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Hip Replacement Surgery — Overview, Symptoms, Treatments, and Other Resources.
Hip Replacement Surgery (also known as Hip Arthroplasty)
Comprehensive Guides
Information on Hip Replacement from the National Library of Medicine (NIH)
Hip replacement is surgery for people with severe hip damage. When you have a hip replacement, the surgeon removes damaged cartilage and bone from your hip joint and replaces them with new, man-made parts. This can relieve pain, help your hip joint work better, and improve your walking and other movements. Your doctor may recommend it if you have hip damage and pain, and physical therapy, medicines and exercise don't help. Read more at the National Library of Medicine, National Institutes of Health.

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Information on Hip Replacement from the University of Pittsburgh Medical Center (UMPC)
A total hip replacement is a surgery to replace a diseased or injured hip joint. An artificial ball-and-socket joint is inserted to make a new hip. The artificial joint is called a prosthesis. Read more from UPMC.

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Information on Hip Replacement from the National Library of Medicine (NIH)
Hip replacement, or arthroplasty, is a surgical procedure in which the diseased parts of the hip joint are removed and replaced with new, artificial parts. These artificial parts are called the prosthesis. The goals of hip replacement surgery include increasing mobility, improving the function of the hip joint, and relieving pain. Read more at the National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health.

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Fact Sheets, Tutorials, Interactive Tools, and other Interesting Information
Interactive Tutorial: Hip Replacement
Doctors may recommend surgery for people suffering from severe arthritis in the hip to relieve their pain and help them move around more easily. To learn more, take an interactive tutorial on hip replacement, provided by National Library of Medicine, National Institutes of Health.

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Interactive Tutorial: Hip Replacement Physical Therapy
The muscles around the hip joint must be strengthened after surgery and the patient needs to recognize the limitations of a new hip. This patient education lesson reviews necessary steps that must be taken in order to get the most out of a new hip. To learn more, take an interactive tutorial on physical therapy after hip replacement, provided by National Library of Medicine, National Institutes of Health.

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Tutorial: Revison Hip Surgery and Total Hip Replacement Surgery
Take an interactive tutorial provided by The Arthritis Foundation.

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Flash Presentation: Total Hip Replacement
Watch this multimedia patient education presentation, from Ranawat Orthopaedics.

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Videos and Podcasts
Podcast Audio: Fast Facts About Hip Replacement
Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to: relieve pain, help the hip joint work better and improve walking and other movements. Listen to this report at the National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health.

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Video Video: Anterior Hip Replacement Surgery
Anterior hip replacement can benefit patients by allowing a more rapid and comfortable recovery, with possible reduced scarring. Watch the video at the National Library of Medicine, National Institutes of Health.

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Podcast Podcast: Artificial Hip Replacement: An Overview
Dr. Harry Demos, an expert in artificial hip replacement surgery, discusses criteria for artificial joint replacement. He explains the post-operative recovery period and offers general information on the prognosis for patients receiving an implant. Dr. Demos additionally describes some of the current debates among hip replacement surgeons in terms of the optimal surgical approach. Listen to the podcast at the Medical University of South Carolina.

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Video Video: Minimally Invasive Total Hip Replacement
Dr. Manner, UW Medical Center orthopedic surgeon, discusses a relatively new and innovative total hip replacement surgery featuring minimally invasive techniques. Patient Janice Isner is an athletically active school teacher, a former marathon runner and recreational cyclist who is determined to ‘get back her life - pain free’ after discovering that the cartilage in her right hip had completely deteriorated. Footage of her surgery, which uses minimally invasive techniques to avoid cutting muscle tissue and promote rapid recovery, is featured. Watch the video at the University of Washington Medical Center.

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Video Video: Hip Pain and Replacement
Every year thousands of people undergo hip replacement surgery to get rid of pain caused by arthritis. The good news is that most hip replacement operations are successful, and people who have them are pain free. But sometimes, after years of wear, those replacement joints can loosen. New technology is making that happen much less often. But for people who do experience pain because of a worn out replacement, doctors at Mayo Clinic have ways to fix the problem. Watch the video from the Mayo Clinic.

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Video Video: Hip Replacement Animation
This detailed animation shows how the hip functions, how a hip replacement is carried out, and explains why the operation might be needed. Watch this animation from the National Health Service, England.

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Forums & Support Communities


Clinical Practice Guidelines
Management of Hip and Pelvic Trauma
Major recommendations: initial diagnosis, fractures and dislocations, conservative treatment. See National Guideline Clearinghouse major recommendations.

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Clinical guideline on prevention of symptomatic pulmonary embolism in patients undergoing total hip or knee arthroplasty
Patients at standard risk of both pulmonary embolism (PE) and major bleeding should be considered for one of the chemoprophylactic agents evaluated in this guideline, including in alphabetical order: aspirin, low-molecular weight heparin (LMWH), synthetic pentasaccharides, and warfarin. See National Guideline Clearinghouse major recommendations.

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Important Articles from Medical Journals
Outcomes of obese and nonobese patients undergoing revision total hip arthroplasty
OBJECTIVE: To evaluate the effect of obesity on the incidence of adverse events (surgical site infection, dislocation, re-revision, or > or =1 adverse event), functional outcome, residual pain, and patient satisfaction after revision total hip arthroplasty (THA). CONCLUSION: Revision THA is technically challenging, particularly in obese patients, probably due to more difficult anatomic conditions. We found an increased risk of adverse events, notably surgical site infection and dislocation in these patients. Full text available free through Pubmed.

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Abstract: Rivaroxaban versus Enoxaparin for Thromboprophylaxis after Hip Arthroplasty
This phase 3 trial compared the efficacy and safety of rivaroxaban, an oral direct inhibitor of factor Xa, with those of enoxaparin for extended thromboprophylaxis in patients undergoing total hip arthroplasty. Abstract available through the New England Journal of Medicine.

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Abstract: Differences between Men and Women in the Rate of Use of Hip and Knee Arthroplasty
Previous studies suggest that, for some conditions, women receive fewer health care interventions than men. We estimated the potential need for arthroplasty and the willingness to undergo the procedure in both men and women and examined whether there were differences between the sexes. Abstract available through the New England Journal of Medicine.

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Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review
Total joint arthroplasty is a highly efficacious and cost-effective procedure for moderate to severe arthritis in the hip and knee. Although patient characteristics are considered to be important determinants of who receives total joint arthroplasty, no systematic review has addressed how they affect the outcomes of total joint arthroplasty. This study addresses how patient characteristics influence the outcomes of hip and knee arthroplasty in patients with osteoarthritis. Full text available free through Pubmed.

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Pain and overall health status in older people with hip and knee replacement: a population perspective
OBJECTIVE: To investigate the health-related quality of life and presence of hip or knee pain according to whether or not people had had previous hip or knee arthroplasty. CONCLUSIONS: Elderly people with a past hip or knee arthroplasty have significantly greater health and social care needs than other people--especially those related to pain and mobility. This may reflect the generalised nature of the underlying disease process. Full text available free through Pubmed.

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Abstract: A comparison of regional and general anaesthesia for total replacement of the hip or knee: a meta-analysis
We performed a meta-analysis to evaluate the relative efficacy of regional and general anaesthesia in patients undergoing total hip or knee replacement. Pooled results from these trials showed that regional anaesthesia reduces the operating time (odds ratio (OR) -0.19; 95% confidence interval (CI) -0.33 to -0.05), the need for transfusion (OR 0.45; 95% CI 0.22 to 0.94) and the incidence of thromboembolic disease (deep-vein thrombosis OR 0.45, 95% CI 0.24 to 0.84; pulmonary embolism OR 0.46, 95% CI 0.29 to 0.80). Regional anaesthesia therefore seems to improve the outcome of patients undergoing total hip or knee replacement. Abstract available through Pubmed.

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