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
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 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 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.