The benefits of hip replacement surgery

If you are experiencing chronic hip pain, and finding it challenging to perform everyday tasks, hip replacement surgery could be the solution you need. In this guide, we discuss the numerous benefits of hip replacement surgery, consider the potential risks, and explore how it can significantly improve your quality of life.

What is hip replacement surgery?

Hip replacement surgery is a common orthopaedic procedure that involves replacing a damaged hip joint with an artificial hip joint. The operation usually lasts for one to two hours, is done under either general or spinal anaesthesia, and has a number of significant benefits. In fact, hip replacement has among the highest patient satisfaction rates of any joint replacement surgery.

Here are some of the top benefits of hip replacement surgery:

1. Pain relief and improved mobility

The most significant benefit of hip replacement surgery is pain relief. Hip arthritis can cause excruciating pain and limit your range of movement, making simple tasks like walking and climbing stairs difficult. After a successful operation, patients often experience immediate pain relief, allowing them to resume their daily activities with ease, free of the pain and stiffness that was holding them back.

A recent study from the Arthritis Foundation found that 90% of patients who had moderate pain before their surgery reported mild or no pain after five years.

Additionally, hip replacement surgery improves mobility, enabling patients to carry out tasks that were previously challenging without the use of walking aids.

2. High success rate

Hip replacement surgery boasts an impressive success rate. A study carried out by the National Library of Medicine, using 10 years of statistics from hip replacements conducted in England and Wales between 2005 and 2014, found that major complications had only been noted to occur in 2% of procedures.

3. Long-lasting results

Artificial hip implants are designed to be durable. A recent study, backed by the National Joint Registry and published in The Lancet, has shown that over 77% of hip replacements remain functional even after 20 years. This longevity reduces the need for revision surgery and provides patients, especially older individuals, with peace of mind.

4. Enhanced quality of life

Beyond pain relief and improved mobility, hip replacement surgery has a profound impact on a patient's quality of life. With an increased range of motion and reduced dependency on others, patients often experience greater independence and improved mental wellbeing. A recent study from BMC Musculoskeletal Disorders reported a 96% rate of post-surgical satisfaction from patients who underwent a total hip replacement.

Types of hip replacements: Pros and cons

There are three different types of hip replacement procedures, each with its own advantages and considerations. Often you will find only one approach is suitable for your personal circumstances, though other people will able to choose between two or even three of the options.

Understanding the options will help you and your surgeon choose the most suitable approach for your specific needs. Here are the three types of hip replacement and their pros and cons:

1. Total hip replacement (THR)

Total hip replacement involves replacing the entire hip joint with an artificial ball and socket joint. THR offers the most comprehensive pain relief and restored mobility among all hip replacement procedures.

Pros:

• Offers excellent pain relief and restored mobility
• Suitable for severe hip arthritis cases
• High success rate and long-lasting results

Cons:

• Longer recovery period
• More invasive compared to other types of hip surgery

2. Partial hip replacement (hemiarthroplasty)

Partial hip replacement replaces only part of the hip joint with an artificial component, targeting a localised area of damage. This procedure is commonly performed for hip fractures in elderly patients. It replaces a damaged femur head, which is a common site of hip fracture.

Pros:

• Less invasive compared to THR
• Faster recovery time
• Suitable for certain hip fractures

Cons:

• Not suitable in the majority of cases
• It may not provide full pain relief for advanced arthritis cases

3. Hip resurfacing

Hip resurfacing involves removing the damaged surface of the hip joint and capping it with a metal covering. This procedure is recommended for younger and more active patients.

Pros:

• Preserves more bone compared to THR
• Suitable for younger patients with good bone quality

Cons:

• Risk of metal ion release, leading to complications in some cases
• Not suitable for patients with poor bone quality or certain medical conditions

Understanding the risks of hip replacement surgery

While hip replacement surgery is generally safe and successful, like any major operation it carries certain risks and potential complications. Our team of consultants and therapists will always talk you through every potential complication, and will advise you on the many steps you can take to help reduce the risks.

Some risks of hip replacement surgery include:

Infection

Infections can occur after surgery, although they are rare. Surgical procedures are carried out in sterile environments, and you may be given antibiotics during and after surgery to reduce the risk of infection.

Nerve damage

During surgery there is a risk of nerve damage. This can cause numbness around the scar or, in rare cases, loss of sensation or weakness in the foot. However, nerve injuries are considered rare, occurring in between 0.6 and 3.7% of patients. When nerve damage does occur, it is usually temporary, and nerve function is closely monitored during recovery so that your medical team can address any issues that arise.

Dislocation of the new hip joint

In the initial post-surgery period, dislocation of the new hip joint is a possible risk. However, with proper post-operative care and precautions, the likelihood of this occurrence can be significantly reduced.

Risk of blood clots

Deep Vein Thrombosis (DVT) and blood clots are potential risks following hip replacement surgery. Blood-thinning medication and compression socks are used during recovery to minimise this risk.

Leg length discrepancy

After hip replacement surgery, some patients may experience a slight difference in leg length, known as leg length discrepancy. This issue can often be managed with the use of orthotics.

What to expect before hip replacement surgery

Before your hip replacement surgery, there are several preparations and evaluations that need to take place. They include:

• Medical evaluation: Your orthopaedic surgeon and their specialist team will conduct a thorough medical evaluation to assess your overall health and determine if you are a suitable candidate for hip replacement surgery
• Preoperative preparation: Your surgeon may provide specific instructions for you to prepare for surgery, which may include dietary restrictions, medication adjustments, and preoperative exercises
• Education: You will receive information about the procedure, what to expect during recovery, and how to prepare your home for post-operative care
• Anaesthesia consultation: You will meet with an anaesthetist who will discuss the anaesthetic options for the surgery and answer any related questions
• Preoperative testing: Depending on your medical condition, you may need to undergo blood tests, X-rays, and other diagnostic procedures to ensure you are in the best possible condition for surgery

What to expect after hip replacement surgery

After hip replacement surgery, full recovery from the surgery takes about 3 to 6 months. There are several steps on the road to recovery and regaining full mobility. These include:

• Hospital stay: Most patients can expect to stay in the hospital for a few days after surgery. During this time, medical professionals will monitor your recovery and provide pain management
• Physical therapy: Rehabilitation is a crucial aspect of hip replacement surgery recovery. Physiotherapy will begin soon after surgery to help you regain strength, flexibility, and mobility
• Pain management: Your consultant will prescribe pain medication to help manage any post-operative discomfort
• Mobility aids: You may need to use crutches, a walker, or a cane during the initial stages of recovery to assist with walking and weight-bearing

Follow-up appointments: Regular follow-up appointments with your surgeon are essential to monitor your progress and address any concerns during the recovery process.

How to prepare your home for hip replacement recovery

Preparing your home for hip replacement recovery is essential to ensure a safe and comfortable healing process, and our team of occupational therapists can help you prepare for your return to home. Before your surgery, they may consider the following tips:

• Clear pathways: Remove any tripping hazards, such as rugs and clutter, to create clear and safe pathways through your home
• Bedroom accessibility: Place essential items within easy reach, especially in the bedroom, to avoid unnecessary bending or stretching
• Bathroom safety: Installing temporary grab bars and using a raised toilet seat or shower chair in the bathroom can help enhance safety and ease of use
• Sleeping arrangements: Prepare a comfortable sleeping area, on the ground floor if possible as climbing stairs may be challenging initially
• Meal preparation: Consider preparing and freezing meals in advance to minimise the need for prolonged standing and cooking during the initial recovery period
• Support network: Arrange for a friend or family member to stay with you during the first few days after surgery to provide support and assistance

Communication: Keep important contact numbers handy in case of emergencies or if you need assistance during your recovery.

Remember that every patient's situation is unique, and it's essential to work closely with your consultant to determine the best course of action for your specific needs and health condition. By doing so, you can look forward to a life with reduced pain, improved mobility, and the ability to enjoy everyday activities once again.

Call us or book online to speak to one of our orthopaedic consultants and discuss whether a hip replacement is the right choice for you.