A Detailed Description of Hip Replacement Surgery

During Hip Replacement Surgery

Your doctor will begin by making an 8- to 15-inch incision over your hip. Tissue and muscle are carefully moved aside to expose your hip joint. The end of the thighbone is then cut, using special guides and saws. The natural "ball" of the hip joint is then removed. The thighbone is then prepared, which involves removing a portion of the middle part of the bone.
 
Special instruments are used to prepare the socket area for the implant. This involves removing some of the tissue and bone to make a smooth, round surface for the implant. Screws are sometimes used to fix the metal replacement socket into place.
 
Once the thighbone and pelvis have been prepared, the ball and socket of the new implant are connected. Your surgeon will then check your hip's range of motion. If it is unstable or comes apart too easily, a larger or longer implant may be used to make it more stable. This might make your leg slightly longer than it was before your surgery.
 
In many cases, plastic drains will be placed inside the joint to drain excess blood into a plastic container outside the skin. These are usually removed in one to two days. The soft tissue and muscle are stitched back into place with stitches that your body will absorb over time. The skin is then closed with stitches or staples. A sterile bandage is taped over the wound to keep it clean.
 
Although you may not remember, you will be awakened while still in the operating room and then transported to recovery.
 
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Total Hip Replacement

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