Hip

No Gap Hip Replacement Surgery

Hip replacement replaces a painful arthritic hip with a functional pain free joint that allows you to resume your normal activities.
A Total Hip Replacement replaces the worn out ball and socket joint with new durable implants.

No Gap Billing

Dr Rimmer offers no gap orthopaedic surgery to all his patients with private health insurance. This ensures great value and savings to patients who pay a substantial amount to insure themselves and their families.

If you have severe arthritis of the hip causing pain and limitation of your activities and lifestyle and it has not responded to conservative treatments you may be a candidate for total hip replacement.

What is a total hip replacement?

A Total Hip Replacement (THR) procedure replaces total or part of the hip joint with an artificial device (prosthesis) to alleviate pain and restore joint movement. The diseased bone with its worn cartilage is removed and replaced by an artificial prosthesis made of hard-wearing materials such as ceramics and metals.

What is an artificial hip joint made of?

There are generally four parts to an artificial hip prosthesis.

Pelvic side: there is a hemispherical titanium socket which replaces the worn out socket. Inside this titanium, a socket is a liner made for rubbing against the new artificial ball or head. This liner is made of long-wearing material such as a special ceramic or plastic, or metal. There are many pros and cons of each material and Dr Rimmer will discuss your options with you.

Femur side: a metal stem made of a special alloy (usually titanium) is inserted into the canal or hollow channel in the centre of the femur. The new ball or head is attached to the top of the stem. It is generally made of a hard-wearing material such as ceramic or metal.

How is a typical hip replacement performed?

Dr Rimmer uses special tools to shape the bone of the pelvis and the femur to accept the prosthesis. As people are of different shapes and sizes, the bones also vary in shape and size. Dr Rimmer will size your socket and femur during the operation and selects the appropriate size for you. There are a large range of sizes and shapes of prostheses available that Dr Rimmer can use to produce a custom fit.

The chosen prosthesis is then fixed to the bone by one of two methods. The first option is to cement the prosthesis to the bone using a special acrylic bone cement. The other option is to use a prosthesis that has pores on it surface and/or a special calcium coating to which the bone will adhere to.

At the end of the operation Dr Rimmer will check that the various components are positioned correctly, the hip is stable and the legs are the same length. The wound is then closed.

What happens after hip replacement surgery?

After your hip replacement, you will wake up in the recovery room with a number of monitors to record your vitals – blood pressure, pulse, oxygen saturation and temperature. You will have a dressing on your hip and drains coming out of your wound.

Once you are stable and awake you will be taken back to the ward. You will have one or two drips in your arm for fluid and pain relief. This will be explained to you by your anaesthetist.

You will spend the first post-operative day in bed and most likely stay in the hospital for several days. On the day following surgery, your drains will usually be removed and you will be allowed to sit out of bed or walk. Pain is normal but if you are in a lot of pain, inform your nurse.

While you are still in hosipital, you will start physiotherapy to help strengthen and improve range-of-motion in your hip joint and your physiotherapist will help you with rehabilitation hip exercises. The sooner you are able to stand up and walk after surgery, the faster your recovery will be.

You will be discharged to go home or a rehabilitation hospital approximately 5-7 days after your operation depending on your progress and what help you have avaialble at home.

Once the wound has healed, you can apply Vitamin E or moisturising cream into the wound.

A post-operative visit will be arranged prior to your discharge. You will be advised about how to walk with crutches for two weeks following surgery and then using walking aids for another four to six weeks.

If you have increasing redness or swelling in the wound or temperatures over 39° please get in contact with our rooms.

What do I need to know after a hip replacement?

Remember this is an artificial hip and must be treated with care.

AVOID THE COMBINED MOVEMENT OF BENDING YOUR HIP AND TURNING YOUR FOOT IN. THIS CAN CAUSE DISLOCATION.

Tips to avoid dislocation are:
  • Sleep with a pillow between your legs for 6 weeks
  • Avoid crossing your legs and bending your hip past a right angle
  • Avoid low chairs
  • Avoid bending over to pick things up.
  • Grabbers are helpful as are shoe horns or slip on shoes
  • An elevated toilet seat may be helpful
Other important things to know:
  • If you are having any procedures such as dental work or any other surgery you should take antibiotics before and after to prevent infection in your new prosthesis.
  • Your hip replacement may go off in a metal detector at the airport
If you or someone you know is considering a no gap hip replacement, book an appointment with Dr Rimmer to have your situation properly assessed and managed.