function with less effort, almost regaining your original mobility.
– Improvement in Quality of Life: Your everyday activities and your social life will no longer be limited by pain and reduced mobility.
People with hip joint damage that causes pain and interferes with daily activities despite trying other treatments such as exercise, walking aids and medication without significant improvement may be candidates for hip replacement surgery. This will all be discussed with your surgeon at your consultation.
Anterior Total Hip Replacement Surgery
AMIS® (Anterior Minimally Invasive Surgery), also termed the Direct Anterior Approach (DAA) is a surgical technique used in total hip replacement procedures which follows an inter-muscular and inter-nervous plane to reduce the risk of injury to muscles, tendons, vessels and nerves. By respecting the nerves and because no muscles are cut this aids in rapid recovery for patients following surgery.
The incision is approximately 7 -10 cm long. The incision is made over the top of your hip joint in the region of your groin. The worn surfaces of the hip are removed and the surfaces are replaced with artificial components. Metal is used for all components however the bearing surfaces may vary depending on the patients individual circumstances: metal, ceramic, or plastic.
Some advantages of anterior hip surgery include:
– Smaller incision (approximately 6-9cm long)
– Reduced risk of dislocation
– Shorter rehabilition : The ability to sit in a normal chair immediately after surgery and walk with minimal assistance in the days after surgery.
– Shorter hospital stay: The anterior approach usually significantly reduces the length of hospital stay.
– As there are no major muscles releases, post operative pain is often reduced.
– Less blood loss: Preservation of muscles and vessels potentially reduces blood loss during surgery.
For older patients, particularly those that live alone, this facilitates a rapid return to independent living. For younger patients, including manual workers this allows a more rapid return to employment.