Expert Hip Replacement for Better Life Enhancement
If you have hip pain, you know the restrictions it places on your life and activities. Fortunately, you also have a team of experts at your side at Providence. The surgeons, nurses and rehab specialists at the Providence Center for Orthopaedics will give you a new hip, or fix the one you have – and you will enjoy a new, pain-free life.
Types of Hip Procedures
Total Hip Replacement
Total hip replacement is a surgical operation involving the replacement of the cup-shaped hip socket and the ball of the thigh bone that have worn from arthritis or from other conditions which deteriorate the cartilage and bone of the joint. In cases requiring total hip replacement, the cartilage becomes worn, and the underlying bone develops spurs and various irregularities, which produce hip pain and loss of motion.
Your surgeon will reshape the socket to fit a new cup implant that replaces your diseased socket. The new cup usually consists of a metal shell and a polyethylene or metal liner.
Your surgeon will then prepare your femur for the femoral stem, which will hold the new ball part of your hip joint. The head of your femur is removed, and the bone is prepared for the new femoral stem. Your surgeon will most likely use a trial implant to verify the correct fit.
After your permanent hip stem is implanted, the ball that sits at the top of the femoral stem will be put into place. Once your surgeon is satisfied with the position and movement of your new hip joint, it will be flushed with cleansing fluid and closed.
Anterior Approach to Hip Replacement
This hip surgery uses an incision on the anterolateral part of the hip, instead of a more traditional incision on the side or back of the joint to replace diseased and damaged portions of the hip with implants designed to restore function to the hip joint.
Hip arthroscopy is a surgical procedure in which a small, flexible tube with a camera attached, called an arthroscope, is inserted into the hip joint. Two or three small incisions are typically made to allow the scope and other surgical instruments to enter a narrow space between the ball and socket of the hip joint. A monitor attached to the camera enables the surgeon to see inside the hip joint to diagnose and even treat certain hip joint problems. This minimally invasive procedure has advantages over traditional open hip surgery because it causes very little trauma to the hip joint, is generally done on an outpatient basis where patients return home after the procedure, and typically has a short recovery period.
Hip Joint Resurfacing
The hip socket, called the acetabulum, is lined with cartilage that cushions the bones and allows smooth leg rotation. If the cartilage begins to wear or degenerate, the hip loses its flexibility and the bones may begin to scrape against each other, causing restricted motion and significant hip pain. Hip resurfacing is a procedure that replaces worn cartilage and damaged bone by capping the femur with a metal covering and placing a metal cup-shaped liner in the acetabulum. The best candidates for hip resurfacing are physically active and typically younger than 60 years of age. Solid bone tissue in the femur is a requirement for hip resurfacing.
Partial Hip Replacement
Normal motion becomes restricted and painful with advanced wear of the hip joint. Partial hip replacement is a surgical procedure used to replace half of the hip joint. The operation involves replacing the ball of the femur that has worn from arthritis, degeneration or a serious fracture involving the ball of the hip joint.
Revision Hip Replacement
Over time the original components of a total hip replacement can break down and loosen from the bone surface to which they were once firmly attached. Revision hip replacement involves the exchange of some or all worn components with new ones. The degree of complexity for this procedure is dependent on the amount of loosening and associated damage to the underlying bone surfaces that may have occurred over time. Specialized components, bone graft and cement may be used to rebuild the hip joint.
Awards and Recognition
Providence Center for Orthopaedics has received the Blue Cross Distinction Center Award from Blue Cross Blue Shield. The Center was selected for the award based upon three criteria: expertise of the medical team, the number of hip and knee surgeries performed each year, and a proven track record of excellent results. According to Blue Cross Blue Shield, hospitals that receive the award are selected because they have proven to outperform their peers in the region in the areas of quality, safety, and efficiency. As a distinction center, Blue Cross Blue Shield members can go online and find the best place to have their hip or knee surgery in the area – Providence being one of only two hospitals in the DC metro area with this designation as a Blue Cross Distinction Center.