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Non-Operative Management

Managing hip arthritis without surgery involves a comprehensive approach focused on relieving pain, improving mobility, and enhancing overall quality of life. Key strategies include:

  • Medications: Using NSAIDs and Panadol Osteo to manage pain and inflammation.
  • Physical Therapy: Engaging in personalized exercises to strengthen muscles and maintain flexibility.
  • Lifestyle Adjustments: Implementing weight management and engaging in low-impact activities to reduce stress on the hip joint.
  • Assistive Devices: Using canes or other supports to decrease joint stress.
  • Injections: Cortisone ± hyaluronic acid injections (HLA) can provide relief for weeks to months. If successful, these may be repeated.
  • Alternative Therapies: Acupuncture and nutraceuticals can offer additional pain relief.
  • Education and Support: Providing information and resources to empower patients in managing their condition with confidence and care.

Total Hip Replacement

Total Hip Replacement surgery is designed to alleviate pain caused by the grinding of damaged surfaces within your hip joint, which is particularly noticeable during activities like walking. Osteoarthritis is the primary cause of damage to the hip joint surfaces. The procedure involves replacing these damaged surfaces with a new artificial joint to relieve pain and restore function.

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Total Hip Replacement is recommended for individuals with severe joint degeneration who experience disabling hip pain that has not improved with medication, physiotherapy, or activity modification. Your surgeon will evaluate your condition and help determine if and when this surgery is appropriate for you.

We employ a minimally invasive surgical approach to minimize trauma to the healthy tissue around your hip joint. An incision is made along the side of your hip. The ball-shaped head of the femur is removed and replaced with an artificial one inserted into your thighbone. The damaged cartilage in the socket portion of the pelvis is also removed, and an artificial cup is inserted. The skin is generally closed with medical adhesive (superglue) to ensure minimal scarring.

 

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Complications related to Total Hip Replacement surgery are rare but can include deep infection, blood clots, hip dislocation, leg length discrepancy, nerve or blood vessel injury, and risks associated with anesthesia. In Riaz’s hands 95% of hip replacements last 14 years or more (see figure y & 6). It is important to discuss these potential risks and any concerns you may have with your surgeon before proceeding with the surgery.

Risks and Complications

Preparation for your recovery starts before surgery. Being overweight increases surgical risk, so aim to achieve a healthy body weight, stay active, and strengthen your leg muscles before the procedure. Physiotherapy may begin on the day of or the day after the surgery. Key goals include minimizing pain, helping you get in and out of bed, walking with crutches, and navigating stairs. You will also receive guidance on minimizing the risk of falls or dislocation of your new hip.

Your hospital stay will likely be 2-5 nights. It’s important to be actively involved and positive during therapy, continue your exercises at home, and follow up with your local physiotherapist. 

Almost all of our patients are pain free and mobilising without aids within 3 months of surgery. Most are able to return to gentle sporting activities after 6-12 months. 

Total Hip Replacement is recommended for individuals with severe joint degeneration who experience disabling hip pain that has not improved with medication, physiotherapy, or activity modification. Your surgeon will evaluate your condition and help determine if and when this surgery is appropriate for you.

We employ a minimally invasive surgical approach to minimize trauma to the healthy tissue around your hip joint. An incision is made along the side of your hip. The ball-shaped head of the femur is removed and replaced with an artificial one inserted into your thighbone. The damaged cartilage in the socket portion of the pelvis is also removed, and an artificial cup is inserted. The skin is generally closed with medical adhesive (superglue) to ensure minimal scarring.

 

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Complications related to Total Hip Replacement surgery are rare but can include deep infection, blood clots, hip dislocation, leg length discrepancy, nerve or blood vessel injury, and risks associated with anesthesia. In Riaz’s hands 95% of hip replacements last 14 years or more (see figure y & 6). It is important to discuss these potential risks and any concerns you may have with your surgeon before proceeding with the surgery.

Risks and Complications

Preparation for your recovery starts before surgery. Being overweight increases surgical risk, so aim to achieve a healthy body weight, stay active, and strengthen your leg muscles before the procedure. Physiotherapy may begin on the day of or the day after the surgery. Key goals include minimizing pain, helping you get in and out of bed, walking with crutches, and navigating stairs. You will also receive guidance on minimizing the risk of falls or dislocation of your new hip.

Your hospital stay will likely be 2-5 nights. It’s important to be actively involved and positive during therapy, continue your exercises at home, and follow up with your local physiotherapist. 

Almost all of our patients are pain free and mobilising without aids within 3 months of surgery. Most are able to return to gentle sporting activities after 6-12 months. 

Hip Resurfacing

Hip resurfacing surgery is designed to address hip joint pain and dysfunction, often caused by osteoarthritis. Unlike total hip replacement, which involves removing the head of the femur and replacing it with a prosthetic component, hip resurfacing preserves more of the patient's natural bone. In this procedure, the damaged surface of the hip joint is removed and capped with a metal prosthesis, while a metal cup is placed in the socket of the pelvis. This approach preserves more bone and may be advantageous for younger, more active patients who might need future revision surgeries. The goal of hip resurfacing is to reduce pain, improve mobility, and enhance overall quality of life for individuals with hip joint issues.

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Hip resurfacing is recommended for young and sporty individuals with severe joint degeneration who experience disabling hip pain that has not improved with medication, physiotherapy, or activity modification. Your surgeon will evaluate your condition and help determine if and when this surgery is appropriate for you.

We employ a minimally invasive surgical approach to minimize trauma to the healthy tissue around your hip joint. An incision is made along the side of your hip. The ball-shaped head of the femur is trimmed and an artificial cup glued onto it. Unlike a hip replacement the neck is not cut, and the head is preserved. The damaged cartilage in the socket portion of the pelvis is also removed, and an artificial cup is inserted. The skin is generally closed with medical adhesive (superglue) to ensure minimal scarring.

Complications related to Hip Resurfacing surgery are relatively rare but can include deep infection, blood clots, nerve or blood vessel injury, and risks associated with anaesthesia. One in 10 patients experience psoas tendinopathy, causing groin pain and weakness of the hip flexion (usually transient).

Risks and Complications

Preparation for your recovery starts before surgery. Being overweight increases surgical risk, so aim to achieve a healthy body weight, stay active, and strengthen your leg muscles before the procedure. Physiotherapy may begin on the day of or the day after the surgery. Key goals include minimizing pain, helping you get in and out of bed, walking with crutches, and navigating stairs. You will also receive guidance on minimizing the risk of falls or dislocation of your new hip.

Your hospital stay will likely be 2-5 nights. It’s important to be actively involved and positive during therapy, continue your exercises at home, and follow up with your local physiotherapist.

90 +% of our patients are pain free and mobilising without aids within 3 months of surgery. Most return to full sporting activities after 6-12 months.

Hip resurfacing is recommended for young and sporty individuals with severe joint degeneration who experience disabling hip pain that has not improved with medication, physiotherapy, or activity modification. Your surgeon will evaluate your condition and help determine if and when this surgery is appropriate for you.

We employ a minimally invasive surgical approach to minimize trauma to the healthy tissue around your hip joint. An incision is made along the side of your hip. The ball-shaped head of the femur is trimmed and an artificial cup glued onto it. Unlike a hip replacement the neck is not cut, and the head is preserved. The damaged cartilage in the socket portion of the pelvis is also removed, and an artificial cup is inserted. The skin is generally closed with medical adhesive (superglue) to ensure minimal scarring.

Complications related to Hip Resurfacing surgery are relatively rare but can include deep infection, blood clots, nerve or blood vessel injury, and risks associated with anaesthesia. One in 10 patients experience psoas tendinopathy, causing groin pain and weakness of the hip flexion (usually transient).

Risks and Complications

Preparation for your recovery starts before surgery. Being overweight increases surgical risk, so aim to achieve a healthy body weight, stay active, and strengthen your leg muscles before the procedure. Physiotherapy may begin on the day of or the day after the surgery. Key goals include minimizing pain, helping you get in and out of bed, walking with crutches, and navigating stairs. You will also receive guidance on minimizing the risk of falls or dislocation of your new hip.

Your hospital stay will likely be 2-5 nights. It’s important to be actively involved and positive during therapy, continue your exercises at home, and follow up with your local physiotherapist.

90 +% of our patients are pain free and mobilising without aids within 3 months of surgery. Most return to full sporting activities after 6-12 months.

Revision Hip Replacement

Revision hip replacement surgery is performed to address complications or failures that arise after a previous hip replacement. Issues that may necessitate revision surgery include implant loosening, wear and tear, dislocation, infection, or fractures around the implant. During this procedure, the original hip replacement components are removed and replaced with new ones. Revision surgery is more complex than the initial hip replacement and requires meticulous planning and expertise to achieve the best results. The goal is to restore function, alleviate pain, and enhance the quality of life for individuals who have encountered complications with their previous hip replacement.

RMFS and Trident edit