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Hip Replacement

In a total hip replacement, damaged hips are replaced with artificial hip parts called prosthesis, a device that substitutes or supplements a joint. Questions and answers are invited about the surgery and the technology involved in this procedure.

251 Questions

What is a hip replacement?

Exactly what it sounds like. A hip bone is taken out, through surgery of course, and then is replaced with a prostetic. My mom's 'new' hip is made of titanium.

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A bone conserving alternative to a Total Hip Replacement (THR) is hip resurfacing. The Birmingham Hip Resurfacing (BHR) is a bone conserving implant aimed at young active patients who want there quality of life back!

Instead of replacing the old worn out joint, a BHR resurfaces the femoral head with a Cobalt-Chrome component and inserts a Cobalt-Chrome cup into the acetabular socket. This metal on metal technique last longer and has less wear than the traditional Metal on Plastic THR.

By conserving the bone at the femoral head, revisions should they be needed are much simplier than they are if a THR has been carried out at first.

The BHR was pioneered by Derek McMinn in Birmingham, UK. The implant has a high success rate currently at 97% at 13 years which compared to similar statistics for a THR, the difference is staggering. See McMinn Centre website for more details!

What is the success rate for hip replacement?

It is estimated that one in seven adults over the age of 60 will have knee replacement surgery. Those who are extremely active in competitive sports such as football, hockey or other contact sports can have a higher instance of needing this type of operation. The procedures have become minimally invasive with a recovery time of about five to ten days.

Can a person run after a hip replacement?

You can do anything you want to do. As long as you don't have an underlying bone problem such as osteoporosis. They are a godsend for these patients who've dealt with bad arthritis for years. Most people will be able to do much more than they could before the surgery.

Ankle swelling after hip replacement surgery?

This depends, as in most individual cases, upon the treatment the physician provides both before the actual birth and during the gestation stage. Some swell, some do not. Some women approach the hospital wearing large pillows on their feet and some came running barefooted. My feet are swollen this very minute because you have forced me to be up and about long past my bedtime.

Layperson's Answer:

I have experienced such swelling after surgery, hands (I couldn't make a fist), feet, even face (the surgery was abdominal). My face was so swollen, I had no peripheral vision. I believe that this was due to the amount of IV fluids that they infused following my surgery. When I spoke to the physician about it, he would not say one way or the other. I know that they do need to provide these fluids following surgery but I also believe that they keep them flowing for their own convenience, to administer medications into the IV line and so that they don't need to monitor the patient's intake of fluids. Just my opinion.

What is safest hip replacement implant?

All invasive surgery carries hazard, as is any anaesthetic. This operation is usually performed on elderly folk, who have increased risk because of their age.

But it has a high success rate to an otherwise disabling condition.

What age was the Oldest person to have hip replacement?

When I was having mine done there was a 91 year old lady having one done. UK.

My Dad just had his hip replaced, and he is 6 weeks shy of 100 years old. Still active, has all his mental faculties, lives in his own home with my Mom who is 95. Indiana

What verbs start with O?

There are quite a few verbs that begin with the letter O. Here are a few examples:

open, oil, ooze, offer, order, oust, offering

Is a Birmingham hip replacement the same as a DePuy hip replacement?

Both companies have products for hip resurfacing and for total hip replacement as well. Birmingham is owned by Smith & Nephew, and Depuy is owned by Johnson & Johnson. A correct comparison would be between their hip resurfacing systems, the BHR (Birmingham Hip Resurfacing) and ASR (Articular Surface Replacement) from Depuy and they are certainly not the same, although it can be said that they are similar, both are metal on metal implants.

In rates of failures the "ASR system has a failure rate of 12% at 5 years compared to 4.3% of the BHR" - according to a study.

Also a crucial component of the ASR system, the ASR XL Acetabular System has been recalled in 2010 due to high failure rates.

Sources quoted in links section.

Are there alternates for hip replacement?

One alternative to a traditional total hip replacement is Hip Resurfacing. The Birmingham Hip Resurfacing (BHR) was pioneered in 1997 by Derek McMinn. The BHR currently has success rates as high as 97% after 13 years which is incredible compared to the statistics of total hip replacements.

The BHR works by resurfacing the Femoral head and fitting a metal, not plastic as used in Total Hip Replacements, acetabular component (socket). This Metal on Metal implant has significantly lower wear than Metal on Plastic which is so commonly used.

It is a bone conserving surgical procedure, which means in the future should a patient require revision surgery this is much easier than if the original procedure was a total hip replacement. There is no reason why patients should wait until they hit 60-65 before having a total hip replacement - if the hip is giving you pain and discomfort then resurfacing could be you. Many local doctors and GPs will tell you to sit tight and wait until you are a suitable patient for a total hip replacement. The BHR has FDA approval in the US and has over 13 years of analysed data showing high success rates!

The BHR is ideal for young active patients, who wish to get back to their previous active lifestyle. See the McMinn Centre website for more details!

What are the pros and cons of anterior and posterior hip replacements?

Posterior hip replacement is easier to perform (the majority of cases use this approach), however some studies indicate that it has a slightly higher risk off dislocation (but not significantly so).
Anterior approach is more technical (and requires more training), and may require special operating tables (which have been linked to complications such as broken ankles), however the recovery time is shorter (by a few days), and has a slightly lower risk of dislocation than the posterior approach.


Unless the surgeon is a regular user of the anterior approach (done 20+), I would go for the posterior approach.

How does a hip replacement work?

A bone conserving alternative to a Total Hip Replacement (THR) is hip resurfacing. The Birmingham Hip Resurfacing (BHR) is a bone conserving implant aimed at young active patients who want there quality of life back!

Instead of replacing the old worn out joint, a BHR resurfaces the femoral head with a Cobalt-Chrome component and inserts a Cobalt-Chrome cup into the acetabular socket. This metal on metal technique last longer and has less wear than the traditional Metal on Plastic THR. These metal components replace the worn out areas of bone and provide years of active and most importantly pain free lifestyle.

By conserving the bone at the femoral head, revisions should they be needed are much simplier than they are if a THR has been carried out at first.

The BHR was pioneered by Derek McMinn in Birmingham, UK. The implant has a high success rate currently at 97% at 13 years which compared to similar statistics for a THR, they are staggering. See McMinn Centre website for more details!

How is titainium better than steel for hip replacement?

Titanium ( and Titanium alloys) have a number of advantages over steel for use in medical applications, specifically hips.

The first is their modulus of elasticity (how flexible they are). Titanium is closer to the flexibility of bone, which helps it share the load with the bone. Steel is stiffer, and takes the load off the bone (so called stress shielding), without this, the bones thinks it is not needed and resorbs (like astronauts).

The second, is the biocompatability of the material. Bone can grow right up to titanium, and can bond onto the surface. With steel, the body forms a fibrous capsule round the implant, which makes a weaker interface (and can loosen). However, it can be used with 'bone cement' which acts as a grout between the bone and implant.

What is the Post operative complication of hip fracture in old patient?

Wound infections, mal-union of the bone, blood tumors, implant complications, dislocations, are the common post-op complications in hip surgery.

Why Is Mexico One Of The Best Destinations For Hip Replacement Surgery?

Hip replacement, a surgical procedure in which the hip joint is replaced by a prosthetic implant, is currently the most common orthopedic operation, though patient satisfaction short and long term varies widely. About 500,000 people worldwide have total hip replacement surgery each year, and there are many success stories about this procedure abroad. Many countries offer discount medical tourism worldwide, but some of the best destinations for patients who travel abroad include India, Singapore, Turkey and Mexico. Hip replacement is done usually for people above the age of 50 when the hip is damaged by arthritis, fracture or other conditions that make doing everyday activities difficult.

Hip replacement surgery in Mexico The varying costs of hip replacement include the pre-op tests, hospital fees, surgeon's fees, anesthesia. The average cost of the hip replacement in countries like Spain, Colombia, Costa Rica, Belgium, Mexico and India varies between $7,000 and $ 15,000. Hip replacement surgery in Mexico can channel the expenses into savings of over 60%.