• Hip Replacement

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  • The hip joint is essentially a ball and socket joint made up of the pelvis and the femur. The top, or "ball," of the femur comes together with the acetabulum, or "socket," of the pelvis. The bones are lined with articular cartilage, which allows for shock absorption and smooth, fluid movement.

    Common Hip Conditions

    • Arthritis is a very common cause for hip pain. It usually occurs in older individuals and is gradual in onset. It most commonly manifests as osteoarthritis, but rheumatoid arthritis is also common.
    • Osteonecrosis (bone death) commonly occurs in young and middle-aged adults. It arises because of the loss of blood supply to the femoral head, which leads to pain and joint instability.
    • Hip fractures are very common in elderly patients after a fall. Symptoms include inability to bear weight and extreme hip pain. Hip fractures represent a serious health problem in the elderly because of the associated morbidities, such as pneumonia and blood clots.

    Learn more about Total Hip Replacement

    Total Hip Replacement Surgery
    Many times patients seek medical attention due to a loss of mobility in the area of the hip joint or complaints of pain in the hip or groin with mobility or weight bearing activities. These symptoms are most often secondary to osteoarthritis of the hip joint brought on by aging or previous trauma to the hip joint. These symptoms frequently respond to conservative management of anti-inflammatory medications and corticosteroid injections.

    When these types of treatments are unsuccessful, consideration for total hip replacement or arthroplasty is discussed. Hip replacement is an extremely common and successful operation consisting of removing the ball part of the hip joint and the receiving socket lining and replacing them with artificial materials made to withstand extended wear and tear.

    Although patients will typically see an increase in their functional amount of motion following hip replacement surgery, there may be some motions or positions that need to be avoided for two to three months to avoid dislocation of the hip following surgery. These motions and positions are dependent on the surgical approach used by the physician.

    Patient education and understanding of the limitations of hip replacement, especially regarding the potential for dislocation and range of motion restrictions, can help minimize the occurrence of this complication. Patients are encouraged to discuss specific limitations and activity restrictions following joint replacement with their surgeon, physical therapist or occupational therapist.  

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