Total Hip Replacement

Total hip replacement is a surgical procedure designed to alleviate pain and restore function in patients suffering from severe hip joint damage due to conditions such as arthritis, injury, or degenerative diseases. 

The hip joint is one of the body’s largest weight-bearing joints, connecting the thigh bone (femur) to the pelvis (acetabulum). Over time, wear and tear can lead to pain, stiffness, and a decreased range of motion, significantly impacting a patient’s quality of life.

During the procedure, Richard removes the damaged cartilage and bone from the hip joint and replaces them with artificial components, which are designed to mimic the natural movement of the joint.

Dr Hocking utilises advanced surgical techniques, including minimally invasive approaches when appropriate, to ensure minimal trauma to surrounding tissues, reduced post-operative pain, and the fastest possible recovery times. With a commitment to personalised care, he collaborates with each patient to develop a tailored treatment plan, ensuring they are well informed throughout the process. Post-surgery, Richard emphasises the importance of rehabilitation to achieve optimal results, helping patients return to their daily activities and enjoy an active lifestyle once again.

Overview

Symptoms

Common signs of hip arthritis include joint pain and stiffness, especially during vigorous activities, which can result in a limp.

Diagnosis

Diagnosis typically involves a review of medical history, physical examination, and X-rays.

Surgical Procedure

Where conservative treatments, such as anti-inflammatory medications and physical therapy are ineffective, surgery may be recommended. Performed under spinal and / or general anesthesia, the procedure includes:

  1. A surgical incision over the hip to access the joint.
  2. Dislocating the femur from the acetabulum and cleaning the socket.
  3. Removing damaged bone and inserting a new acetabular component.
  4. Preparing the femur to fit a metal femoral component, which is then secured in place.
  5. Closing the incision after repairing surrounding muscles and tendons.

Post-Operative Care

To ensure proper healing and prevent dislocation, follow these precautions:

  • Avoid bending your hip while turning your foot inward.
  • Use a pillow between your legs while sleeping for six weeks.
  • Do not cross your legs or bend your hips past 90 degrees.
  • Use an elevated toilet seat and avoid low chairs.