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Hip Replacement Surgery

Every year, more than 400,000 people in the U.S. undergo total joint replacement surgery, usually because of chronic joint pain caused by arthritis. Severe joint pain can affect every aspect of daily living, including walking, exercise, leisure, recreation and work.

The goal of hip replacement surgery is to reduce your pain, restore your independence, and return you to work and the things you love to do.

Hip Replacement at CentraState
In choosing The Total Joint Center of New Jersey at CentraState for your hip replacement surgery, you’ll be cared for by a team of orthopedic experts dedicated to helping you return to an active lifestyle and a higher quality of living.

Computer-assisted, Minimally Invasive Hip Replacement Surgery
CentraState offers computer-assisted, minimally invasive hip replacement surgery using the Ci System by iOrthopaedics. Patients who undergo this type of hip replacement surgery tend to recover more quickly and may enjoy the greatest long-term outcome success—an important consideration as people age and seek to maintain mobility and an active lifestyle.

Computer-assisted hip replacement surgery capitalizes on new high-precision technology and vast improvements in prosthetic design and components. Misalignment is a leading cause of hip replacement failure, resulting in the need for additional surgeries or "revisions." The computer serves as a tool to support the surgeon's own skill and judgment in making the hip replacement surgery more accurate.

Easier Recovery from Hip Replacement Surgery
By using minimally invasive techniques to perform hip replacement surgery, orthopedic surgeons reduce the amount of cutting involved, which helps to minimize scarring, post-operative pain and the possibility of infection. While traditional hip surgery involves a 10- to 12-inch incision, minimally invasive hip replacement surgery uses only a four-inch incision on the patient's back, or two-inch incisions on both the front and the back of the hip. Other advantages of this type of hip replacement surgery for most patients include: a shorter hospital stay, faster recovery of mobility and range of motion, and an earlier return to normal activities.

Many total hip replacement patients are able to walk the first day after surgery. Most patients, with guidance from their doctor and proper rehabilitation, are able to return to walking for longer distances and other activities they enjoy—in just a few weeks.

Hip Replacement Surgery Frequently Asked Questions
Below are answers to the most commonly asked questions about total hip replacement surgery. If you still have questions after reading this section, please see our education guide or talk to your surgeon. We encourage you to learn as much as you can about hip replacement surgery—because the more you know going into your surgery, the better your results and recovery. 

Why does arthritis cause my hip to hurt?
Eventually, arthritis wears away cartilage down to the bone. Rubbing of bone on bone causes pain, swelling and stiffness.

What is total hip replacement?
A total hip replacement is a procedure in which the arthritic ball of the upper thigh bone (femur) as well as damaged cartilage from the hip socket is removed. The ball is replaced with a metal ball that is securely attached inside the femur. The socket is replaced with a plastic liner that is typically fixed inside a metal shell. This forms a new smooth cushion and a functioning joint that does not hurt.

What are the results of total hip replacement?
Most patients experience good to excellent results with relief of discomfort and significantly increased activity and mobility.

How long will I be in the hospital?
Most hip replacement patients will be in the hospital for approximately three days after their surgery. There are several goals you must accomplish before you can be discharged.

Do I need to be under anesthesia for hip replacement surgery?
You may have a spinal or epidural anesthetic, which numbs your legs only and does not require you to be asleep. However, even with a spinal or epidural, you are typically given a sedative to relax you. Or you could have a general anesthetic, which induces a state of unconsciousness. The decision is up to you and is best discussed with your anesthesiologist.

Where will I go after discharge from the hospital?
Most patients are able to go home directly after discharge. Some may transfer to an outpatient or inpatient rehabilitation facility, such as The Manor Health and Rehabilitation Center. Inpatient stays typically last from three to 10 days. Our TJC coordinator or discharge planner will help you with this decision and make the necessary arrangements. You should check with your insurance company to determine what level of hospital inpatient and outpatient physical therapy, and/or homecare benefits you have.

Will I need help at home?
Yes. The first several days or weeks, depending on your progress, you will need someone to assist you with meal preparation and other activities of daily living. If you go directly home from the hospital, the TJC coordinator or discharge planner will arrange for a home health care nurse to come to your house as needed (depending on what your insurance allows). Family or friends need to be available to help if possible.

Preparing ahead of time, before your hip replacement surgery, can minimize the amount of help needed. Having the laundry done, house cleaned, yard work completed, clean linens put on the bed, and single portion, frozen meals ready to go will reduce the need for extra help.

When will I be able to get back to work?
We recommend that most people take at least one month off from work, unless their jobs are quite sedentary and they can return to work with crutches. An occupational therapist can make recommendations for joint protection and energy conservation on the job.

Tell me a little about aftercare and how it is covered by insurance?
Rehabilitation services after surgery include inpatient and outpatient rehabilitation, as well as homecare. Insurance coverage varies and referrals to rehabilitation facilities or homecare (such as the Visiting Nurse Association of Central Jersey) will depend on a combination of patient need and insurance coverage. If a particular service is not covered by insurance, patients can choose to pay privately if the service is available.

How long will my new hip last and, if needed, could I have a second hip replacement?
The goal is to provide a hip replacement that lasts a lifetime. Most hip replacements last more than 15 years. However, there is no guarantee. A small percentage do not last that long. So, a second hip replacement may be necessary.

Contact Us
For more information on knee replacement surgery at The Total Joint Center of New Jersey at CentraState, call (866) CENTRA7. Please visit our physician directory to locate an orthopedic surgeon.