Hip pain can limit your ability to do everyday tasks and enjoy leisure activities. Putting on your shoes is challenging, and taking a long walk on the beach is out of the question.
If non-surgical approaches such as physical therapy, losing weight, modifying your activities, or taking anti-inflammatory medications no longer give you relief, it’stime to discuss with your doctor whether hip replacement surgery is right for you.
When considering hip replacement surgery, it’s important to know that Dr. Michael Lago, MD, is the premier orthopedic surgeon for Hip Replacement Surgery. Dr. Lago provides expert diagnosis and treatments for hip arthritis, including anterior hip replacement surgery in Edinburg, TX. Dr. Lago provides highly specialized care during and after the surgery. If you would like to schedule an appointment with Dr. Lago, please fill out our secure Online Appointment Request Form or call us at 956-668-0060 to schedule an appointment.
How Does a Normal Hip Work?
The hip, a very stable ball-and-socket joint, is one of the largest weight-bearing joints in the body. The femoral head (ball) at the top of the femur (thighbone) fits into the acetabulum (a rounded socket) in the pelvis. Tissues called ligaments connect the ball to the socket and, along with muscles, hold the joint in place.
Cartilage, a layer of smooth, rubbery tissue, covers the surface of the bones. It allows the ball to rotate easily in the socket. Fluid-filled sacs called bursae cushion the area where muscles or tendons glide across the bone. The capsule surrounding the joint also has a lining (synovium) that secretes lubricating fluid, further reducing friction and easing movement.
What Causes Hip Pain?
Common conditions that can cause deterioration of the hip joint and debilitating hip pain are:
General wear and tear
Arthritis or other damage to the hip joint can contribute to leg and back pain, mobility issues, weakness, and difficulty sleeping.
What is Hip Replacement Surgery?
A Total Hip Replacement is an operation in which the orthopedic surgeon removes the bone and cartilage of a damaged hip joint and replaces it with an artificial joint (prosthesis).
The ball and socket of the implant mimic the structure and function of the natural hip joint.
Hip replacement followed by rehabilitative therapy typically benefits people with significant damage to the hip joint, alleviating their pain and restoring their range of motion.
During hip replacement surgery, the surgeon removes the damaged bone and cartilage and substitutes a prosthetic joint made of high-tech metal and durable plastic or ceramic. The implant consists of a ball with a stem that is placed into the femur (thighbone) and a cup-shaped component that is inserted into the pelvis.
The ball on the femur rotates within the cup, allowing the hip to function smoothly and without pain. The precise positioning of the implant components in the patient’s pelvis and femur results in accurate joint alignment that simulates a healthy hip and allows the leg to move freely within its normal range of motion.
Hip replacement surgery typically takes between one and two hours.
What is a Bikini Hip Replacement?
The bikini hip replacement is a minimally invasive Anterior Hip Replacement technique with soft-tissue sparing and vessel sparing (preserving lateral circumflex blood vessels) compared to the standard incision anterior hip replacement scar. It has an aesthetically pleasing cosmetic scar that can be hidden under the “bikini” or underwear.
Dr. Lago is a high-volume Anterior Hip Surgeon and the Rio Grande Valley’s most experienced Bikini Hip Replacement surgeon.
He performs most anterior hip replacements through this approach so patients can recover rapidly with less pain and return to normal activities sooner with hardly any limitations.
Anterior Hip Replacement Surgery Advantages Include:
Less post-operative pain
Less pain as muscles are not cut
Less blood loss
Less muscle weakness
Early mobilization (as early as 4 hours after surgery in some cases)
Hidden scar in the groin
Less risk of dislocations
Early discharge home
Drive within weeks after surgery
The Bikini Line Incision? (Where is the Cut?)
Dr. Lago does this approach through a bikini line incision (Groin Crease Incision) on the front of the hip joint rather than a long (straight line) scar on the side or back.
The scar remains hidden in the groin crease.
Who is suitable for Anterior Bikini Hip Replacement Surgery?
The main indications for Bikini Hip replacement:
Significant Arthritis/Inflammatory Process (rheumatoid) affects the hip joint, resulting in increased pain and reduced mobility and function.
It can also be performed for fractured hips in some cases.
How Long Does Recovery from Hip Replacement Surgery Take?
Because of advances in surgical techniques, anesthesia, and post-surgical practices, patients can move about and begin rehabilitation sooner after their surgery than ever before. This contributes to more rapid hip replacement surgery recovery and shorter hospital stays.
After this kind of hip surgery, patients typically stay in the hospital for one night. Those assessed as good candidates for an outpatient procedure may have a short hospital stay of less than 24 hours.
After a short hospital stay, patients will start physical therapy.
Soon after your hip replacement surgery, a physical therapist will visit to help you get moving. The therapist will review your exercise program and ensure you can get in and out of bed, up from a chair, and into the restroom, dress yourself, and walk typical household distances with mobility aids such as walkers or crutches.
You may be taught special precautions when sitting, bending, or sleeping — usually for the first six weeks after surgery — to protect your repaired hip while it heals.
You’ll be ready for light everyday activities within three to six weeks following your hip replacement operation. It’s normal to feel some discomfort after activity and at night for several weeks.
Your physician will tell you when you may resume low-impact sports, such as swimming, golf, hiking, biking, or dancing. Most surgeons recommendavoiding running, jogging, jumping, or other high-impact sports. Typically, patients resume driving two to three weeks after surgery.