Total hip replacement (arthroplasty) refers to a pretty common surgical procedure that is performed for
when conservative medical treatments are ineffective.
The goal of total hip replacement surgery is to
Our senior physiotherapists work with people who have had a total hip replacement to
Total hip replacement surgery will remove damaged bone and cartilage that may be contributing to a painful, dysfunctional hip, and replaces the damaged hip with a prosthetic (artificial) hip.
Our hip joint is a ball-and-socket joint. The ball is part of the femur (thigh bone) and the socket is part of the hip bone/pelvic bone. The type of hip replacement surgery performed varies with each individual's physical condition, what parts are injured, what parts can be used etc..
Generally, there are 2 types of hip replacement surgeries:
Total hip replacement (arthroplasty)
With total hip replacement (arthroplasty), the ball and the socket are both replaced with artificial parts. Total hip replacement is performed to treat conditions including:
Partial hip replacement (hemiarthroplasty)
A partial hip replacement (hemiarthroplasty) only replaces the ball of the hip joint; the hip socket remains strong and doesn’t need to be replaced.
Hemiarthroplasty is performed when there is damage only to the “femoral” or thigh portion of the hip joint. This is mostly performed in patients who are elderly and frail, and for fractures involving the ball or the neck of the femur (thigh bone, NOF#).
Before a total hip replacement (arthroplasty) surgery, people who have elected to undergo total hip replacement may describe severe pain in the hip and groin that can extend down the thigh. The pain may significantly affect a person’s ability to
Immediately after total hip replacement surgery, you will experience stiffness in the hip and leg, as well as muscle weakness. Initially, you will be provided with pain medications to manage your pain but we/medical professionals will gradually wean you off pain medications (as long term use of pain meds and opioid is not recommended)
Our senior physiotherapists also may recommend cold therapy to help reduce discomfort and swelling, as well as teach you gentle exercises and movements to begin to improve your hip and overall motion and strength.
To be considered for a total hip replacement, most individuals will have already been assessed and consulted with a medical professional (typically an orthopedic surgeon).
Your doctor will order x-rays to assess whether there are changes to the bones and cartilage of your hip. If you have had a fall, x-rays will also guide the attending health care professionals in determining if there is a fracture and if it requires surgery in order for you to regain your function.
Our senior physiotherapists will evaluate your
Factors can include how you get in and out of bed, sit down and stand up, squat down, walk, and navigate stairs and curbs. The results of these evaluations will help determine whether you might benefit from total hip replacement surgery (or not).
Hip replacements are most often performed in adults aged 60 to 80 years.
Your medical team will help you determine if you are a good candidate for surgery based on your x-rays and your physical assessment. Risk factors that may interfere with your recovery, such as
Our senior physiotherapists can help educate you about what to expect from your surgery, and give you exercises to condition your body before surgery.
In preparation for surgery, we may teach you:
We also may recommend that you make changes in your home to improve safety and help your recovery, including
These changes ideally should be made before you have surgery, so your home is prepared for your return.
On the first or second day after your surgery, our senior physiotherapist s will come to your bedside to begin your postoperative treatment (or you may opt for a home visit physiotherapist).
We will review any postsurgical precautions to take to prevent reinjury and to help restore your full function.
Depending on your particular case/surgical procedure, you may be asked to limit the amount of weight you put on the surgical leg. It may be as little as a toe touch, or as much weight bearing as you can tolerate.
We will teach you how to correctly put weight on the affected leg, and will recommend an assistive device, such as a walker or crutches, to minimize discomfort as you work to restore your physical function.
During your acute-care recovery (the first 3 to 5 days after surgery), we will work with you to help you safely:
After surgery, we may advise you not to:
Hip pain and hip fracture physical therapy will continue for a number of weeks (between 12 to 20 weeks) after your surgery. Depending on your overall situation, you may need to recover in a short-term rehabilitation facility (called step-down care).
Some patients are discharged to their home without nursing home care, depending on the help available at home and their ability to stay safe. Our physiotherapist will help make this determination for you and as well provide home visit physiotherapy sessions for you at the comfort at your own home..
As you progress in your recovery, you will continue to work on:
When you can perform these activities without help or guidance, you
will be ready to fully function at home. However, you may still need to
continue outpatient hip physiotherapy in our physio clinics.
Outpatient physical therapy sessions will continue your work on
At this point, your physical therapy will focus on activity-specific rehabilitation for your specific goals, such as a return to work or sport.
We will incorporate exercises that simulate those activities. Your exercise regimen may include
depending on your specific goals, your recovery progress, and your activity level.