Surgical Treatments for Hip Pain
The Johns Hopkins orthopaedic surgeons at Johns Hopkins Bayview Medical Center specialize in reliable and innovative treatment options for hip pain. There are several different factors that could determine which hip procedure you may benefit from the most. Your Johns Hopkins orthopaedic surgeon can help you decide which option is right for you. Options include:
A Joint Effort: The Causes and Cures of Joint Pain
Total hip replacements usually are performed for arthritic conditions, especially osteoarthritis, but may sometimes be recommended in the case of hip fracture or avascular necrosis (also known as osteonecrosis), a condition in which the bone of the ball portion of the hip dies. While most patients with artificial hips are over 55 years of age, the operation also is performed on younger people.
Traditional total hip replacement surgery is done through an incision that is usually about five to eight inches in length. Beneath the incision, the muscle is separated and the hip joint is exposed. The surgeon then removes the arthritic hip joint and replaces it with a metal and plastic implant. The surgeon performs this surgery by looking directly at the arthritic hip joint and setting the artificial hip implant into place. After surgery, patients commonly stay in the hospital three to four days, and often require two to three months of rehabilitation.
This new technique allows our surgeons to perform total hip replacement surgery through two small incisions and with minimal muscle dissection. The surgeon uses X-ray guidance in the operating room to help position the artificial hip. This minimally-invasive procedure usually results in shorter hospital stays, quicker rehabilitation and no hip precautions after surgery.
Unlike a total hip replacement, a surface replacement leaves more of your bone in place and does not remove your femoral neck. With a total hip replacement, a metal pin is placed down the shaft of the femur. In a hip resurfacing procedure, a metal cap is used to replace the ball part of the femur. A highly polished metal-on-metal surface is used to reduce wear. In comparison to a total hip replacement, the chance of dislocation is lower in hip resurfacing.
This procedure is generally used as an alternative to total hip replacement and is often suggested for active patients under the age of 55. Sometimes a patient will need to have a total hip replacement at a later date. Hip resurfacing may give the patient time for new technological improvements to emerge in the field of total hip replacement surgeries. Recovery from a hip resurfacing usually takes between two and three months.
Read more about the Johns Hopkins Hip & Knee Program. To request an appointment with an orthopaedic surgeon, please call 410-550-0453.