Total Hip Replacement

Wellington Orthopaedic & Sports Medicine -  - Orthopaedic Surgery

Wellington Orthopaedic & Sports Medicine

Orthopaedic Surgery & Sports Medicine located throughout Greater Cincinnati, OH

When hip pain and stiffness interfere with your ability to get through the day, it may be time to consider a total hip replacement. The physicians at Wellington Orthopaedic & Sports Medicine have years of experience performing total hip replacements using open surgery and minimally invasive techniques at their four locations in Cincinnati, as well as their offices in Oxford, Sardinia, and West Chester, Ohio. To learn about your options for treating hip pain, call the office that’s most convenient for you or use online booking to schedule your visit today.

Total Hip Replacement Q & A

What Conditions are Treated with a Total Hip Replacement?

While your doctor at Wellington Orthopaedic & Sports Medicine may treat a severe hip fracture with a total hip replacement, or hip arthroplasty, two other conditions account for most hip replacement surgeries:

  • Arthritis: Patients with osteoarthritis receive about 79% of all total hip replacements. As one of your primary weight-bearing joints, your hip is especially vulnerable to the degenerative changes caused by arthritis. Osteoarthritis develops over the years, as wear and tear progressively damages cartilage on the bones in your hip joint. As the disease worsens and the joint continues to deteriorate, the best solution is a total hip replacement.
  • Avascular Necrosis: Avascular necrosis is the second most common reason patients need a total hip replacement. This condition occurs when the blood supply to the bone is diminished. Without enough blood, bone tissue dies, small cracks develop, and the bone can collapse.


How is a Total Hip Replacement Performed?

The round top of your leg bone fits into a depression in your pelvic bone, creating a ball and socket joint. Cartilage covers the two bones where they meet, allowing them to glide smoothly every time you move your leg.

When you have a total hip replacement, your doctor at Wellington Orthopaedic & Sports Medicine removes all the damaged bone and cartilage, resurfaces and reshapes the two bones, then replaces all the parts with prosthetics. Your leg receives a prosthesis made of metal that’s shaped like a ball with a stem attached. Your doctor inserts the stem into the center of your leg bone, then the socket is replaced with a cup-shaped prosthesis.

Your doctor may cement the ball and socket in place. However, some prosthetics have a rough texture that allows the bone to grow and fuse with the prosthetic piece. For the final step, cartilage is replaced with plastic, ceramic, or metal spacers, then your doctor secures the ball into the socket.

Can a Total Hip Replacement Be Done Using Minimally Invasive Surgery?

Total hip replacements may be performed using traditional open surgery or minimally invasive techniques. Open surgery uses a single incision that’s 10-12 inches long. A minimally invasive procedure may be done with a single incision that’s just 3-6 inches long, or with two smaller incisions.

A minimally invasive total hip replacement is not suitable for all patients. During your consultation, your doctor explains your options and recommends the procedure that’s best for your overall health.

If you experience persistent hip pain, call the joint replacement experts at Wellington Orthopaedic & Sports Medicine or book an appointment online today.