Paul Parker - Orthopeadic Surgeon



Total Hip Replacement
Total Hip Replacement

This is one of the commonest operations performed by orthopaedic surgeons. When you can no longer be helped by weight loss, use of a stick, painkillers such as Paracetamol or anti-inflammatories such as Ibuprofen (Brufen) or Diclofenac (Voltarol) or physiotherapy then you may be helped by a hip replacement.

The hip joint is a ball and socket joint. With wear and tear – osteoarthritis – the joint flattens, the cartilage thins and extra bone is formed. The joint is stiff, especially in the mornings and during cold weather. During the operation, the worn head is replaced by a stainless steel ball attached to a shaft that is cemented into the femur or thigh bone. This is called the stem. The worn socket is replaced by a strong plastic cup which is also cemented into place. This is often called the cup. The hip replacement that I use is called the Exeter Hip Replacement. This is one of the safest and most trusted hip replacements used in the UK. It has excellent results, even as long as twenty years after the original operation. It is one of the very few replacements recommended by NICE (National Institute for Clinical Excellence – the Government’s Health Watchdog).

The operation itself takes about an hour and a half. You will come into hospital, either the day before or on the morning of your surgery. When you wake up after the anaesthetic, you may feel a little groggy but you will experience very little discomfort because of the modern anaesthetic techniques used. You will have a scar over your hip about 6-8 inches (15-18cm) long. You will rest in bed for about a day. We will give you medication to keep your blood thin and avoid a blood clot in your leg – a deep venous thrombosis or DVT. You will be out of bed with assistance on the second day. All your drains and tubes will be out by then as well. You will be walking about on sticks by day four or five. Sometime by day five you are fit to go home, although this can take a few extra days sometimes!

Your stitches can be removed by your own GP or practice nurse at ten to fourteen days. You will come back to see me at about six weeks. You will not me able to drive yourself until then. By six weeks you should be walking with only one stick. By three months, you should be walking independently. You will need to see me on a yearly basis thereafter for an x-ray and check-up.

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See as well...
» Total Hip Replacement » Resurfacing Hip Replacement
» Total Knee Replacement » Anterior Cruciate Ligament Reconstruction
» Knee Arthroscopy » Ankle Arthroscopy & Ligament Reconstruction
» Sports Medicine » Bunions
» Sports Surgery » Surgery Game from Internet [External Link]



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