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Understanding more about the treatments

What is osteoarthritis of the hip?

Osteoarthritis of the hip is a degenerative joint disease that occurs when the cartilage that cushions the hip joint gradually wears away. This leads to pain, stiffness, and reduced mobility in the hip. It is the most common form of arthritis affecting the hip and typically develops with age, although it can also result from previous injuries or excessive wear and tear on the joint.

Common symptoms of hip osteoarthritis may include:

  • Persistent pain in the hip or groin
  • Stiffness, especially after periods of inactivity
  • Reduced range of motion
  • A feeling of grating or grinding when moving the hip
  • Reduced exercise tolerance
  • Night pain

Treatment options for osteoarthritis of the hip can range from lifestyle changes, such as weight management and exercise, to medications for pain relief. In more severe cases, surgical interventions like hip replacement or hip resurfacing may be recommended.

If you are experiencing symptoms of hip osteoarthritis, consult with a healthcare professional to discuss the best treatment options for your situation.

What is a hip replacement?

A hip replacement is a surgical procedure that involves removing a damaged or worn-out hip joint and replacing it with an artificial joint, known as a prosthesis. This operation is recommended for patients suffering from severe hip pain or limited mobility, most commonly from osteoarthritis of the hip.

The aim of the procedure is to relieve pain, improve function, and enhance the patient’s quality of life. Most hip replacements are performed under spinal and general anaesthesia. Recovery can vary, but many patients begin walking with assistance from the first day of surgery and can return to normal activities within a few months.

If you have persistent hip pain that interferes with daily activities, a hip replacement may be a suitable option to relieve your pain.

What is a hip resurfacing?

Hip resurfacing is a surgical procedure that involves reshaping and capping the damaged surfaces of the hip joint rather than replacing the entire joint. During the procedure, the femoral head (the ball of the hip joint) is trimmed and covered with a metal cap, while the acetabulum (the socket) is fitted with a metal lining. This technique is often considered for younger, more active patients with hip osteoarthritis.

The primary aim of hip resurfacing is to relieve pain and improve mobility while preserving more of the natural bone compared to traditional hip replacement. This can be beneficial for patients who wish to maintain a higher level of physical activity post-surgery.

Recovery from hip resurfacing is generally similar to that of a hip replacement, with many patients able to walk with assistance shortly after surgery. If you're experiencing significant hip pain, discussing the possibility of hip resurfacing with your surgeon may be worthwhile.

What is osteoarthritis of the knee?

Osteoarthritis of the knee is a common degenerative joint condition characterised by the breakdown of cartilage—the smooth tissue that cushions the ends of bones in the knee joint. This wear and tear can lead to pain, stiffness, swelling, and decreased mobility.

Common symptoms of knee osteoarthritis may include:

  • Persistent pain in the knee, especially during or after activity
  • Stiffness, particularly in the morning or after sitting for long periods
  • Swelling around the knee joint
  • A crunching or grinding sensation when moving the knee
  • Decreased range of motion
  • Reduced exercise tolerance
  • Night pain

Osteoarthritis can develop due to various factors, including age, obesity, previous knee injuries, and genetic predisposition.

Management options for knee osteoarthritis may include lifestyle changes, such as weight loss and exercise, physical therapy, pain-relief medications, bracing and in some cases, surgical interventions like knee replacement.

If you're experiencing symptoms of knee osteoarthritis, it's advisable to consult with a healthcare professional to explore the most appropriate treatment options for your condition.

What is a knee replacement?

A knee replacement is a surgical procedure where a damaged or arthritic knee joint is removed and replaced with an artificial joint, called a prosthesis. This surgery is commonly recommended for individuals suffering from severe knee pain, stiffness, or decreased mobility, most commonly from osteoarthritis of the knee.

The goal of the procedure is to alleviate pain, restore function, and improve the patient’s overall quality of life. The procedure is typically performed under spinal and general anaesthesia. Most patients start walking with assistance shortly after surgery, and many can resume normal activities within a few months.

If you experience chronic knee pain that impacts your daily life, a knee replacement may be an option worth exploring with your surgeon.

What is a partial knee replacement?

A partial knee replacement, also known as unicompartmental knee arthroplasty, is a surgical procedure that involves replacing only the damaged part of the knee joint, rather than the entire joint. This procedure is typically recommended for patients with localised osteoarthritis or damage in one compartment of the knee—either the medial (inner), lateral (outer), or patellofemoral (kneecap) compartment.

The key benefits of a partial knee replacement include:

  • Preservation of healthy tissue: More of the natural knee structure is preserved, leading to a more natural feel post-surgery.
  • Less invasive: The surgery is usually less invasive than a total knee replacement, resulting in a smaller incision, reduced recovery time, and less post-operative pain.
  • Faster recovery: Many patients experience quicker recovery times and can return to daily activities sooner.

Most patients can begin walking with assistance shortly after the surgery, and many can return to normal activities within a few months, depending on individual circumstances.

If you have knee pain limited to one area and are considering your treatment options, discussing partial knee replacement with your surgeon may be beneficial.

Typical in-patient journey for joint replacement

Pre-admission/pre-op assessment

  1. Consultation: Before surgery, you’ll meet with your surgeon to discuss the procedure, benefits, risks, and expected outcomes.
  2. Pre-operative assessment: This will include blood tests, an ECG, swabs and possible further imaging studies, and a review of your medical history to ensure you’re fit for surgery.
  3. Preparation: You’ll receive instructions on medication management, fasting, and any necessary lifestyle adjustments prior to surgery.

Day of surgery

  1. Admission: Arrive at the hospital, where you’ll check in and complete any remaining paperwork.
  2. Pre-operative Procedures: A nurse will take your vital signs, and you may receive an intravenous (IV) line for medication and fluids. You’ll also meet with the anaesthetist to discuss anaesthesia options. Your surgeon will mark your leg and discuss any further details.
  3. Surgery: The procedure usually lasts a couple of hours. You’ll be under spinal and/or general anaesthesia, depending on the type of surgery and your health needs.

Post-surgery

  1. Recovery room: After surgery, you’ll be taken to a recovery area where medical staff will monitor your vital signs and manage your pain.
  2. Transfer to in-patient room: Once stable, you’ll be moved to your hospital room, where you can begin your recovery process.

Hospital stay (typically 0-2 days)

  1. Pain management: You’ll receive pain relief medication as needed.
  2. Physical therapy: A physical therapist will start working with you, usually on the day of surgery. You’ll begin gentle exercises to improve mobility and strengthen the joint and focus on walking with your new joint replacement.
  3. Monitoring: Nurses will monitor your progress, checking your observations and ensuring you personal care and nutritional needs.

Discharge planning

  1. Preparation for home: Before you leave the hospital, your healthcare team will discuss post-operative care, including any necessary medications, physical therapy, and follow-up appointments.
  2. Discharge: You’ll be given instructions for home care, which may include activity restrictions and exercises. Clear information of how and whom to contact post-operatively in the event of problems will be conveyed to you.

Post-discharge

  1. Follow-Up: Scheduled follow-up appointments to monitor your recovery will be organised. This will include a wound review around two weeks post-operatively, physiotherapy sessions and review with your surgeon typically around six weeks post-surgery.
  2. Rehabilitation: Continue physical therapy to regain strength and mobility, gradually returning to normal activities.

This journey can vary based on individual circumstances and the type of joint replacement surgery. Your specific plan will be communicated to you by the healthcare team to ensure a smooth recovery.

Post-operatively

Post-operatively, rehabilitation starts as soon as practically possible, the key to a successful recovery is to engage in the rehab process and the sooner the better. Many post-operative complications are reduced with early mobilisation.

  • Your pain will be controlled with strong painkillers, you will have routine post-operative blood tests and an x-ray.
  • Our team of expert physiotherapists will mobilise you and allow you to gain confidence in your new joint replacement.
  • Typically you will be on a daycase pathway or in hospital one night post surgery.
  • You will also be on a blood thinner post-operatively, this help prevents the risk of deep vein thrombosis. If you see any bleeding, immediately stop taking the medication and contact Mr Richard Baker via the ward, or Mr Baker's secretary in business hours.

Wound care

  • Stitches that are dissolvable in the skin are used, sparing the inconvenience of having them later removed, with a further superficial layer of paper stitches and glue.
  • A wound check will be required approximately 14 days after surgery where the dressing and paper stitches will be removed.

Follow-up

  • Follow-up will occur at six weeks in-clinic and at one year after the surgery with x-rays to monitor the joint.

Please do not hesitate to contact Mr Baker if you have any further questions.

Performed
over 1,500 knee
+ 2,000 hip
replacements
Over
400 partial knee
replacements
In total
over 3,500
knee and hip surgeries
and counting...
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Registered and fee assured with most major insurers
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Registered with the General Medical Council
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Using only top-rated implants