Ask Dr. Hansen: What Are The Surgical Options For Hip Pain?
When patients complain of hip pain, we’ll try first to treat pain with nonsurgical treatment. If conservative treatments fail to control pain, Dr. Hansen explains the available surgical options you might consider.
An occasional twinge in your hip joint can cause discomfort, but when that twinge becomes a constant painful ache, it can have a devastating effect on your ability to move through your day. Summit’s hip specialists will work with you to create a conservative treatment plan to control your pain without doing surgery. If conservative treatments aren’t effective, orthopedic surgeon Dr. Dane Hansen discusses hip surgery options.
Hip surgery options
“Total hip replacement is one of the safest and most effective hip surgeries offered in medicine,” says Dr. Hansen. “The most common surgical approaches to treat hip problems are arthroscopic surgery and total joint replacement surgery. Patients with a hip impingement or labral tears—two common causes of activity-related hip pain—may benefit from arthroscopic surgery. With this minimally invasive approach, your surgeon uses small incisions, tubelike endoscopes, and special tools to repair the damaged hip joint while preserving the function of the soft tissues and cartilage.”
Options when the bone is damaged
When damage to the hip joint is serious, your surgeon will probably recommend a total hip procedure to replace the damaged bone in the joint, remove diseased cartilage, and implant smooth metal and plastic pieces that function as a new joint surface—with minimal damage to the surrounding ligaments, muscles, and soft tissues. These replacement joints come in multiple sizes to ensure a tailored fit. Prior to surgery, X-rays are used to make initial sizing decisions. Final adjustments are made during the surgery to maintain correct leg length and the right amount of tension on the muscles and ligaments around the joint.
“The anatomy of the hip allows for a tight, circumferential fit of metal replacement implants,” Dr. Hansen explains. “Artificial hip replacement joints are designed with a special metal that has the same porosity as bone. Your bones actually grow into the metal pores of the replacement joint and it becomes fixed to your skeleton.”
Outcomes of hip surgery options
Every surgical procedure involves some risks, but the outcome data on joint replacement surgery is reassuring. “Hip replacement surgery is very safe and effective,” says Dr. Hansen. “In 90 to 95 percent of cases, patients report an excellent outcome. These surgeries help people to maintain vibrant, healthy lives and to avoid health issues related to inactivity. One of the most rewarding parts of my work is seeing my patients to return to activities that include walking, hiking, golf, tennis, cycling, and even rock climbing.”
“Arthritis patients have high expectations for their activity level. With advanced training in minimally invasive surgical techniques and quick-recovery joint replacement, I strive to help my patients return to their fully active lifestyle as quickly as possible.”
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