Total hip replacement is a surgical procedure indicated mainly when there is significant deterioration of the joint causing persistent pain, loss of mobility and limitations in daily activities.
During surgery, the damaged joint surfaces of the hip are replaced with prosthetic components designed to reduce pain, restore mobility and improve the patient's function and quality of life.
In a total hip replacement the damaged surfaces of the joint are replaced: the femoral head is replaced with a prosthetic component and a component is placed in the acetabulum, the part of the pelvis where the femur articulates.
The selection of components and the surgical planning are done individually, taking into account anatomy, the degree of joint deterioration, age, activity level and other characteristics of the patient.
After surgery a progressive process of mobilization and rehabilitation begins, essential to recovering strength, mobility and independence.
It may be considered in patients with:
Not everyone with hip pain or osteoarthritis needs a replacement. At early or moderate stages there may be conservative treatment alternatives depending on the diagnosis, symptoms and degree of joint deterioration.
The decision to perform a hip replacement is made after a specialist medical evaluation, considering symptoms, physical examination, imaging studies and the particular needs of each patient.
Recovery begins in the earliest stages after surgery with progressive mobilization and a rehabilitation programme adapted to each patient.
The goal is to gradually recover mobility, strength, stability and the ability to walk, allowing a progressive return to daily activities.
Recovery times can vary depending on the patient's previous condition, the technique used and their progress after surgery.
Current prostheses are designed to last a long time, but there is no exact figure applicable to all patients. Their lifespan can depend on factors such as age, activity level, weight, the type of implant and other individual aspects.
In many patients, mobilization and walking begin early after surgery, provided clinical conditions allow it. Initially a walker, crutches or a cane may be needed for support.
Recovery is progressive. Daily activities are gradually resumed over the first weeks, while fully recovering strength and function can take several months. Times vary from patient to patient.
Mobilization, exercises and rehabilitation are an important part of recovery. The programme is adapted to the needs and progress of each patient.