Total hip replacement surgery is a vital procedure that has helped many Canadians regain mobility and live pain-free lives. Thousands of hip replacement surgeries are performed yearly in Canada, making it one of the most common orthopedic procedures.

At Gateway Surgery, we understand that preparing for surgery can be overwhelming, and you likely have many questions and concerns. This FAQ-style blog is designed to address the most common queries, providing you with the information you need to make informed decisions about your healthcare.

General Questions

What is a Total Hip Replacement?

A total hip replacement, also known as hip arthroplasty, is a surgical procedure in which a damaged hip joint is replaced with artificial components. These components typically include a metal or ceramic ball that replaces the head of the thigh bone (femur) and a plastic or ceramic socket that replaces the hip socket (acetabulum).

Who is a Candidate for Total Hip Replacement Surgery?

Candidates for total hip replacement surgery generally include individuals with:

  • Severe hip pain that limits daily activities such as walking, climbing stairs, and getting in and out of chairs.
  • Hip pain that persists even during rest, day and night.
  • Stiffness in the hip that restricts movement.
  • Ineffectiveness of other treatments like physical therapy, medications, or walking aids.
  • X-ray findings indicating osteoarthritis.

Pre-Surgery Questions

What Preparations are Necessary Before Surgery?

Our team is dedicated to ensuring you feel confident and well-prepared for your surgery. We will guide you through every step of the preparation process and provide a comprehensive resource guide. This guide will include important considerations, instructions, and tools to help make your surgical journey as smooth and stress-free as possible. Should you have any questions, our team is here to support you every step of the way.

How Do I Know if I Need a Total Hip Replacement?

If you experience x-ray findings showing osteoarthritis and chronic hip pain that severely affects your quality of life and other treatments have failed, then a total hip replacement may be an option for you. Our surgeons will evaluate your condition and recommend the best course of action based on your symptoms and medical history.

Surgery Details

How is the Total Hip Replacement Surgery Performed?

Total hip replacement surgery involves the following steps:

  • Anaesthesia: You will be given a general anaesthesia or spinal anaesthesia to numb the lower half of your body.
  • Incision: The surgeon makes an incision over the hip to access the joint.
  • Removal of Damaged Tissue: The damaged bone and cartilage are removed.
  • Implantation: The new hip components are inserted into the thigh bone and hip socket.
  • Closure: The incision is closed with stitches or staples, and a dressing is applied.

What Types of Hip Implants Are Used?

There are several types of hip implants used in total hip replacement, including:

  • Metal-on-Polyethylene: A metal ball with a plastic socket.
  • Ceramic-on-Polyethylene: A ceramic ball with a plastic socket.
  • Ceramic-on-Ceramic: Both the ball and socket are made of ceramic.
  • Metal-on-Metal: Both components are metal (less common due to potential complications).

Your surgeon will recommend the best type of implant based on your age, activity level, and specific needs, and their preference.

Recovery and Post-Surgery Questions

What is the Expected Recovery Time?

Recovery time varies for each individual, but generally, you can expect:

  • Hospital Stay: 1-2 night stay at the facility.
  • Walking with Assistance: Within 24-48 hours after surgery.
  • Physical Therapy: Begins immediately and continues for several weeks.
  • Full Recovery: Typically takes 3-6 months, depending on your overall health and adherence to rehabilitation.

What Should I Expect During the Rehabilitation Process?

Rehabilitation is a crucial part of recovery and includes:

  • Physical Therapy: Tailored exercises to improve strength, flexibility, and range of motion.
  • Home Exercises: Continuation of therapy exercises at home.
  • Follow-Up Appointments: Regular check-ups with your surgeon to monitor progress and address any concerns.

Risks and Complications

What are the Potential Risks and Complications of Total Hip Replacement?

While total hip replacement is generally safe, potential risks and complications include:

  • Infection: This can occur at the incision site or deeper within the new joint.
  • Blood Clots: In the legs or lungs.
  • Dislocation: The new joint may become dislocated.
  • Loosening or Wear: The new joint can wear out or become loose over time.
  • Nerve or Blood Vessel Injury: Rare but possible.

How Can Complications Be Prevented or Managed?

At Gateway Surgery, patient safety and recovery are our top priorities. Our team takes a proactive approach to minimize the risk of complications and ensures any issues are addressed promptly and effectively. Here’s how we manage post-operative care:

  • Close Monitoring: We provide thorough post-operative monitoring to identify potential complications early, ensuring timely intervention if needed.
  • Clear Instructions: You’ll receive a detailed post-operative care guide, including signs to watch for and steps to follow for a smooth recovery.
  • After Hours Support: Our team is available to address your concerns or symptoms promptly. Should complications arise, you can reach out to our dedicated support line for immediate assistance.
  • Comprehensive Follow-Up Care: We schedule follow-up appointments to monitor your progress, assess healing, and adjust care plans as necessary.

Your recovery journey is as important to us as your surgery itself, and we are here to support you every step of the way.

Total Hip Replacement Long-Term Considerations

How Long Does a Hip Replacement Last?

Modern hip replacements are designed to last 15-20 years or more. Longevity depends on several factors, including your activity level, weight, and adherence to post-operative care instructions.

What Lifestyle Changes Might be Necessary After a Hip Replacement?

Post-surgery, you may need to make lifestyle changes to protect your new hip joint:

  • Maintain a Healthy Weight: Reducing stress on the hip joint.
  • Avoid High-Impact Activities: Such as running or heavy lifting.
  • Stay Active: Engage in low-impact exercises like swimming, cycling, or walking.

Total hip replacement surgery can dramatically improve your quality of life by relieving pain and restoring mobility. By understanding the procedure, preparation, and recovery process, you can make informed decisions about your healthcare. At Gateway Surgery, we are dedicated to providing you with the highest quality care and support throughout your journey to recovery. If you have any more questions or are considering a total hip replacement, contact us today to schedule a consultation.

Do you have any questions about total hip replacement that we haven’t covered? Are you on a waiting list for a hip replacement? Share your thoughts with our readers in the comments below.