Navigating Hip Surgery Options: Which Procedure is Right for You?

June 18, 2024 | By: Raleigh Orthopaedic Team
Orthopedic Doctors During Surgery

Hip pain can be debilitating, affecting every aspect of your life from walking to sleeping. When conservative treatments like physical therapy, medications, and lifestyle changes fail to provide relief, surgery may become a necessary option. However, the term “hip surgery” encompasses a range of procedures, each suited to different conditions and patient needs. In this blog post, we’ll explore three major types of hip surgeries: hip arthroscopy, hip replacement, and hip revision, to help you understand which might be right for you.

Hip Arthroscopy: Minimally Invasive Relief

What Is Hip Arthroscopy?

Hip arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various hip problems. During this procedure, a surgeon inserts a small camera, called an arthroscope, into the hip joint through small incisions. This allows the surgeon to view the joint on a screen and use miniature surgical instruments to correct issues.

When Is Hip Arthroscopy Recommended?

Hip arthroscopy is typically recommended for:

  • Labral Tears: Tears in the ring of cartilage (labrum) that follows the outside rim of the hip joint socket.
  • Femoroacetabular Impingement (FAI): A condition where extra bone grows along one or both of the bones that form the hip joint.
  • Hip Dysplasia: A condition where the hip socket doesn’t fully cover the ball portion of the upper thighbone.
  • Snapping Hip Syndrome: When tendons snap over the hip joint, causing pain and a popping sound.
  • Synovitis: Inflammation of the joint lining.

Benefits of Hip Arthroscopy

  • Minimally Invasive: Smaller incisions lead to less scarring and faster recovery.
  • Less Pain: Post-operative pain is typically less compared to open surgery.
  • Quicker Recovery: Patients often return to their regular activities faster.

Hip Replacement: Comprehensive Joint Solution

What Is Hip Replacement?

Hip replacement, also known as hip arthroplasty, involves removing the damaged sections of your hip joint and replacing them with artificial parts, usually made from metal, ceramic, and hard plastic. This procedure is designed to restore function and relieve pain in the hip joint.

When Is Hip Replacement Recommended?

Hip replacement is generally recommended for:

  • Osteoarthritis: The most common reason, where the cartilage that cushions the ends of the bones wears down over time.
  • Rheumatoid Arthritis: An autoimmune disease that leads to inflammation of the joints.
  • Post-Traumatic Arthritis: Arthritis following an injury.
  • Avascular Necrosis: The bone begins to die due to lack of blood supply.
  • Hip Fractures: Severe breaks in the hip bone.

Benefits of Hip Replacement

  • Pain Relief: Significant reduction or elimination of hip pain.
  • Improved Mobility: Greater ease in movement and activities.
  • Durability: Modern implants can last 15-20 years or more.

Hip Revision: Addressing Previous Surgeries

What Is Hip Revision?

Hip revision surgery involves removing and replacing a previously implanted hip prosthesis. This can be necessary due to various reasons including implant wear and tear, dislocation, infection, or mechanical failure.

When Is Hip Revision Recommended?

Hip revision is typically necessary when:

  • Implant Wear and Loosening: Over time, the implant components can wear out or loosen.
  • Dislocation: The hip joint becomes dislocated more than once.
  • Infection: An infection around the prosthesis that doesn’t respond to antibiotics.
  • Periprosthetic Fracture: A fracture occurring around the prosthetic hip joint.

Benefits of Hip Revision

  • Extended Implant Life: Replacing worn or damaged components can prolong the life of the implant.
  • Improved Function: Restoring the function of the hip joint.
  • Pain Relief: Alleviating pain caused by implant issues.

Choosing the Right Procedure

Selecting the appropriate hip surgery depends on several factors including your diagnosis, the severity of your condition, your overall health, and your lifestyle. Here are some steps to help you decide:

  1. Consult with a Specialist: A thorough evaluation by an orthopedic surgeon can help determine the best course of action.
  2. Understand the Risks and Benefits: Each procedure comes with its own set of risks and benefits. Make sure you are well-informed.
  3. Consider Your Recovery Time: Think about how much time you can allocate for recovery and rehabilitation.
  4. Evaluate Long-Term Outcomes: Consider the longevity of the results and any future procedures that might be necessary.

Navigating hip surgery options can be overwhelming, but understanding the differences between hip arthroscopy, hip replacement, and hip revision is the first step toward making an informed decision. Always consult with your healthcare provider to discuss your specific situation and determine the best treatment plan tailored to your needs. With the right approach, you can look forward to improved mobility and a significant reduction in hip pain, allowing you to get back to the activities you love.

Expert Hip Specialists in Wake County

The hip specialists at Raleigh Orthopaedic include Dr. AlbrightDr. BarkerDr. ChiavettaDr. EskildsenDr. JamesDr. McNabbDr. QuinlanDr. VaughnDr. Watters, and Dr. Wyker, who are trained to diagnose causes of hip pain and treat minor injuries, as well as perform total joint replacement procedures in Wake County. Learn more about our hip specialists HERE, and contact us today to schedule an appointment!

If your injury or condition is recent, you can visit one of our Orthopaedic Urgent Care locations for immediate assistance. For rehabilitation and physical therapy, no referral is necessary to see one of our certified physical therapists.

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The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Orthopedic Doctors During Surgery