Is it Time to Consider a Hip Replacement?

Is it Time to Consider a Hip Replacement? Procedure, Risks, & Benefits

Understanding the Procedure, Risks, and Benefits

When everyday activities become painful, and your quality of life is compromised due to hip pain, it may be time to consider a hip replacement.

This surgical procedure has transformed the lives of millions, offering relief from chronic pain and improved mobility. However, like any major surgery, it comes with its own considerations, including risks and benefits. In this blog, we’ll explore when you should consider a hip replacement, the advantages it offers, the potential risks involved, and what you can expect in terms of longevity and recovery.

When Should You Consider a Hip Replacement?

Hip replacement surgery is typically recommended when other treatments, such as medication, physical therapy, and lifestyle modifications, have failed to provide adequate relief from hip pain and mobility issues. Some common reasons to consider a hip replacement include:

  1. Severe Hip Pain:

Persistent and severe hip pain that limits your ability to perform daily activities such as walking, climbing stairs, or even getting out of a chair.

  1. Functional Limitations:

When hip pain limits your ability to perform basic tasks like tying shoelaces or putting on socks, it may be time to consider surgical intervention.

  1. Osteoarthritis:

The most common reason for hip replacement, osteoarthritis causes the cartilage in the hip joint to deteriorate, leading to pain, stiffness, and reduced range of motion.

  1. Rheumatoid Arthritis:

This autoimmune condition can cause inflammation and damage to the hip joint, resulting in pain and disability.

  1. Hip Fractures:

Fractures to the hip, especially in older adults, may necessitate hip replacement surgery to restore function and mobility.

  1. X-ray Findings:

Imaging tests revealing severe joint damage, such as arthritis or fractures, may prompt discussions about hip replacement surgery with Mr Stitson, a highly-skilled orthopaedic surgeon.

When the pain becomes persistent and severe, it may indicate a more serious issue and perhaps the need for hip replacement surgery

David Stitson, Consultant Orthopaedic Surgeon in Plymouth

Benefits of Hip Replacement

Hip replacement surgery offers numerous benefits for individuals suffering from debilitating hip pain and mobility issues. Some of the key advantages include:

  1. Pain Relief:

By replacing damaged or diseased parts of the hip joint with artificial implants, hip replacement surgery can significantly reduce or eliminate chronic hip pain.

  1. Improved Mobility:

Many patients experience improved mobility and range of motion following hip replacement, allowing them to resume activities they were previously unable to do.

  1. Enhanced Quality of Life:

The relief from pain and restored mobility can lead to a better quality of life, enabling individuals to engage in activities they enjoy and maintain independence.

  1. Long-Term Solution:

While hip replacements may need to be replaced eventually, they are designed to last for many years, providing long-term relief for most patients.

Total Hip Replacement Surgery - 5 Deciding Factors [+ Recovery Recommendations]. Hip surgery is typically recommended when a hip joint becomes severely damaged, leading to chronic pain, stiffness and impaired mobility that does not respond to other treatments | David Stitson Orthopaedic Surgeon | Plymouth

David Stitson, Consultant Orthopaedic Surgeon in Plymouth

Risks of Hip Replacement

While hip replacement surgery is generally safe and effective, it does carry certain risks, as with any major surgical procedure. Some potential risks include:

  1. Infection:

Infections can occur at the site of the surgery or elsewhere in the body and may require additional treatment, including antibiotics or, in severe cases, revision surgery.

  1. Blood Clots:

Blood clots can form in the legs after surgery and may travel to the lungs, causing a potentially life-threatening condition known as pulmonary embolism.

  1. Dislocation:

In some cases, the artificial hip joint may become dislocated, requiring manipulation to put it back into place or, in rare cases, additional surgery.

  1. Nerve Damage:

Damage to surrounding nerves during surgery can lead to numbness, weakness, or altered sensation in the leg.

  1. Loosening or Wear of Implants:

Over time, the artificial components of the hip joint may loosen or wear out, necessitating revision surgery to replace them. Unfortunately, some patients will begin to experience pain and dysfunction in their hip replacement.  Such symptoms require careful investigation and in some cases a re-do or revision of the hip replacement is advised. Mr Stitson specialises in revision joint replacement and will explain why this is required.

Hip Replacement Surgery Rehabilitation Exercises: A Comprehensive Guide

David Stitson, Consultant Orthopaedic Surgeon in Plymouth

It is essential to discuss all your options with Mr Stitson, who can guide you through the treatment process and advise on how you can achieve the best possible outcome.

Recovery Time

The recovery time following hip replacement surgery can vary from person to person but typically involves several weeks of rehabilitation and physical therapy. Most patients are able to return home within a few days of surgery, although full recovery may take several months. Recovery following hip replacement surgery typically looks like this:

  1. Hospital Stay:

Most patients stay in the hospital for 1-3 days after surgery, depending on their overall health and progress.

  1. Rehabilitation:

Physio is a crucial component of recovery, helping patients regain strength, flexibility, and mobility.

A list of essential exercises can be accessed here »

  1. Return to Your Favourite Activities:

While full recovery may take several months, many patients can resume light activities within a few weeks and gradually increase their level of activity as advised by Mr Stitson.

“During this time, it’s essential to follow Mr Stitson’s instructions, participate in rehabilitation exercises, and avoid high-impact activities that could jeopardise the healing process.”

How Long Will My Hip Replacement Last?

The longevity of a hip replacement depends on various factors, including the patient’s age, activity level, and the type of implants used. In general, modern hip replacements are designed to last for 15 to 20 years or more. However, factors such as excessive weight, high-impact activities, and complications such as infection or implant loosening can affect the lifespan of the prosthesis.

Hip Surgery FAQs

Q: How long will I need to use assistive devices like crutches or a walker after hip replacement surgery?

A: Most patients transition from using assistive devices to walking independently within a few weeks to a couple of months after surgery, depending on individual progress.

A: While low-impact activities like swimming, cycling, and walking are generally safe after hip replacement, it’s essential to consult with Mr Stitson before engaging in high-impact or contact sports.

A: Following your surgeon’s pre- and post-operative instructions, attending physical therapy sessions, maintaining a healthy weight, and avoiding excessive strain on the hip joint can contribute to a successful outcome.

Is Hip Replacement Surgery a Life-Changing Procedure?

Yes. Hip replacement surgery can be a life-changing procedure for individuals suffering from severe hip pain and mobility issues.

By understanding the signs that indicate it may be time to consider a hip replacement, weighing the potential risks and benefits, and being aware of the expected recovery time and longevity of the implants, you can make an informed decision about whether this procedure is right for you.

If you’re experiencing persistent hip pain or difficulty with mobility, consult with an orthopaedic surgeon (such as Mr Stitson), to discuss your options and determine the best course of action for improving your quality of life.

 

Quick Tip: About Hip Surgery

Total hip replacement surgery replaces the worn-out painful and stiff hip joint with a new prosthetic joint. This procedure is normally performed under spinal anaesthesia and is commonly followed by a night or two in the hospital. Day-case hip replacement surgery may be an appropriate option for you.

Mr David Stitson Consultant Trauma & Orthopaedic Surgeon in Plymouth

About Mr Stitson

David Stitson is a Plymouth-based Consultant Trauma and Orthopaedic Surgeon. Trained both in the UK and internationally, he has worked in medicine for more than 20 years for the NHS, for the Royal Air Force and in private practice. Mr Stitson operates privately at the Nuffield Health Hospital, Plymouth.

David Stitson is a Plymouth-based Consultant Trauma and Orthopaedic Surgeon.

The Nuffield Plymouth CQC Rating

The Nuffield Hospital has a history that spans over half a century and has built a reputation for high standards of care, professionalism and expertise in delivering health services. They aim for continuous quality improvement in everything they do.

Active Quality and Governance programmes are in place at the Nuffield Hospital Plymouth. As part of this, the hospital is inspected by independent healthcare regulators to ensure it meets the fundamental standards of quality and safety as determined by the regulating body (CQC).

In the most recent inspection, Plymouth Nuffield Hospital was rated as ‘Good’ overall, however, the surgical element of the inspection was rated as ‘Outstanding’. The hospital was referred to as:

Outstanding in effective and caring, and
Good in safe, responsive and well-led.”