Partial Hip Replacements

Partial Hip Replacement Overview

A partial hip replacement treats a fractured or diseased hip that causes pain and decreases the quality of life. Part of the femur (leg bone) is removed and replaced with metal and plastic components. Carolina Orthopaedics and Neurosurgical Associates’ (CONA) partial hip replacement patients quickly return to normal activities with minimal to no restrictions.

How is a partial hip replacement performed?

A partial hip replacement is essentially the first part of a total hip replacement. The inpatient procedure is performed under regional or general anesthesia. A CONA specialist:

  1. Begins surgery. Soft tissues are delicately retraced so the hip joint can be visualized.
  2. Prepares the joint. Damaged bone is carefully removed. The femur is prepared for implants.
  3. Creates a new hip. A perfectly sized stem is bonded to the hallow part of the femur. A plastic ball is placed and secured on the stem. A physical examination is performed to ensure the components move smoothly.

Dissolvable sutures close deep and superficial tissue layers. Skin staples close the skin. A sterile dressing is placed over the surgical site. A comfortable hip immobilizer holds the hip in anatomical position to reduce pain and discomfort. Total procedure time is 1-2 hours.

What conditions can partial hip replacement treat?

Partial hip replacement treats:

  • Avascular necrosis
  • Hip fractures
  • Localized osteoarthritis
  • Posttraumatic arthritis

Partial hip replacement is often performed after an accident, injury or fall.

What are partial hip replacement advantages?

Partial hip replacement advantages include:

  • A quicker recovery
  • A shorter hospital stay
  • Less postoperative pain
  • Less surgical trauma

It should be noted that partial hip replacement is not for everyone and total hip replacement is an effective procedure that benefits many patients.

What is partial hip replacement recovery like?

A 1-3 night overnight hospital stay is recommended. Pain is monitored and controlled, infection precautions are taken. Physical therapy begins the day of surgery and continues throughout recovery. The patient rests at home for about two weeks. A CONA specialist sees the patient 2 weeks, 6 weeks, 3 months and 6 months after surgery. Strength and flexibility are accessed and x-rays are taken.

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