A partial hip replacement removes and replaces the ball of the hip joint. It does not replace the socket. This surgery is most often done to repair certain types of hip fractures.
The ceramic or metal ball is attached to a metal stem. This is called a hip implant. The stem is set down into the core of the thighbone (femur). It is firmly fixed in the femur in one of two ways:
Your doctor may use general anesthesia. This means you'll be asleep during the surgery. Or your doctor may use regional anesthesia. This means you can't feel the area of the surgery. You'll have medicine that makes you unaware and lightly asleep. Which type of anesthesia you get depends on your doctor and on your overall health. Your doctor might also ask what you prefer.
When you wake up from surgery, your pain will be controlled with intravenous (IV) medicine. You will also likely have medicines to prevent infection, blood clots, and nausea. If you had regional anesthesia, expect to have little or no feeling below your waist for a while.
Coming out of surgery, you may have
a cushion between your legs. This is to keep your new hip in the correct position.
You may also have a
catheter. It lets you empty your bladder without getting up. To help prevent blood clots, you'll likely be wearing compression stockings. And you may have compression sleeves on your legs. These squeeze and release your lower legs to help keep the blood moving.
As soon as possible, you will be taught how to move your body without dislocating your hip. Until your hip is fully healed, you will need to follow "hip precautions." Most often, this means that:
On the day of surgery or the day after, you'll get out of bed with help. You will learn how to walk with a walker
or crutches. By the time you leave the hospital, you will be able to safely sit down and stand up, dress yourself, use the toilet, bathe, and use stairs.
You will stay in the hospital for a few days after surgery.
During the first week or so after surgery, you will need less and less pain medicine. For a few weeks after surgery, you
will likely take medicine to prevent blood clots.
You may need a walker, crutches, or a cane for a few
weeks. As you get your energy back, work up to taking a short walk a few times each
day. If you feel any soreness, try a
cold pack on your hip.
Don't drive until:
Complete recovery after a hip replacement can take at least 6 months. Keep up your walking and physical therapy exercises. They help speed your recovery.
For most people, it is safe to have sex about 4 to 6
weeks after a hip replacement. Talk to your doctor about when it is
okay to have sex and what positions are safe for your hip.
Exercise (such as
swimming and walking) is important for building your muscle
strength. And it helps you feel better overall. Discuss with your doctor what type of exercise is best for
Your doctor will
probably want to see you at least once every year to check your hip.
For at least 2 years after your surgery, your doctor may
want you to take antibiotics before dental work or any invasive
procedure. This is to help prevent
infection around your hip implant. After 2 years, your doctor and dentist
will decide if you still need to take antibiotics.
A partial hip replacement surgery is most often done to repair certain types of hip fractures. It is an option when the socket of the hip joint is healthy.
Surgery usually works well. But recovery does take patience and time. Your hip will likely regain most, if not all, of what it used to do.
Because of the way the hip is
structured, every added pound of body weight adds 3 pounds of stress to the
hip. Controlling your weight will help your new hip joint last longer. Your
hip should also last longer if you do not
do hard physical work or play sports that stress the joint.
The risks of hip replacement surgery can be
divided into two groups.
Some hip fractures are repaired by getting the bone lined up correctly (reduction) and
stabilizing broken bones (internal fixation). This is often done on younger, active
people. Hip replacement surgery often is done on older, less active adults. In
deciding how to repair a hip fracture, your
surgeon will look at the type of fracture, your age and activity level, and
the possible trade-offs.
Complete the surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.
ByHealthwise StaffPrimary Medical ReviewerKathleen Romito, MD - Family MedicineAdam Husney, MD - Family MedicineSpecialist Medical ReviewerJeffrey N. Katz, MD, MPH - Rheumatology
Current as ofMarch 21, 2017
Current as of:
March 21, 2017
Kathleen Romito, MD - Family Medicine & Adam Husney, MD - Family Medicine & Jeffrey N. Katz, MD, MPH - Rheumatology
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Last modified on: 8 September 2017