Diagnostic work-up of patients needing a total hip
Consider that many patients have more than one diagnosis causing their “hip pain”. Most patients have some degree of back issues. The arthritic hip could have caused the back to become painful! A back with degenerative disc disease can cause hip pain! Many have both issues. Dr. Holmes, many times will want a shot put into the hip. This will tell him and the patient, perhaps, how much of the pain is coming from the hip and how much from the back. In some series of total hip replacements, following surgery, the back pain is DECREASED because the hip now rotates instead of the spine! In some, unfortunately, the back pain is the same or increases probably because of the increased activity of the patient due to the new moving hip.
Once reasonable conservative measures have failed, then, and only then will hip replacement occur. One should consider this if the hip pain is interfering with one’s life and desired activities. Also, consider it while one has their good health to aid recovery.
What can I expect during a hip replacement?
The procedure in Dr. Holmes’ office will be performed ONLY after a preoperative medical clearance is obtained. This allows for the safest, albeit not zero, chances of complications. The procedure WILL be scheduled within 30 days of this clearance.
The procedure itself takes about an hour. The patient will be away from the family for about 4 hours, though. It takes about an hour to start. The procedure is about an hour, then watched in the recovery room (one on one care) for two hours.
Dr. Holmes likes to use the Anatomic sized total hip. This is a very large femoral head about the same size as the original. This requires a large cup. The advantage of this is a VERY LOW dislocation rate! In his hands IF the cup remains fixed then very few future hip precautions are necessary. One can cross their legs and tie their shoes eventually. If the cup is deemed unstable or becomes unstable, then a cup with screws are necessary and this requires a “big head.” Big heads are not as big as anatomic heads and STILL have a low dislocation risk compared to smaller heads but more than the anatomic heads.
The approach, therefore, is usually a small lateral approach because of the anatomic heads. The muscle is split, as much capsule and osteophytes are maintained as possible (It has been found that keeping capsule helps stabilize hips and osteophytes incorporate with the large cup to help stabilize it also!) The approach allows for the repair of abductor muscles that many patients have torn off over the years! In some series the number of femoral fractures, dislocation, and loosening is less than in the anterior approach, in Dr. Holmes’ opinion.
Who should have hip replacement surgery?
Patients who are losing their health, losing the ability to do the things they want to do, or are losing good insurance should have hip replacement surgery.
What does hip replacement surgery involve?
Hip replacement surgery is a one to two hour procedure during which the ball and cup of the worn out joint is replaced. For more on the surgery, view Sports, Occupational, & Knee Surgery’s 3D animation video of a hip replacement.
See What Our Patients Are Saying:
“The doctor and his staff are caring professionals who take excellent care of their patients. Several members of my family, besides myself, have entrusted Dr. Holmes with their care. We are completely pleased with our care.” -Debrale G.
How do I prepare for hip replacement surgery?
Exercising as much as possible and taking care of other medical conditions before a hip replacement surgery is suggested.
How long will my hip replacement last?
Hip replacement results last depending on age and athletic demands of each patient.
Rehabilitation is basically getting your body back. After the actual hip replacement in San Antonio, TX takes place, physical therapy and home exercises continue until you are able to function independently. Staying with your walking and exercise program will help speed your recovery.
Our compassionate and professional staff at Sports, Occupational and Knee Surgery will follow through with each patient until they reach full recovery. We hope to be your practice of choice when needing a hip replacement in San Antonio, TX.
Hip Replacement Patient Testimonials
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A healthy and happy body are only a click or call away. Call Sports, Occupational and Knee Surgery today for a hip replacement consultation at (210) 696-9000 at either our San Antonio or Shertz location.