The Orthopedic Arthroplasty Service at the
Orthopedic Department of Tel Aviv Sourasky Medical Center is comprised of highly skilled orthopedic surgeons with expertise in Total Hip replacement, offering the latest advancements in joint replacement.
Total hip replacement (Hip Arthroplasty) involves surgically removing and replacing a painful damaged hip joint (the largest joint in the human body) with an artificial joint often made from metal and plastic.
There are many medical conditions that can damage the hip joint, including:
- Osteoarthritis – the most common reason
- Femoral neck injury, damage or fracture
- Femoral head necrosis
- Arthritis (infectious complications)
- Hormonal changes
- Joint overload
- Complete destruction of the femoral head
- Deterioration of cartilage tissues
- Dysplasia (congenial deformities of the hip joint)
- Arthrosis and arthritis of the hip
- Excessive weight
- Metabolic and circulatory disorders
- Systemic diseases
- Chronic stress disorders, etc.
Many of the conditions treated with a hip replacement are age-related so hip replacements are usually carried out in older adults aged between 60 and 80. However, a hip replacement may occasionally be performed in younger people. Hip replacement surgery is usually performed when all other treatment options (non-surgical treatments, pain medications, and physiotherapy) have failed to provide adequate pain relief. Treatment with medications provides temporary pain relief, but is unable to stop the process of cartilage erosion.
The purpose of a new hip joint is to restore the ability to move without pain and improve the function of the hip, thereby improving quality of life (it may no longer be necessary to use walkers or canes).
The ultimate success of hip replacement surgery depends on how closely the patient follows the rehabilitation guidelines and physician’s recommendations. The patient receives instructions for controlled loading of the operated hip through special physical exercises.
The Hip Replacement Procedure
Hip arthroplasty is the most common procedure for replacement of the hip tissues. It is a high-tech, minimally invasive arthroscopic surgery, requiring the highest level of proficiency and expertise on the part of the surgeons and their assistants.
Based on the nature of the hip damage, the orthopedic surgeon chooses the hip implant design type most appropriate for the patient.
A minimally invasive hip replacement surgery typically lasts 2-3 hours.
The procedure can be divided into three stages:
The first stage of the hip replacement surgery exposes the hip joint. This is a very important stage. A longitudinal incision 15-20 mm in size is made in the hip joint. The available advanced technologies make it possible to minimize damage to the muscles and tissues, facilitating a much quicker motor recovery of the lower limb. During this stage, the orthopedic surgeon uses special minimally invasive instruments to remove the affected bones, articular cartilage, etc. The bone structures are then prepared for the implant placement.
The second stage of the hip replacement surgery involves the hip implant placement. Hip implants can be made of metal, ceramics, plastic, or a combination of materials (based on the hip problem).
The third stage of the hip replacement procedure involves the thorough cleansing of the surgical wound with antiseptics and the closing of the incision tissues in multiple layers with stitches. The outer layer is closed with special staples.
Preparations Before the Surgery
Before the surgery, a medical report with the diagnosis and list of current medications will need to be provided. The blood tests may include: blood count, biochemistry and coagulation, ECG results, X-ray (double view) of the hip joint. In some cases, additional images of the impaired or damaged joint may be required, to confirm the diagnosis. The most typical diagnostic imaging techniques are MRI and CT.
Anticoagulant therapy, and other blood thinning medications, will have to be discontinued one week before the surgery.
Patients are also advised to refrain from smoking.
The patient will be able to stand steadily and walk with some additional support 1-2 days after the surgery. Patients are usually able to leave the hospital after about 7 days. Acting appropriately after the hip replacement surgery enables an easy transition for patients during the extended recovery period of 3-6 months. At the Division of Orthopedics of the Tel Aviv Sourasky Medical Center, patients receive special instructions and develop practical skills, allowing them to take proper care of the incision site.
The patient will learn how to strengthen the thigh and calf muscles. The exercises are always performed under the guidance of a qualified physiotherapist.
After discharge from the hospital, patients will receive follow-up care for several months after the surgery, enabling them to practice their walking skills and improve balance and stability.
Our goal as a leading orthopedic center is to provide our patients with the best care possible using the latest in research, techniques, and medicine.
At Tel Aviv Sourasky Medical Center (Ichilov) you’ll find exceptional medical care of the highest quality delivered by world-class specialists. You will be in safe hands here!