What is Hip Replacement Surgery?

Hip replacement surgery is a procedure where painful arthritis in the hip joint is removed and replaced with a metal or plastic artificial joint. It usually is done when all other treatment options have failed to provide adequate pain relief.

The hip joint is the place where the thigh bone - called the femur - and the hipbone - called the pelvis - meet.

As you walk, the ball-shaped end of the thigh moves within a cuplike depression on the side of the hip.

As long as the thigh can move smoothly against the hip, you are able to walk comfortably. But over time, especially in patients who suffer from arthritis or rheumatism, the hip joint can wear down.

Cartilage, the tissue that cushions the bones and makes it possible for them to move smoothly against each other can wear away.

When this happens, the bones rub together causing pain and even restricting the ability to walk.

In some cases, hip surgery is recommended for people who have suffered a hip fracture. No matter what the cause, one of the most effective ways to fix a damaged hip is to replace it surgically.

In this procedure, the ball-shaped bone at the top of the thigh is removed and replaced with a metal substitute.

The hip socket is widened and lined with a smooth pad that allows the metal ball joint to move more freely against the pelvis.

Hip replacement surgery is a major operation, but your doctor believes that the procedure -- followed up with physical therapy and time to heal -- will result in reduced pain and greater mobility.

So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

Then, when you are asleep, the surgical team will make an incision over the hip and along the thigh.

The team will pull the skin aside to reveal the muscle tissue below.

They'll then make another incision to reveal the hip joint.

Next, the team pulls the top of the thighbone out of the hip socket.

Using a precision surgical saw, your doctor will carefully remove the ball-shaped end of the thighbone.

Then, the surgical team will use a high-speed drill to hollow out the top of the thighbone.

A specially fitted artificial ball joint slides into the top of the thighbone.

Next, your doctor will smooth the inner surface of the hip socket.

Once the socket has been thoroughly cleaned, the artificial lining will be secured in place with special screws.

The artificial ball joint is turned inward and fit into the socket.

The team carefully checks to make sure that it fits and allows the full range of normal motion.

Muscle and other tissues are closed over the joint using dissolvable stitches. A temporary draining tube may be added.

Finally, the skin is closed with sutures and protected with sterilized strips. 

Hip Replacement

Iam 47 I've got bad arthritis in my left hip I've worn all the cartilage out so its bone on bone iam being stubborn iam still going about on it limping away iam a tree surgeon iam terrified of surgery it's been 5 years now that I've been putting up with the stiffness and the muscle tissue depleting and the leg has restricted movement watching this makes it look so easy and straight forward they said my pelvis is that worn if I had it done if I bent over it would dislocate pretty much every time I bent over so now iam terrified of hip surgery so I've just to go about till I can't walk on it anymore scottish doctors for you .

rashiehill

Arthroscopic Meniscus Repair, Knee

i had this injury, and i cry every-time i reminisce to that pain part. ugh

BboyGrimm

Hip Replacement Surgery

Thank you for posting this video - it was very informative and helpful in my understanding of the surgery I will shortly undergo - right hip joint replacement - much appreciated THANKS

Bridget Louise

This video is intended as a tool to help you to better understand the procedure that you are scheduled to have or are considering. It is not intended to replace any discussion, decision making or advice of your physician.