Hip Surgery & Orthopedic Treatments
If a person’s hip is damaged, everyday activities such as putting on shoes, walking and getting in and out of a chair may be difficult and painful. For some people with hip damage, even resting can cause discomfort.
Muir Orthopaedic Specialists (MOS) takes a multi-faceted approach to treating hip pain and injuries, beginning with the least invasive and simplest solutions. We start with medication, changes in activities and use of walking support as a first line of treatment. We will also look at alternative treatments including physical therapy or different types of injections (such as cortisone and platelet-rich plasma) to recommending surgery.
The hip is one of the largest joints in the body and is made up of a ball and socket. The ball is the upper part of the thighbone (femur) and the socket is part of the pelvis bone (acetabulum). The ball and socket are covered with articular cartilage. This cartilage cushions the bones and aids in easy movement.
A thin tissue, called the synovial membrane, surrounds the hip joint and makes a small amount of fluid that lubricates the cartilage and decreases friction during movement. The joint is stabilized by ligaments that connect the ball to the socket.
The hip has many components that could be damaged by an injury or with wear and tear as a person ages. Our physicians specializing in orthopedic hip treatment and surgery have undergone a minimum of five years of residency and many have additional fellowship training.
Common hip injuries & conditions we treat
- Femoroacetabular impingement (FAI).
- Failed hip replacement.
- Infected total hip replacement.
- Need for a total hip replacement.
- Hip and prosthetic dislocation.
- Leg length discrepancy.
- Labral tears.
- Osteonecrosis (avascular necrosis).
- Removal of loose fragments of cartilage in the joint.
- Sprain and strains.
Some of the hip surgery & orthopedic treatments we offer
Hip replacement and hip replacement revision
At MOS we offer a range of hip replacement surgeries, as well as hip replacement revision surgeries that correct problems with a previous hip replacement. Each patient will meet with an orthopedic surgeon and go over the differences in the treatment options and find the best solution for them. Below is a very brief overview, and it is best to discuss your case with one of our surgeons.
- Total hip replacement, also known as total hip arthroplasty, is completed through an incision on the side of the hip that is between 10- to 12-inches. The muscles are detached or split from the hip. This allows the surgical team to fully view and dislocate the hip. The damaged bone or cartilage will be removed and replaced with prosthetic components commonly made of metal, plastic or ceramic materials.
- Minimally invasive total hip replacement surgery is similar to the total hip replacement process but there is less cutting of the tissue surrounding the hip. The surgery can be performed with one or two smaller incisions.
- Anterior minimally invasive hip replacement surgery involves an incision through the front of the hip allowing the surgeon to reach the joint by separating rather than cutting and reattaching muscles. This allows more aggressive rehabilitation after surgery.
- Computer navigation hip replacement is available at MOS. A computer navigation hip replacement is not completed by a robot but rather a computer that provides the surgeon with accurate information that assists in the surgery. This technology has reduced implantation-related complications by improving the placement, ligament balance and leg length.
- Failed hip replacement revision is a surgery to revise previous hip replacement. A hip replacement can fail for a number of reasons, including wearing out over time, infection, fractures, etc. The revision surgery can take many forms, such as revising only some elements of the artificial hip, removal and replacement of the whole prosthetic hip, and complete removal along with rebuilding segments of the bone with materials or a bone graft. These more complex surgeries are usually performed by one of our revision specialists.
Birmingham hip resurfacing
Birmingham hip resurfacing (BHR) is an approach that resurfaces just a few centimeters of the joint with minimal bone loss. This treatment uses metal bearings to preserve, rather than replace, a patient’s femoral head and neck (top of the thigh bone) in the hip. The ideal candidate for BHR is usually an active adult under 60 years old in need of a hip replacement, but should be determined by each surgeon on a case-by-case basis.
Hip arthroscopy is a minimally invasive hip surgery in which an orthopedic surgeon views the hip joint by inserting a small camera, called an arthroscope, into the joint. This allows the doctor to see around inside the joint without making a large incision.
A hip arthroscopy can be used as an exploratory surgery to diagnose the cause of hip pain or used to treat a hip condition. Some of the conditions include labral tears, femoroacetabular impingement and the removal of loose fragments of cartilage inside the joint.
The small incision of an arthroscopy has many advantages including less pain, a shorter recovery time, less scarring and less joint stiffness.
Fracture treatment and repair
When a patient fractures his or her hip there are multiple different treatment options depending on where the fracture is and the patient’s current health. Treatment for a hip fracture should be done as close to the time of the injury as possible. We will find the best option for any patient coming in with a hip fracture.