Hip Replacement

Related Video: Hip Replacement

Overview

Definition

A total hip replacement is a surgery to replace a diseased or injured hip joint. An artificial ball-and-socket joint is inserted to make a new hip. It can be done by full open surgery or a minimally invasive technique. The minimally invasive technique only requires 1 or 2 tiny incisions and special instruments.

Left Total Hip Replacement
Hip Replacement
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Possible Complications

If you are planning to have a hip replacement, your doctor will review a list of possible complications, which may include:

  • Hip dislocation—occurs when the ball portion of the prosthesis dislocates from its normal position in the hip
  • Infection
  • Blood clots
  • Swelling or bleeding
  • Injury to nearby nerves or blood vessels
  • Anesthesia-related problems, like pneumonia
  • Noisy or squeaky hip after surgery

Factors that may increase the risk of complications include:

  • Pre-existing medical condition, such as heart or lung problems
  • Obesity
  • Infection, such as urinary tract infection or gum disease—having an infection increases the risk of bacteria entering the bloodstream and infecting the joint
  • Previous problems with blood clots
  • Smoking

Be sure to discuss these risks with your doctor before the surgery.

SymptomsandDiagnosis

Treatments

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Edits to original content made by Denver Health.

a (Hip Arthroplasty; Total Hip Replacement; Minimally Invasive Total Hip Replacement; Mini-incision Hip Replacement)

RESOURCES

American Academy of Physical Medicine and Rehabilitation http://www.aapmr.org 

National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov 

CANADIAN RESOURCES

The Arthritis Society http://www.arthritis.ca 

Canadian Orthopaedic Association http://www.coa-aco.org 

References

Activities after hip replacement. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00356. Updated July 2014. Accessed February 11, 2016

Al Muderis M, Bohling U, Grittner U, Gerdesmeyer L, Scholz J. Cementless total hip arthroplasty using the Spongiosa-I fully coated cancellous metal surface: a minimum twenty-year follow-up. J Bone Joint Surg Am. 2011 Jun 1;93(11):1039-1044.

Antibiotic prophylaxis for patients after total joint replacement. American Academy of Orthopaedic Surgeons website. Available at: http://orthodoc.aaos.org/davidgrimmmd/Antibiotic%20Prophylaxis%20for%20Patients%20after%20Total%20Joint%20Replacement.pdf. Published February 2009. Accessed February 11, 2016.

Geerts WH, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004;126(suppl 3):338S-400S.

Hip fracture. EBSCO DynaMed Plus website. Available at:  http://www.dynamed.com/topics/dmp~AN~T116789/Hip-fracture . Updated May 13, 2016. Accessed October 10, 2016.

Lindström D, Azodi, Sadr O, et al. Effects of a perioperative smoking cessation intervention on postoperative complications: a randomized trial. AnnSurg. 2008;248:739-745.

Minimally invasive total hip replacement surgery. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00404. Updated June 2014. Accessed February 11, 2016.

Pagnano MW, Trousdale RT, Meneghini RM, Hanssen AD. Slower recovery after two-incision than mini-posterior-incision total hip arthroplasty. Surgical technique. J Bone Joint Surg Am. 2009 Mar 1;91 Suppl 2 Pt 1:50-73.

Questions and answers about hip replacement. National Institute of Arthritis, Musculoskeletal, and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Hip%5FReplacement/default.asp. Updated July 2013. Accessed February 11, 2016.

Who needs a hip replacement? NIH SeniorHealth website. Available at: http://nihseniorhealth.gov/hipreplacement/whoneeds/01.html. Accessed February 11, 2016.

6/14/2017 DynaMed Plus Systematic Literature Surveillance  http://www.dynamed.com/topics/dmp~AN~T566765/Elective-total-hip-arthroplasty : Wilson SH, Wolf BJ, Algendy AA, Sealy C, Demos HA, McSwain JR. Comparison of lumbar epidurals and lumbar plexus nerve blocks for analgesia following primary total hip arthroplasty: a retrospective analysis. J Arthroplasty. 2017;32(2):635-640.