Hip replacement surgery is nearly always classed as ‘elective surgery’, meaning it is scheduled in advance (not surgery carried out in an emergency). This means that you will know in advance the date of your surgery and can plan your diary around the operation and subsequent recovery period.
The surgery is normally planned using special orthopaedic templating software and current X-rays or scans. Your consultant uses these to make sure that your implant will be the right size and length for your leg and give you movement that feels natural. (If you don’t have up-to-date scans, these will be arranged for you at Ross Hall by your consultant.)
The surgery may be carried out using a general anaesthetic (meaning you will be fully asleep) or with a spinal anaesthetic (where you are awake, but your legs and pelvis are numb) and sedation. Some people may be better suited to one of these, while others will have personal preferences. You will be able to discuss the different options with an anaesthetist beforehand.
Once you have been taken into the operating theatre at Ross Hall, your pelvis and leg will be covered in sterile drapes and the skin cleaned with the application of a sterile wipe. Your consultant will then make an incision (cut) in the skin to give them access to the hip joint.
They will carefully remove any remaining cartilage from the joint and then position and fix the new artificial socket into the acetabulum. A spike will then be positioned into the femur and a ball placed on top of it. This will become the new ‘ball’ of the artificial ‘ball and socket’ hip implant.
Once the implant has been positioned properly, your consultant will test it and carry out any final adjustments needed to ensure it will be an appropriate match for your natural biomechanics.
The skin will then be carefully closed with sutures and covered with a sterile dressing. The muscles surrounding the hip help to keep the implant securely in position.
Hip replacement surgery will usually take around an hour and half, but exact timings depend on a range of factors.
Once the operation has been done, you will be taken into a dedicated theatre recovery area, where our theatre staff will closely monitor you as the anaesthetic wears off, and you start to wake up more fully.
Once they are happy that you are well enough to return to the ward, you will be taken back to your private room to rest. Your nurse will check in on you at regular intervals, but if you need help with anything at any point, you can use the call button on your bed.