Total Hip Replacement

Total Hip replacement Approximately 80,000 hip replacements are performed annually in the UK and these numbers are increasing each year. The commonest reason to perform a THR is for osteoarthritis of the hip where the patient’s symptoms are now severe and interfering with quality of life (pain and disability). What’s involved? Hip replacement involves a...

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Hip Arthroscopy

What is Hip Arthroscopy? Hip Arthroscopy is most commonly performed to treat Femoro-acetabular impingement. In almost every case bone is removed around the hip joint (CAM or Pincer lesions) and the labrum is repaired (or partially removed if irreparable). Many patients will also have some degree of localised cartilage damage and this may either...

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ABICUS procedure - Hip

As discussed in the page on hip impingement, one of the problems seen as part of this process is damage to the joint surface at the junction of the labrum and hip socket rim (acetabulum). This is called the chondro-labral junction. The sequence of events in hip impingement (FAI- femoro-acetabular impingement) is: Bony Deformity (CAM...

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Revision Total Hip replacement

There are different reasons why patients may need a Revision Total Hip Replacement. It may be because the patient was relatively young when the original surgery was performed and the hip replacement has effectively worn out. Other reasons include infection, dislocation and occasionally failure of the prosthesis used. The commonest reason for...

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Abductor Repair or Reconstruction

When is surgery necessary? Abductor Repair or Reconstruction is performed when non-operative measures, such as physiotherapy and injection, have failed to significantly improve a patients symptoms. As discussed on our Hip Abductor Dysfunction page, the pelvis tilts abnormally when the gluteal muscles do not work properly. This puts a lot of strain on the body and although...

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Hip Replacement - Pelvic Discontinuity

Hip Replacement – Pelvic Discontinuity A really challenging area of our practice is dealing with patients where hip replacements are loose and the pelvis has broken (fractured). This results in bone loss; the pelvis is unstable due to the fracture. This can occur as a result of long-term implant loosening, or a sudden failure of...

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Hip Replacement - Infection

Hip Replacement – Infection This is one of the most difficult areas to deal with. An infected hip replacement is a disaster for everyone involved; patients, nurses, doctors alike. An artificial hip has no blood supply, therefore antibiotics cannot penetrate it to remove infection. The simplest deterrent is avoidance, that is avoidance of infection at...

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Hip Replacement - Dislocated Hip

Hip Replacement – Dislocated Hip A dislocated hip replacement can happen for a number of reasons. It can occur soon after surgery due to a patient over-reaching causing the implant to lever out, or due to poor implant positioning at surgery. Hips can also dislocate due to long-term loosening. The immediate treatment is to put...

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Hip Replacement - Bone Loss

Hip Replacement – Bone Loss One of the challenges in hip replacement is dealing with bone loss. This is usually the case in revision surgery where loosening of the implant leads to large cavities or holes in the bone. This leads to a weak foundation to put in another implant solidly. In the hip socket...

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Which Hip Replacement

Our goal is to give you a well functioning hip replacement that will last as long as possible. How long an implant lasts depends on how active you are, and what type of implant has been used. There are a number of variables in the choice of your hip replacement. There are a multitude of...

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