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Hip replacement (total)

Why do I need a hip replacement?

If you have severe pain, stiffness and disability, a hip replacement should reduce your pain and help you to walk more easily.

What are the benefits of surgery?

You should get less pain and be able to walk more easily.

Are there any alternatives to a total hip replacement?

• Simple painkillers such as paracetamol and anti-inflammatory painkillers such as ibuprofen can help control the pain.
• Supplements to your diet may also help relieve your symptoms (check with your doctor before you take supplements).
• Using a walking stick can make walking easier, as can a small shoe-raise.
• Regular moderate exercise can help to reduce stiffness. Physiotherapy may help to strengthen your muscles.
• A steroid injection into your hip joint can sometimes reduce pain and stiffness.

All these measures become less effective if your arthritis gets worse.

What does the operation involve?

The operation usually takes an hour to 90 minutes. Various anaesthetic techniques are possible. 

Your surgeon will make a cut on the side of your hip and remove the damaged ball and socket. They will insert an artificial joint made of metal, plastic, ceramic, or a combination of these materials (see figure 1). 

The implant is fixed onto the bone using acrylic cement or special coatings that bond directly to the bone.

What complications can happen?

Complications of anaesthesia

Your anaesthetist will be able to discuss with you the possible complications of having an anaesthetic.

General complications

• Pain
• Bleeding
• Infection of the surgical site (wound)
• Unsightly scarring
• Blood clots
• Difficulty passing urine
• Chest infection
• Heart attack
• Stroke

Specific complications

• Split in the femur
• Damage to nerves
• Damage to blood vessels
• Infection in your hip
• Loosening
• Bone forming in muscles around your hip replacement
• Dislocation
• Leg length difference

How soon will I recover?

• You should be able to go home after two to three days.
• To reduce the risk of a blood clot, make sure you follow the instructions of the healthcare team carefully.
• You will need to use crutches or walking sticks for a few weeks. 
• Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.
• Most people make a good recovery, have less pain, and can move about better. An artificial hip never feels quite the same as a normal hip and it is important to look after it in the long term.
• A hip replacement can wear out with time. You should have an x-ray of your hip replacement at least every five years to check for any problems.

This procedure is available to NHS, self funding and privately insured patients at The Horder Centre. Finance options available.

Guide price for self pay patients

Hip Replacement (Total)

  Consultation Diagnostics Treatment Care after discharge
Hospital costs Included £350 £9500 Included
Consultant costs £220 Included Included Included
Estimated total cost   £10,070
Estimated length of stay   2 nights

The guide price is correct as of 2nd March 2017

What's included

The prices in the table above (the “Guide Prices”) show what most patients should expect to pay at each appointment and on admission to hospital. The Guide Prices you pay might be different depending on your medical history and the type of implant you choose or your Consultant advises is best for you. Your price quotation will be made clear to you before you proceed with any tests, consultations or treatment.

For more information please contact our Private Patient Pathway Manager on 01892 620934 or email pp@horder.co.uk for a personalised quote and further details on procedures available.

Acknowledgements

Author: Mr Stephen Milner DM FRCS (Tr. & Orth.)
Illustrations: Medical Illustration Copyright © Medical-Artist.com

Copyright © 2016 EIDO Healthcare Limited - The operation and treatment information on this webpage is produced using information from EIDO Healthcare Ltd and is licensed by Horder Healthcare.

The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited. You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use. The information should not replace any advice that your relevant health professional would give you.

Issued July 2016 | Expires end of May 2017

Healthy eating

Exercise & fitness

Lifestyle

What is arthritis?

Arthritis is a group of conditions that cause damage to one or more joints.

The most common type of arthritis is osteoarthritis, where there is gradual wear and tear of a joint. Some other types of arthritis are associated with inflammation of the joints.

Arthritis eventually wears away the normal cartilage covering the surface of the joint and the bone underneath becomes damaged. This causes pain and stiffness in the joint.

Hip Replacement

Colin is rediscovering his quality of life following a left hip replacement at The Horder Centre.

Read Colins story here.

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