Total Hip Replacement
- Waiting Time 1 - 2 Weeks
- Typical Stay 1 night
- Procedure Time 30 minutes
- Anaesthetic General
- Health Insurance No
- Self-Pay Yes
A THR is commonly offered to patients who suffer from severe debilitating pain due to:
- 1 Osteoarthritis - degenerative hip disease.
- 2 Inflammatory joint disease - such as rheumatoid, psoriatic joint disease, Systemic lupus erythrematosus, Sjogren syndrome.
- 3 Post-traumatic - arthritis.
- 4 Osteonecrosis - bone death caused by loss of blood supply to the hip following dislocation.
- 5 Childhood hip disease - hip dysplasia, Perthe’s disease, slipped upper femoral epiphysis (SUFE).
At Oveli™ Healthcare, we are committed to providing wholistic treatment for our patients. A THR is only recommended if all non-operative measures have been exhausted, such as optimising pain medication, physiotherapy, weight loss and the use of the latest injectable therapies.
How It Works?
The surgeon performs an open procedure to remove the diseased parts of the hip. There are various surgical approaches to access the hip, and at Oveli™ Healthcare, we offer the ‘posterior’ and ‘Modified Rottinger’ approaches. Your surgeon will discuss the potential benefits and limitations of each approach, ensuring you are at the centre of the decision-making process.
During the procedure, the damaged parts of the joint are replaced with new, artificial components designed to replicate the function of the original hip joint. The choice of materials used for these components is guided by your physiological age and functional needs. Metal components are typically implanted into the socket (the acetabular cup) and the bone (the femoral stem). These can include:
- Uncemented titanium implants that are coated with modern porous material that enable your bone to grow directly onto the component.
- Cemented implants (plastic cup and stainless steel stem) that are firmly held in position by using a polymethylmethacrylate (PMMA) grout.
- Hybrid THR that uses a titanium uncemented cup and a stainless-steel cemented stem.
- Stainless steel ball with a plastic liner.
- Ceramic ball with a plastic liner.
- Ceramic ball with a ceramic line.
The cup has either an incredibly hard modern plastic or a ceramic liner. The joint (bearing) surface can either be:
Benefits
There are many benefits to a Total Hip Replacement. One of the primary benefits is significant relief from chronic hip pain caused by arthritis or injury, allowing patients to return to daily activities without discomfort.
With reduced pain and better mobility, patients can participate in activities they previously had to avoid, leading to an overall improved quality of life.
Patients often experience improved hip function and increased range of motion, making it easier to walk, bend, and perform everyday activities.
Modern hip replacement implants are designed to be durable, with many lasting 15-20 years or more, providing long-term relief and stability.
Recovery & Care
With your comfort as our top priority, our hospitals are designed to make your path to recovery as smooth and pleasant as can be. Come, take a glimpse into our healthcare sanctuaries and experience the exceptional care you deserve.
- Ask your surgeon about exercises you can perform to strengthen your core, upper body, and leg muscles before surgery.
- If you smoke, try to quit or cut back on the amount you smoke.
- If you are overweight, try to lose weight. Being overweight can increase the risk of complications during or after surgery. Click here to watch video.
- Arrange for transportation for your procedure and follow-up visits with the surgeon.
- Ask for help around the house for a week or two after coming home from the hospital or surgical centre. This may include help with cooking, shopping, and laundry.
- Prepare for meals in advance.
-
Set up an area in your home where you will spend most of your time recovering. You may want to:
- Keep the television remote control, telephone, phone, medicine, tissues, and wastebasket close by.
- Place other items you use every day at arm’s level so you can easily reach them.
- Wear an apron with pockets for carrying things around the house. This leaves hands and arms free for balance or to use crutches.
- Use a long-handled “reacher” to turn on lights or grab things that are beyond arm’s length.
-
Speak to your health care team about equipment that may help with daily activities such as:
- Raised toilet seat.
- Shower chair or bench to use during bathing.
- Assistive devices to help you move around, such as a walker or crutches.
Treatment Plans
Discover our all-inclusive package, designed to provide top-quality healthcare tailored to meet your needs.
- Pre-operative diagnostics including X-Ray
- Pre-operative assessment prior to admission
- Nursing care
- Catering during your day
- Operating theatre charges
- Drugs and dressings
- Post-operative surgeon consultation
- Post-operative routine physio appointment
- Physio protocol guide
- 2 week nurse follow-up
- 6 week consultant follow-up
Essential Care Package
FAQs
Explore our FAQs to find answers to common questions and gain a deeper understanding of our surgery.
No - If you are fit and well enough to undergo the procedure then you will be offered the surgery irrespective of your age. Your surgeon will guide you through your own personalised risk profile. A referral for a ‘High Risk Anaesthetic Assessment’ will be made if your surgeon believes that, in order to perform the surgery safely, your medical conditions warrant further assessment.
Click here to watch video.
At your surgical consultation
- Standing X-rays of your hip will be performed. These will aid diagnosis and management of your condition. Your surgeon will also use these calibrated images to conduct digital surgical planning prior to your procedure.
- Each patient undergoes a thorough pre-operative assessment within four weeks of surgery. This includes, but is not limited to:
a) Patient specific blood tests including blood group identification
b) Electrocardiogram (ECG)
c) Blood pressure assessment
d) Methicillin Resistant Staph. Aureus (MRSA) groin/throat swab test
Click here to watch video.
- Over 95% of cases are performed under a spinal anaesthetic. This is advantageous to the surgeon during the procedure, minimising blood loss. This is also beneficial to the patient in terms of immediate pain management and functional recovery.
- A general anaesthetic may be required for specific cases, such as in spinal disease. The anaesthetic team will guide you through the process and your wishes are always paramount during this process.
A typical THR takes between 40 to 75 minutes depending on the use of cemented or uncemented implants and the complexity of the case.
You can leave hospital as soon as your are medically fit, your pain is well controlled and the physiotherapists are happy with your ability to independently go up and down stairs. We aim to have you home after one night in hospital.
You will have a bio-occlusive dressing on the wound immediately after surgery. We recommend that this stays in place for two weeks. It is ‘splash-proof’, however, you will be provided with additional dressings to use as required. Do not soak the wound in a bath or long shower for at least two weeks.
No – you will have dissolving sutures under the skin. Your wound will be checked by your General Practice Nurse at two weeks. You will be provided with the necessary contact details should you or the nurse have any concerns. A timely review by your surgeon will be forthcoming.
It is ideal to have someone at home with you for the first three or four days. If this is not possible, we can explore options for additional support.
You can fully weight bear on your new hip immediately and we encourage you to walk and do stairs on the day of surgery. The use of crutches is at your discretion. Patients typically discard these after two to four weeks.
This is dependent upon the individual patient, however, most people are driving by week six. This is reflected in the expectations most insurance companies. The advice is to only return to driving once you are confident that you can handle your car safely with the full ability to perform emergency manoeuvres.
Click here to learn more.
We recommend a minimum of two weeks rest to allow the wound to heal. We recommend three months off for those in manual professions, however, many patients return to less physically demanding jobs within two to six weeks.
Click here to learn more.
We recommend avoiding deep hip flexion within the first six months following surgery. It is advisable to use a chair until that time. Beyond that, proceed as comfort allows.
Remaining active is essential and you will be guided by your physiotherapist. We advise that you titrate your activity to how your new hip feels. Avoid activities that are likely to result in contact or a fall within six months. Many patients return to sports such as social football, tennis or skiing, however, your surgeon will council you individually regarding the specific risks these present.
Click here to learn more.
Yes – You can be guided by your physio therapist and the comfort you experience within your hip.
×