Hip Surgery and Replacement Surgery
Your hip joint is integral in keeping your body in motion. But, when your hip joint causes pain, every move you make can cause pain in other areas of the body.
The hip surgeons at the Crystal Clinic Orthopaedic Center can ease your suffering and get you back to a normal, daily routine. We offer state-of-the-art care in the most technologically advanced facilities. Our orthopedically trained providers work to ensure that you receive compassionate care in a relaxing atmosphere.
In addition to total hip replacement surgery, we provide care for labral tears and soft tissue injuries, as well as bony problems.
Crystal Clinic Orthopaedic Center physicians will generally try to address joint pain initially with non-surgical approaches, including rest, physical therapy, applications of heat or cold and medication. Injections of a cortisone-like drug directly into a joint can also often reduce pain and inflammation. However, sometimes these methods are not successful and surgery may be necessary.
Labral Repair Surgery
Many associate hip pain with getting older. Of course, hip pain doesn’t discriminate based on age and can also affect younger people. In many cases, younger patients, who have a significant amount of hip pain, are diagnosed with tendinitis, overuse syndrome, or a problem related to their lower back. They may have undergone various treatments including physical therapy, medications, and sometimes injections, and yet still experience hip discomfort. What sometimes gets overlooked is the possibility that the pain may be caused by a labral tear.
Although each of us has the same basic bone structure, some patients have extra bone around the ball of the femur as well as some extra bone on the socket. These areas of extra bone can “bump” into each other. When this happens, the labrum, which is the tissue around the socket, can become pinched and this can lead to a tear. These tears are not seen on regular x-rays, but require a specialized MRI. The MRI is done after a dye is injected into the hip joint which allows labral tears to be shown very easily and in detail.
Not every labral tear needs to be fixed, but those who fail a good course of physical therapy and still have a significant amount of hip pain may be good candidates for surgical repair. Labral repair used to require a very large incision around the hip joint. Currently, with the introduction of some new instrumentation, this can be done through two to three small incisions around the hip. A camera is used to look inside the hip joint and specialized instruments are used to reshape the socket and the ball to prevent tearing the labrum again. Then, small anchors are placed around the socket and stitches are passed through the labrum to reattach it.
One of the main goals of this surgery is to alleviate the pain, but most importantly, the goal is to preserve the hip for the future. In fact, this may prevent the need for total hip replacements in the future or at least delay that need for many years.
New Hip Replacement Techniques
For many individuals, joint replacement surgery can successfully reduce pain and restore function. New techniques and technology can offer patients increased mobility and increased independence. They can also allow for more rapid recovery and longer lasting joint function. Success has been seen with a combination of cobalt chrome and highly cross-linked polyethylene implants. Also, modular components are now used in hip replacements, allowing for easy "revision" of worn out joints. Most hip replacements are performed with titanium implants and inserted without cement. These "cement-less" hip replacements last longer than their cemented counterparts and, when combined with modular highly cross-linked polyethylene inserts, allow our surgeons to perform replacements in younger patients.
In terms of surgical techniques, there are several approaches to accessing the hip joint. Two traditional approaches to the hip, the anterolateral (front) and the posterior (back) approaches, take some muscle off the bone which is repaired at the end of the procedure. This can lead to a slightly larger incision, extended initial recovery, and extended hip precautions when compared to the Direct Anterior (DA) approach.
Direct Anterior Approach
The DA approach is minimally invasive because no muscles are cut around the hip when placing the prosthesis. This makes for a less painful procedure and quicker initial recovery. The incision is usually quite small – about three to four inches – and is made just below the hip crease over the front corner of the hip.
No matter what approach is used, we always take precautions to prevent complications such as infection and blood clots. Because of the inherent stability of the DA approach, dislocation risk is low, and lower than the other hip approaches. Some patients report numbness or tingling of the thigh after surgery. If this occurs it is usually short lived.
Immediately following DA total hip surgery, patients can expect fewer restrictions. Patients can be full weight bearing on the hip on the day of surgery. However, for the first two weeks it’s necessary to restrict extreme motions of the hip so patients are required to use a walker to slow them down to allow the bone to grow into the titanium implants.
Unfortunately, DA is not for everyone. Hips with significant bone loss or a deep tissue layer in the front of the hip may make one of the other approaches more favorable. Our surgeons can let you know if you’re a good candidate for this approach.
Not everyone who sees a hip surgeon requires joint replacement surgery. We see many patients who have broken a hip due to a fall, a car accident, or some other traumatic event. Hip fracture is more common as we age, with the majority happening to people older than 60. When a hip is fractured, there is a break in the thigh bone (femur) of the hip joint. A hip fracture is a serious injury that demands emergency medical attention.
Symptoms of Hip Fracture
The symptoms of hip fracture are similar to other medical conditions. And not everyone experiences the same symptoms. That’s why it’s important to speak with your doctor to confirm a diagnosis.
Following are the most common symptoms of a hip fracture:
- Hip pain and/or pain that is felt in your knee
- Low back pain
- Inability to stand or walk
- Bruising and swelling
- Foot turned out at an odd angle, making your leg look shorter
Diagnosing and Treating Hip Fracture
In addition to a thorough medical history and physical exam, hip fractures are diagnosed with X-rays, MRIs, and CT or CAT scans. Treatment for each patient can vary based on factors such as age, overall health, extent of the break, and personal tolerance for specific medication, procedures, or therapies.
Hip fractures are generally treated with surgery. The type of surgical repair that is best for you depends on the type of hip fracture you have. Your surgeon will determine the best procedure for you, based on your specific situation.
Most people spend from one to two weeks in the hospital after a hip fracture. The recovery process may take a long time, and may include admission to a rehabilitation facility. If you previously lived on your own, you will likely need assistance from home health aides or family, or the services of a long-term care facility.
A hip pinning is a type of surgery to repair a broken hip. Hip pinning uses pins, screws, or plates to help hold broken bones together so they can heal correctly. It is a good treatment choice for younger adults and children.
During your hip pinning, your surgeon will make a cut in your skin to reach the broken bone and put the pieces back in place. Once the pieces are back in the right place, he or she will use pins or screws to hold them together. A metal plate may also be used to help reinforce the broken area.
Our Hip Replacement Specialists
The physicians at the Crystal Clinic Orthopaedic Center can help restore the joy of movement and revitalize lives.
Meet our hip specialists.
Make an Appointment
To schedule an appointment, request an appointment online or call (888) 900-5021.