Total Hip Replacement

Arthritis of the hip can be a debilitating condition that leads to pain, immobility and a decreased quality of life.  Common symptoms include groin pain, hip stiffness and gait abnormalities. When non-operative treatment fails then total hip arthroplasty (replacement) is an excellent option.

hip stiffness, arthritis, osteoarthritis, total hip replacement, hip pain, surgery

51 year-old female golfer with severe osteoarthritis of the right hip and intractable pain of the groin and lateral hip

Total hip arthroplasty is one of the most successful procedures in all of medicine. When done correctly results are generally excellent. Hip replacement involves removal of the arthritic surfaces of the femoral head (the “ball”) and the acetabulum (the “socket”). The acetabulum is resurfaced with a prosthetic cup and a modular liner. The femoral head is replaced with a femoral stem and prosthetic ball. The prosthetic bearing surfaces of the headball and cup can be made from one of several materials including cobalt chromium (metal), ceramic, and polyethylene (plastic). Each of these bearing options carries different risks and benefits. The type of bearing surface utilized depends on several factors including patient age, activity demands, and surgeon experience. A patient is encouraged to discuss these options with his/her surgeon when considering total hip replacement.

Hip replacement can be done through one of several different approaches. Traditionally a large anterior, posterior, or lateral approach was performed to gain exposure to the hip. Although effective, this led to increased blood loss, significant muscle trauma and slower recovery times. Recently, minimally invasive surgical techniques have offered several improvements over traditional approaches. Although more technically demanding, minimally invasive surgery allows for less muscular trauma and quicker patient recovery. This can be especially helpful in younger and more active patients.

total hip replacement, total hip arthroplasty, successful hip surgery, Richmond Virginia

After undergoing successful right total hip replacement patient was able to return to golf 3 weeks after surgery with minimal pain

Dr. Wind’s Experience

Total hip prosthesis, hip replacement, hip implant systems

Example of femoral stem utilized in total hip replacement. Note the proximal porous coating which allows for bone ingrowth to the stem.

Dr. Wind has extensive practice and fellowship experience in total hip replacement. He performs approximately 150-200 total hip replacements each year. Furthermore, he benefited greatly from specialized fellowship training in hip replacement at the Southern Joint Replacement Institute in Nashville, TN. He has experience with several different hip implant systems and all available bearing surface options. Dr. Wind performs hip replacement through either a minimally invasive anterior or minimally invasive posterior approach to the hip. The usual incision is approximately four inches in length. The abductor musculature is left completely intact and no muscles are cut. Every attempt is made to mobilize the patient with physical therapy within 12-24 hours of surgery. The average length of stay after surgery is 36-72 hours.

 

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