Patient Education: Hip Replacement
The Surgical Procedure
Hip replacement is one of the most common forms of
total joint replacements. To begin the surgical procedure, the patient
will be given an anesthetic (usually a spinal unless contraindicated).
The surgeon will then make an incision and prepare the hip bone
for implantation of the prostheses. The surgeon will remove the
rough surfaces of the bone at the joint and replace them with new
smoothly surfaced implants.
Like the human hip, this artificial joint is composed
of three components that fit together to form a ball and socket
joint. The components of the prosthesis are the ball, stem, and
cup. The ball will replace the worn upper end of the femur, while
the cup will replace the worn socket in the pelvis. The stem will
be inserted into the bone for stability. These components are implanted
separately and then brought together. In some cases, the incision
is closed after a small tube (called a hemovac) is inserted to help
drain fluids from the hip joint area for the first day or so following
surgery.
The surgical technique for the total hip replacement
is discussed in greater detail in the section labeled Surgical Techniques.
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