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Understanding the Basics Behind Total Hip Replacement
What is Total Hip Replacement?
When non-surgical measures, like physical therapy or medicinal treatment, and more conservative surgical treatments, like arthroscopy, aren’t enough to alleviate hip issues, it might be time to consider a total hip replacement.
A total hip replacement (or hip arthroplasty) removes damaged bone and cartilage that arises from arthritis or injuries. After removal, your surgeon will replace your old joint with an artificial prosthesis. Made from metal, ceramic, and/or plastic materials, these artificial joints replicate the ball-and-socket shape of a normal, healthy hip joint.
The highly trained orthopedic hip physicians at Kansas City Orthopedic Alliance have the expertise required to treat a variety of hip issues, both surgically and non-surgically. When you visit a specialist at KCOA, we focus on creating a treatment plan based on your specific conditions, symptoms, and recovery goals.
Symptoms that may require a total hip replacement include:
Kansas City Orthopedic Alliance hip Injuries Assessment
Assessing the Injury
Finding the right hip treatment in Kansas City starts with an assessment.
You can think of hip pain as a spectrum, with some instances being more severe than others. The KCOA orthopedic specialists always focus on each individual patient and their concerns before creating a treatment plan.
Therefore, during your initial appointment, we will often ask questions such as:
From there, we can decide which treatment option aligns best with your needs and lifestyle goals. After a proper assessment, we often begin with a physical examination to help determine the origin point of your pain. In some cases, advanced testing may be required for a full diagnosis.
Also called radiographs, an X-ray captures a picture of the hip. Orthopedic physicians may order an X-ray to rule out the possibility of a fracture (broken bone), osteoarthritis, or other hip-related conditions.
Magnetic Resonance Imaging (MRI)
MRI captures images of muscles, bones, intervertebral discs, and tendons to help provide information other tests can’t detail. During an MRI, you will lie on a table that slides into a tube-shaped scanner. The machine creates a magnetic field around you, using pulsed radio waves to form the MRI images.
A physician inserts a needle in the hip and injects medicine into the joint. In most cases, the provider uses a real-time X-ray (fluoroscopy) or ultrasound to see where to place the needle in the joint. If the shot does not relieve pain within a few days, then the hip joint may not be the source of hip pain.
Establishing a Care Plan
Based on the results of your interview, examination, and imaging studies, our experts develop a custom care plan catered specifically to you.
Many people believe it’s best to wait until pain becomes severe, leading them to “put off” or delay treatments. If you are in constant discomfort, have shooting or stabbing pains, have limited range of motion, or an inability to perform your daily activities, hip arthroscopy may be right for you. New technologies allow patients with hip pain to fully recover and enjoy the benefits of a more functional, pain-free lifestyle.
Prior to surgery, you will typically receive at least 2 phone calls:
Dependent on your health history, your physician may require:
Pre-operative instructions will vary depending on your physician and the location of your surgery. Always check with your physician prior to surgery.
Most physicians require that patients not eat or drink after midnight prior to surgery the next day. Additionally, you will need a designated family member or friend to drive you home on the day you are released from the hospital. Surgical patients cannot drive themselves home.
Day of Surgery
If you schedule your surgery with a KCOA physician, you can expect the following on surgery day:
How it Works
When non-surgical options have been exhausted or are proving ineffective, it might be time for a total hip replacement. During this procedure, the damaged arthritic hip joint is replaced with an artificial prosthesis, typically made of metal, plastic, or ceramic. This artificial joint mimics the motion patterns of a healthy joint to improve your range of motion, improve function, and decrease pain.
Total hip replacement in Kansas City is a major surgery that requires anesthesia. Once the anesthesia takes effect, your surgeon will make an incision so the hip joint is easily accessible.
We make the socket of the joint smooth through a process called reaming and remove the head of the femur. Your surgeon will then replace the damaged articular surfaces with prosthetic materials to allow pain-free movement and enhanced function. The entire surgery from the first incision until we completely dress the wound with surgical bandages takes about an hour and a half.
After your surgery, our experienced clinical team will monitor you in recovery and provide pain relief medication, if needed. Depending on your overall health, the type of replacement procedure performed and your physician’s preference you may require up to a 2 day stay in the hospital.
We will provide you with a walker to aid in ambulation immediately following surgery. During follow-up appointments, your physician will check the incision and do an X-ray, ensuring proper healing and alignment of the new hip.
Your physician may refer you to a physical therapist following surgery. If a referral is made to PT, it’s important you follow through with these orders so you can rebuild your strength, range of motion and function following a hip replacement surgery.
What to Expect
Patients may be instructed to limit certain movements at the hip for up to 6 weeks after surgery to allow the soft tissue to heal. These restrictions may include not bending at the waist greater than 90 degrees, avoiding excessive rotation of your hip, and avoiding crossing your legs.
Additionally, we recommend regular exercise, eating a balanced diet, maintaining a healthy weight, and monitoring your blood sugar levels if you’re diabetic. In doing so, you may reduce the amount of stress on your joints to slow down any potential degenerative process.
Causes of Hip Pain
First, it is important to understand the anatomy of a hip joint. There are different types of joints in the body; the hip is a “ball-in-socket” joint. Just as the name suggests, a ball-in-socket joint consists of a ball-like structure that moves inside a depression in the bone to allow for rotational movements. In the hip, the ball-shaped head of your thigh bone (femur) that fits into the hip socket (acetabular socket) creates the joint.
Around the hip socket is a ring-shaped ligament called the labrum. This ligament has 3 main functions: Sealing the femoral head to keep fluids within the joint, helping stabilize the hip joint, and protecting the surrounding cartilage.
Kansas City Orthopedic Alliance physicians prefer non-surgical measures in most cases. We usually only suggest surgical options after exhausting multiple less-invasive treatments. Here are a few of the different non-surgical treatments we recommend:
Non-surgical treatments for shoulder injuries include:
Physical Therapy – Movement can actually reduce pain and encourage healing in the hip, as movement increases circulation in the joint, supplying oxygen and other nutrients that support joint health and function.
Injections – Cortisone injections can help with inflammation, and the effects tend to last for 3 to 6 months before you might need another one. Many people manage their pain with injections and exercise.
Medications – At times, the pain becomes too much and hinders movement. In those instances, your doctor may recommend over-the-counter NSAIDs (Non-steroidal anti-inflammatory drugs, such as Advil) or prescription medications. Especially with NSAIDs, you should always talk to your doctor to ensure they are the right treatment for you. Side effects can include stomach irritation, ulcers, or even kidney damage. Reasonable dosing and monitoring can help alleviate those side effects.
Regenerative Medicines – Regenerative medicines like stem cell injections or platelet-rich plasma can help nourish worn or damaged tissue. This option works best if you have mild-to-moderate hip pain.
Trust KCOA with your total hip replacement in Kansas City.
Our care is personal. Our team is knowledgeable. And we’re more available than ever.
With access to board-certified specialists across Kansas City, we have the tools to meet almost every musculoskeletal condition.
Overland Park, Kansas10777 Nall Ave Suite 300 Overland Park, KS 66211
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Kansas City, MissouriSaint Luke's Medical Plaza #1 4320 Wornall Rd., Ste. 610 Kansas City, MO 64111
Belton, MissouriBelton Regional Campus 17067 S Outer Rd #301 Belton, MO 64012
Dr. Ting and his staff are the best!
Dr. Ting and his staff are the best! Sarah his nurse is kind and supportive. Dr. Tings nurse for surgery was absolutely the best! Dr. Ting, I have complete faith in. He is who I shall go to for anything he handles! Can’t say enough about him! Thank you all for making a scary time a completely peaceful event. You are the best!!
Staff is great
…just did my husbands hands on Wed. last week and can’t believe how well he is doing. We have already recommended you to our son and a few others. Your staff is great and my husband doing well. Thanks to you.
I left a very happy patient.
…I arrived a little bit late. I got checked in quickly and was back in a room within 10 minutes. Dr Rhodes was very friendly and took the time to pull up pictures of my surgery and show them and explain them to me. I left a very happy patient.
Dr. Scott Ellsworth is one of the best
Dr. Scott Ellsworth is one of the best I have ever worked with. He is knowledgeable, efficient, caring, and knows his patients. He has a special bedside manner that makes any patient in any situation feel comfortable. All of the nurses and office staff are wonderful as well.
I'm consistently impressed
In the process of treating my particular problem I’ve been to Apex probably 4-5 times. I’m consistently impressed by the professionalism of the staff and the amount of care & time they spend with me as a patient. They’re always very careful to make sure I understand the nature of the medical problem, the reasons for the diagnosis, and the type of treatment recommended. Stephanie’s care and concern is especially appreciated.