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Rapid Recovery Hip Replacement

What is Rapid Recovery Hip Replacement?

Rapid recovery hip replacement is an innovative and minimally invasive surgical procedure to replace a damaged hip joint with a prosthesis. It is associated with minimal post-operative pain and discomfort and a shorter recovery time. The surgery can often be performed as an outpatient procedure.

Anatomy of the Hip

The hip joint is a weight-bearing, ball-and-socket joint in which the head of the femur (thighbone) forms the ball, and the pelvic acetabulum forms the socket. The surface of the hip joint is covered by smooth articular cartilage which acts as a cushion and enables smooth movement of the joint. The bones are held together by several bands of tissue called ligaments which provide stability to the joint.

Indications for Rapid Recovery Hip Replacement

Rapid recovery hip replacement is mainly indicated for patients that are relatively healthy and free of serious comorbidities, and who are motivated to actively participate in their recovery by following the physical therapy protocol recommended. 

Preparation for Rapid Recovery Hip Replacement

Pre-operative preparation for rapid recovery hip replacement includes:

  • You will be recommended to perform physical therapy exercises before the surgery to strengthen the muscles that surround and support your hip joint. 
  • The surgical procedure and postsurgical expectations will be explained to you in detail.  
  • Your doctor will conduct a thorough physical examination and order diagnostic tests as needed to identify any issues prior to surgery.
  • You should inform your doctor if you are allergic to anesthesia or any medications.
  • Do not eat anything from midnight before the day of the surgery.
  • Inform your doctor if you are taking any medications.
  • Refrain from smoking and consuming alcohol 2 weeks before the surgery.

Procedure for Rapid Recovery Hip Replacement

Procedure for rapid recovery hip replacement includes:

  • The surgery is generally performed under sedation and regional anesthesia.  
  • An incision of about 4-6 inches will be made on the skin above the hip joint. This is smaller than a traditional open hip replacement surgery incision.  
  • Specially designed surgical instruments are used to work between the muscles rather than cutting through them to reach the hip joint, remove the damaged bone and tissue, and accurately place the implant components. 
  • Your surgeon will then test the range of motion of the joint.
  • The incisions will be then closed with sutures.

Post-operative Care for Rapid Recovery Hip Replacement

Post-operative care instructions for rapid recovery replacement include:

  • After the surgery, you will be moved to the recovery room for a few hours for monitoring and encouraged to start bearing weight on the hip the same day.
  • You should be able to return to your home on the same day.
  • Your doctor will give you specific instructions regarding the use of crutches for a few days after the surgery, taking pain medications, performing routine activities of daily living, and participating in physical therapy.

Risks of Rapid Recovery Hip Replacement

As with any surgical procedure, there is a minimal risk of infection, bleeding, delayed healing, or failure of the implant. 

Benefits of Rapid Recovery Hip Replacement

Benefits of rapid recovery hip replacement compared to traditional hip replacement surgery include:

  • Shorter hospital stay
  • Less invasive technique
  • Reduced postoperative pain
  • Faster recovery
  • Fewer complications
  • Early mobilization 
  • American Academy of Orthopedic Surgeons
  • AAHKS
  • UCI School of Medicine, Department of Orthopedic Surgery, Orange