Hip joint replacement

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Hip fracture

Osteoarthritis vs. rheumatoid arthritis

Hip joint replacement is surgery to replace all or part of the hip joint with an artificial joint. The artificial joint is called a prosthesis.

Hip arthroplasty; Total hip replacement; Hip hemiarthroplasty

The artificial hip joint has four parts:

• A socket that replaces your old hip socket. The socket is usually made of metal.
• The liner, which fits inside the socket. It is usually plastic, but some surgeons are now trying other materials, like ceramic and metal. The liner allows the hip to move smoothly.
• A metal or ceramic ball that will replace the round head (top) of your thigh bone.
• A metal stem that is attached to the shaft of the thigh bone to make the joint more stable.

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You may receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. You may have a spinal or epidural anesthesia. In this kind of anesthesia, medicine is put into your back to make you numb below your waist.

After you receive anesthesia, your surgeon will make a surgical cut to open up your hip joint. Often this cut is over the buttocks. Then your surgeon will:

• Remove the head of your thigh bone.
• Clean out your hip socket and remove the remaining cartilage and damaged or arthritic bone.
• Put the new hip socket in place, then insert the metal stem into your thigh bone.
• Secure all the new parts in place, sometimes with a special cement.
• Place a liner and ball that fit your body in the artificial joint.
• Repair the muscles and tendons around the new joint.
• Close the surgical cut.

This surgery usually takes 1 to 3 hours.

The most common reason to have a hip joint replaced is to relieve severe arthritis pain that is limiting your activities.

Hip joint replacement is usually done in people age 60 and older. Younger people who have a hip replaced may put extra stress on the artificial hip. That extra stress can cause it to wear out. Part or all of the joint may need to be replaced again if that happens.