Hip Replacement

photograph of replacement hip implant component in skeleton.
The hip is a ball and socket type joint that connects the top of the femur to the acetabulum.

The femur is held in place with muscles, tendons and ligaments. The inside of the joint surface is lined with healthy joint cartilage.

When the joint is diseased the cartilage covering the surface becomes rough and uneven causing the femur to rub directly onto the acetabulum. This in turn leads to discomfort, pain, stiffness and muscle weakness. Degeneration of the hip can cause inflammation of the joint, worsening over time.

Underlying conditions such as osteoarthritis due to wear and tear or rheumatoid arthritis may cause deterioration of the cartilage and bone leading to joint replacement surgery. Fractures of the neck of the femur are common in elderly people as their bones become more brittle as they age. Traumatic occurrence from sporting injury or road accidents may lead to breakdown of the joint structure and lead to hip joint replacement surgery.
 
diagram of hip joint osteoarthritis.
Hip replacement surgery or arthroplasty as it is otherwise known, is considered when other treatment options have not been successful in restoring the hip. The hip replacement is a major surgical procedure to remove the damaged surfaces and replace them with a prosthetic hip. The joint replacement is designed to function and move like a natural hip joint.

Under normal conditions most older people can have a functioning hip replacement for the rest of their lives. Other patients still have a good pain free function for some 10 years following a hip replacement. Younger patients may require a revision hip replacement to exchange the worn components.
Watch the Video: Total Hip Replacement.

Before surgery

Hip replacement surgery is performed at Hollywood Hospital. Patients normally stay 7 days following replacement surgery. The rehabilitation team at Hollywood Hospital will be actively involved in your rehabilitation and exercise program to help you regain maximum mobilisation of your new hip.

On the day of the surgical booking, office staff will provide you with the following information:
  • hospital booklet
  • admission day/date/time
  • anaesthetist information
  • fasting details
  • quote for surgery.

A package will be given to you that will include:
  • Referral for CT of the hip
  • Rehabilitation Guidelines
  • Blood Test request
  • Information for Hip Donation.

Prior to surgery preoperative appointment will be scheduled for review with the Pre-Admission Clinic at Hollywood Hospital. During this meeting, your personal and clinical details will be checked to allow for smooth admission process on the day of surgery. Admission on the day will be mid- to late-morning with surgery scheduled for late afternoon that same day.

You may require an anaesthetic assessment with your Anaesthetist prior to admission. Further information will be provided upon booking your surgical procedure. We do suggest you contact the anaesthetist a week prior to surgery if you have had any of the following:
  • Head or Heart Surgery
  • Lapband Insitu
  • Blood Thinning Medication
  • Relevant Medical History.

The surgery

In preparation of the hip joint replacement the muscles and ligaments are separated to reveal the hip joint. Some of the muscles are detached from the femur or pelvic bone to allow accessibility to the hip. The hip joint is then dislocated with removal of the femoral head. Surgical tools are then used to prepare the bone cavity for insertion of the prosthetic stem and femoral head. Prosthetic hip components, similar in size and shape are then cemented into position.

Removal of the damaged cartilage from the socket of the hip joint will be performed. The socket will then be realigned with the prosthesis. The joint will be checked that all prosthetic components fit together.

Dissolvable stitches are used to close the inner capsule of the hip joint and staples to further close the skin. The staples will be removed around 14 days after your operation.

After surgery

photograph of smiling woman in hospital bed talking to a doctor.
Following surgery, you are transferred to the recovery room where you will be monitored by nursing staff. Physiotherapy will be commenced a day or two following surgery. Exercising the hip is important for successful healing and recovery of hip movement and strength.

You will be shown specific exercises to continue once you leave the hospital.

Please phone the rooms on 9381 3084 to book an appointment following discharge to remove staples and receive further post-operative instruction.

At home

Whilst your hip is healing you may experience pain and discomfort, this is normal. Pain relief and anti-inflammatory medication will be prescribed. Additional medication will be given upon discharge.

Swelling is inevitable following any surgery. It may be helpful to keep your legs elevated higher than your heart for 20 minutes a day to minimise swelling. It is important to continue to walk and complete exercises often without straining to maximise joint recovery.

If you develop:
  • a temperature of over 38.5°C
  • swelling or discomfort which persists or worsens despite ice and rest and pain medicine
  • excessive bleeding numbness, tingling, redness or swelling

– please contact the office or the hospital.

Surgical Appointments

Hollywood Hospital
Monash Avenue
NEDLANDS
WA 6008

Glengarry Hospital
53 Arnisdale Road
DUNCRAIG
WA 6023

Practice Details

Please Call (08) 9381 3084 for an appointment.
Fax: (08) 9381 3054
or email us

Level 2, 280 Rokeby Road
SUBIACO
WA 6008

Sports Medicine Centre
1/64 Arnisdale Road
DUNCRAIG
WA 6023

Opening Hours
Open Monday to Friday 9am to 5pm

Subiaco rooms

Duncraig rooms

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