When nonsurgical treatment options don’t relieve the pain in your hips caused by arthritis or injury, our hip specialists can help determine if total hip replacement surgery is your best treatment option.
At MedStar Orthopaedic Institute, our fellowship-trained hip surgeons perform more joint replacement procedures than any other hospital in central Maryland. We’re also the trusted orthopedics for professional sports teams in the mid-Atlantic region, and we’re honored to offer you the same first-class care.
When you choose us for your surgery, you’ll benefit from a complete program that includes:
- Classes and education
- A dedicated patient care coordinator
- Special medication and anesthesia choices that reduce nausea and pain
- Highly trained nursing care
- Available home care
- Inpatient and outpatient physical therapy
We also offer outpatient joint replacement options for healthy patients who have assistance at home. The procedure is the same as traditional joint replacement. However, eligible patients are allowed to go home to recover comfortably within the first 24 hours after surgery.
Continue reading to learn more about total hip replacement surgery. Questions? Call us today at 877-34-ORTHO.
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If your joints have been destroyed by trauma or disease, such as arthritis, you may be a good candidate for total hip replacement surgery. Also known as total hip arthroplasty, this procedure can help relieve pain and restore function when nonsurgical treatments fail.
Traditional Hip Replacement Surgery
During traditional surgery, your hip surgeon will make an incision on the side of the hip and split or detach the muscles to expose the joint surface. Next, the diseased bone tissue and cartilage are removed, leaving the healthy parts of the joint intact. The surgeon then replaces the head of the thighbone (femur) and acetabulum with an artificial part called a prosthesis. The new hip is made of materials that allow a natural, gliding motion of the joint.
Anterior Hip Replacement
This procedure involves inserting the prosthesis through an incision on the front of the hip. This makes it possible to reach the joint by separating the muscles or tendons instead of cutting. This approach will not help your new hip joint ultimately function better or last longer, but it may result in less pain, a faster recovery, and a quicker return to normal activity due to less muscle damage.
Recovery will take time. Your orthopedic surgeon will work with you to develop a rehabilitation plan that begins while you’re still in the hospital and continues until you feel completely healed. Typical recoveries include physical therapy exercises to regain your strength, pain management, and learning safe new ways to move and bend.
When it comes to total hip replacement, the right fit is everything. That’s why we offer Makoplasty—a unique robotic surgical option that is changing the lives of patients for the better. We perform more Makoplasty procedures than any other hospital in the state.
This advanced, robot-assisted technology is a more accurate alternative to traditional surgery. The entire procedure, from preparation to implant, is customized to your unique anatomy for a more natural fit and better function.
Makoplasty is a surgical procedure intended for patients who suffer from non-inflammatory or inflammatory degenerative joint disease, including osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, avascular necrosis, and hip dysplasia.
How Robotic Hip Replacement Works
Mako robotic arm-assisted technology provides you with a personalized surgical plan based on your unique anatomy. First, your hip specialist will take a CT scan of the affected joint. This CT scan is uploaded into the Mako system software, where a 3D model of your hip will be created. This 3D model will be used to pre-plan and assist your surgeon in performing your total hip replacement.
In the operating room, your surgeon follows your personalized surgical plan while preparing the bone for the implant. The Mako system guides your surgeon within the predefined area and helps prevent the surgeon from moving outside the planned boundaries. This helps to more accurately place your implant. The precise alignment allows the new joint to work more smoothly, with less wear and tear.
It’s important to understand that the surgery is performed by an orthopedic surgeon who guides the robotic-arm to position the implant in the hip joint. The Mako robotic-arm does not perform surgery, make decisions on its own, or move in any way without the surgeon guiding the robotic-arm. The Mako System also allows your surgeon to make adjustments to your plan during surgery as needed.
Hip replacements are designed to last for many years. However, sometimes they wear out due to natural use over time or an infection that can develop in nearby tissues. Hip revision surgery is performed to repair an artificial hip joint that has been damaged so the hip can function normally again.
During hip revision surgery, the artificial hip joint is removed and replaced with a new one. Depending on the severity of the damage and the cause, more than one may be required. In more severe cases, such as with an infection, an initial surgery will be needed to remove the prosthesis and scar tissue and treat the joint with antibiotics for the infection. When the hip is cured of infection, a hip surgeon will perform surgery to place a new artificial hip joint.
Surgery requires a period of adjustment as normal activities such as getting into a car or climbing stairs will be difficult. The recovery time is variable depending on the complexity of the surgery. In general, after approximately three to six months, most patients can get back to regular activities and walk without a limp and pain in the hip.