Hip Surgery & Replacement Options

RWJBarnabas Health offers several options for hip surgery. Hip replacement or surgery can help patients with severe hip pain, joint disease or deterioration, or hip fractures, with the goal of reducing pain and restoring function. RWJBarnabas Health has the capabilities to perform several types of surgical procedures based on your individual condition and needs. Because of our high volume of hip surgeries, our surgeons are among the most experienced in hip surgery and hip replacement in the region. Your doctors will determine which approach is best for you and your condition, and will thoroughly explain your surgery.

Anterior Approach Total Hip Replacement Surgery

Unlike the posterior approach, which uses an incision through the rear of the hip, the anterior approach creates an incision in front of the hip. This approach avoids the gluteal muscles, which are the most important to hip function. In addition, it uses a naturally occurring space between the muscles to reach the joint, which results in less trauma to the muscles since they are not cut. With this approach, patients can bend their hip freely right after surgery, there is a lower risk of dislocation, and faster rehabilitation.

Posterior Approach Total Hip Replacement Surgery

Total hip replacement is performed to treat severe, debilitating osteoarthritis, other arthritic conditions, osteonecrosis, and hip fracture. Traditional hip replacement surgery is a highly successful and reliable method of hip replacement. An open surgical approach allows for the surgeon to see the diseased or damaged joint and replace it directly through a five to eight inch incision. Hospital stays are approximately three to four days, and rehabilitation generally includes two to three months of physical and occupational therapy.

Minimally Invasive Total Hip Replacement

Our surgeons are highly experienced in minimally invasive hip replacement surgery and will determine if you are a candidate. The results of a minimally invasive approach are as good as traditional approaches for most patients. Surgeons use two small incisions, between one and three inches in length, and use x-ray guidance to visualize and position the hip. This approach involves minimal disruption to the muscles and tendons. As a result, the hospital stay for minimally invasive hip replacement is only one to two days, and rehabilitation time is shortened. In addition, patients generally experience less post-operative pain and fewer restrictions.

Hip Resurfacing

Hip resurfacing involves reshaping the arthritic or damaged ball joint and covering both surfaces of the joint with prosthetic implants. For active patients who are candidates, hip resurfacing may be ideal, as it preserves more bone and does not require removal of the femoral neck. In addition, there is a lower risk of dislocation than a total hip replacement. Recovery includes one to three months of physical therapy.

Hip Arthroscopy

Hip arthroscopy is a minimally invasive, outpatient procedure that uses a small camera and microsurgical instruments to restore joint function. Surgeons can remove loose fragments or inflamed tissue, reshape diseased areas of bone or cartilage, and repair labral tears through very small incisions. This procedure is used to treat torn cartilage, bone fragments, bone spurs or loose cartilage. Following same-day surgery, patients can immediately begin physical therapy. Return to normal functional activities generally occurs within ten days, and sports may be resumed as early as three to four weeks.