Reasons for hip replacement surgery

July 12, 2024

Hip replacement surgery, also known as hip arthroplasty, is a medical procedure that has changed the lives of millions of people worldwide. It involves replacing a damaged or diseased hip joint with an artificial one.

While the idea of ​​hip replacement surgery may seem daunting, understanding the reasons behind the need for hip replacement can help clarify the process and highlight its benefits.

Below is a simple explanation of why people may need this life-changing surgery.

Understanding Hip Replacement Surgery

A hip replacement, also called hip arthroplasty, is a medical procedure in which a damaged or worn hip joint is replaced with an artificial joint.

The artificial hip joint usually consists of a ball-shaped component (made of durable ceramic or metal) that fits into a socket (often made of metal, ceramic, or plastic), creating a smooth, gliding surface.

Hip replacements can be performed as total hip replacements, where both the head and socket of the hip joint are replaced, or as partial replacements, where only one part of the joint is replaced.

The surgery can be performed via traditional open surgery or via minimally invasive techniques, which involve smaller incisions and may have a shorter recovery time.

Top Reasons for Hip Replacement Surgery

Hip replacement surgery has offered countless people a chance at improved mobility and pain relief. But when do you become a good candidate for such a major medical procedure? It usually comes down to the point where hip symptoms seriously affect a person’s ability to participate in daily activities and where more conservative treatments don’t provide sufficient relief.

These are the main reasons for hip replacement surgery:

Arthritis of the hip joint

Arthritis is the most common reason for hip replacement surgery. There are several forms that affect the hip, including:

Arthrosis

Osteoarthritis, often referred to as “wear and tear” arthritis, is the most common reason people undergo hip replacement surgery. It results from the deterioration of joint cartilage.

Over time, this leads to pain and stiffness in the hip, making daily activities a challenge. Hip replacement surgery can provide relief by replacing worn joint surfaces with durable artificial components.

Rheumatoid arthritis

Unlike osteoarthritis, which is primarily caused by aging and wear and tear, rheumatoid arthritis is an autoimmune disease that causes inflammation of the joint lining. This inflammation can affect the cartilage and eventually damage the entire joint.

A hip replacement is a treatment for rheumatoid arthritis. The goal is to remove inflamed and damaged areas, relieve pain, and restore function.

Psoriatic arthritis

This is another form of arthritis that is related to the skin condition psoriasis. Psoriatic arthritis can affect the hips and other joints.

Osteonecrosis

Osteonecrosis of the hip occurs when there is a significant reduction in blood flow to the femoral head (the ball portion of the hip joint). This causes the bone tissue to die from lack of oxygen and nutrients, eventually leading to collapse of the femoral head.

The exact reasons for decreased blood flow can vary, including trauma, long-term use of high doses of steroids, excessive alcohol consumption, and certain medical conditions. Osteonecrosis often requires hip replacement surgery when there is significant collapse, as other treatments are unlikely to be effective in advanced stages.

Trauma

Traumatic injuries such as those from car accidents or serious falls can cause significant damage to the hip joint. Hip bone fractures or dislocations can damage the cartilage and bone, leading to instability, pain, and sometimes post-traumatic arthritis.

When the structural integrity of the hip is significantly compromised, a hip replacement may be the best option to restore function and relieve pain.

Femoroacetabular impingement (FAI)

Femoroacetabular impingement, or FAI, is a condition in which extra bone grows along one or both bones that form the hip joint – either on the femur (ball side) or the acetabulum (socket side). This extra bone gives the bones an irregular shape and they don’t fit together perfectly.

The irregularity leads to friction during hip movement, which over time can damage the joint, causing pain and limiting mobility. Treatment can range from physical therapy to surgery, with hip replacement considered in severe cases where other treatments have not provided relief.

Hip dysplasia

Hip dysplasia is a condition present from birth in which the hip socket does not completely cover the ball portion of the upper thigh bone. This partial coverage can lead to dislocation and other damage to the hip joint.

Over time, the abnormal fit can cause the cartilage to wear down, leading to pain and arthritis. In adults, hip replacement surgery may be recommended if the condition causes significant joint damage and pain.

Benign tumors and cancer

Benign tumors and cancers in the hip joint or surrounding tissue can directly affect the strength and function of the joint. Although benign tumors may not spread like cancer, they can disrupt joint movement and cause pain.

Depending on the location and size of the tumor or cancer, treatment may require removal of affected bone and tissue. Sometimes a hip replacement is needed to restore joint function.

Perthes disease

Perthes disease is a pediatric condition that affects the hip. It temporarily disrupts the blood supply to the round head of the femur, causing the bone to die in a process known as avascular necrosis.

Over time, the body will attempt to heal, which can lead to changes in the shape and structure of the hip joint, potentially causing pain and limited movement. While not all cases of Perthes disease will require hip replacement later in life, some individuals may require surgery as adults due to the lasting effects on the structure and function of the hip joint.

Hip Replacement Surgery in North Dakota

Are you experiencing hip pain or limited mobility? Don’t let discomfort rule your life. At The Bone & Joint Center, we specialize in transforming lives through advanced orthopedic care, including expert hip replacement surgery.

Our board-certified and fellowship-trained surgeons are at the forefront of treating complex hip conditions, utilizing advanced techniques focused on minimizing recovery time and maximizing your quality of life.

To learn more about us or to schedule a consultation, call us today at (701) 946-7400/(866) 900-8650 or visit our Request an Appointment page. We look forward to serving you!