Total Hip Replacement
A total hip replacement replaces the worn ball and socket of the hip with an implant that moves smoothly and without pain. It is one of the most successful operations in medicine, and one of the most reliable ways to give someone their life back.
Dr. Nighot performs it through one of two muscle-sparing approaches. Which one depends on your anatomy, and on the way your hip and spine move together.
Who it helps
Osteoarthritis of the hip. Avascular necrosis, where the ball of the hip loses its blood supply, which often affects younger adults. Rheumatoid arthritis, or a hip fracture. Pain in the groin or thigh that limits walking, putting on shoes, or sleeping.
The anterior approach
The hip is reached from the front, between muscles rather than through them, through an incision of six to ten centimetres. Less tissue is disturbed, so early pain is lower and there are none of the traditional restrictions on movement after surgery.
The mini-posterior approach
A small incision at the back of the hip, about ten centimetres long. It disturbs little tissue, and it is versatile enough for complex and revision surgery. Dr. Nighot chooses it when the relationship between your hip and spine makes it the safer option.
Recovery
Most patients walk on the day of surgery, and go home within a few days. An enhanced recovery programme guides you through the first weeks. Most people are walking without support within a few weeks, and back to daily life soon after.
Common questions
Which approach is right for me?
Both spare muscle, and both give excellent results in the right hands. The choice is made from your X-rays, your anatomy, and how your spine and pelvis move when you sit and stand. Dr. Nighot will explain the reasoning at your consultation.
Will there be restrictions after surgery?
With the anterior approach, none of the traditional ones. You may bend, sit low, and sleep on either side as comfort allows, and sitting cross-legged usually returns as the hip heals. After the mini-posterior approach a few simple precautions apply for the first weeks. In both cases, walking is encouraged from day one.
How long will the new hip last?
Most modern hip replacements are still in place and working well after twenty years, and many last longer. Weight, activity, and the quality of the surgery all play a part. Dr. Nighot will tell you what to expect for your hip.
Other procedures
Total Knee Replacement · Partial Knee Replacement · Joint Preservation