Hip Replacement Paramus NJ
On this page:
- Treatment Options
- Hip Replacement
- Which surgery is right for me?
The hip is a "ball-and-socket" joint where the "ball" at the top of the thigh bone (femur) fits into the "socket" in the pelvis (acetabulum). A layer of smooth cartilage covers the bone ends in a healthy hip joint, allowing you to walk and move your leg easily. When the bone and/or cartilage of the hip becomes diseased or damaged, the joint can stiffen and be very painful. That's when a hip replacement in Paramus, NJ is recommended.
Most damaged hips are the result of osteoarthritis or "wear-and-tear" arthritis, a degenerative type of arthritis that causes the cartilage to wear away over time, so the bone ends rub together. Other common causes of hip degeneration include rheumatoid arthritis, trauma, osteonecrosis (bone decay), prior surgeries, and tumors.
Joint replacement surgery removes the damaged, painful parts of the hip and replaces them with a prosthesis made of metal and plastic. The artificial joint can relieve pain and improve mobility when your natural hip can no longer do its job. An artificial ball and metal stem replaces the worn head of the thigh bone, and a metal cup, and artificial liner replaces the worn socket of the pelvis. The prosthesis allows the hip joint to move smoothly so that patients can enjoy a greater range of pain-free movement.
Patients with arthritis of the hip may find relief in a number of non-surgical treatments before considering replacement surgery. The goals of these treatments are to relieve pain, to increase mobility and restore quality of life. Patients often try some combination of the following:
- Exercise and Lifestyle Changes
- Assistive Devices – Orthotics, Cane
- Physical Therapy
- Alternative Therapies
If the pain and stiffness of the hip joint is severe and other treatments have not brought sufficient relief, a hip replacement may be recommended. The doctors at Hartzband Center for Hip & Knee Replacement in Paramus, NJ will conduct a thorough examination that includes x-rays, strength and range-of-motion tests, a medical history and a series of questions, to determine whether a total hip replacement is right for you.
Recent advances in surgical technology make it possible to perform minimally invasive joint replacements. Traditionally, an incision of 10-12 inches was needed for hip replacement surgery. Now, for patients who qualify, the same procedure can be performed with smaller incisions. There are other advantages to these techniques that may help make the surgery safer and allow patients to enjoy a potentially faster and less painful recovery. Our doctors will discuss with you whether you are a candidate for minimally invasive hip replacement surgery.
Mini-Incision Hip Replacement
Mini-Incision hip replacement offers several advantages over traditional joint replacement surgery, including a potential for faster rehabilitation, the smaller incision and a shorter hospital stay (1-2 days).
2-Incision Hip Replacement
One of the major advantages of 2-Incision Hip replacement is that the surgeon can separate or avoid many of the muscles, ligaments, and tendons around the joint instead of cutting through them. This leads to less tissue damage and blood loss during surgery. Because the 2-Incision technique involves tiny incisions as well (only 1.5-2 inches each), patients can enjoy a faster and less painful rehabilitation and a shorter hospital stay (only one day) than is possible with traditional hip replacement surgery.
Revision - Hip
Total hip replacement is successful in over 95% of well-selected patients. On average, replacements last 15-20 years. Some patients enjoy full use of the prosthesis after 25 years or longer. Occasionally, an implanted prosthesis does not function as well as it was intended to. In this case revision surgery may be performed to adjust or replace the mechanism.
Hip Resurfacing Arthroplasty
Hip resurfacing arthroplasty is a type of hip replacement ideally suited to active people who need a total hip replacement at a younger age. The purpose of a hip replacement is to remove the damaged portions of the hip joint including the femoral head (ball) and acetabulum (socket) and replace them with a smooth, artificial joint that will make the hip strong, stable, and flexible again. Younger and more active patients run the risk of wearing out a traditional hip replacement and may need a second hip replacement during their lifetime. Such revision surgery can be difficult and last a shorter lifetime than the original hip replacement. Hip resurfacing is a bone conserving procedure where, instead of removing the head and a portion of the neck of the femur, the head of the femur is carefully reshaped and then covered with an anatomically designed metal sphere that acts as the new femoral head. As with a traditional total hip replacement, the hip socket is replaced as well. Because the new head and socket are made entirely of metal, there is less chance that these pieces will wear out. In addition, the artificial femoral head is much larger than the femoral head used in a traditional hip replacement and allows a greater range of motion with little risk of dislocation. Patients who have had hip resurfacing arthroplasties have been able to return to demanding physical activity and sports including bike riding, marathons and triathlons. Not all patients are candidates for hip resurfacing. After a thorough history, physical examination, and x-rays, you and your surgeon will discuss whether or not hip resurfacing is right for you.
Which surgery is right for me?
Every patient is different. We will talk with you and provide you with information about what surgeries you qualify for, how your procedure will be performed, how to prepare for it, and what you can expect during your recovery.
To learn more about Our Services, please contact us at (201) 291-4040 today to schedule an appointment.