Hip replacement surgery replaces a worn out or damaged hip with an artificial joint (prosthesis).
Joint replacement surgery for a damaged hip joint may be recommended for patients who have had a hip fracture or who have severe hip pain caused by osteoarthritis or rheumatoid arthritis. Infections and hip deformities also can cause hip joint degeneration that requires hip replacement.
The goal of hip replacement surgery is to replace the parts of the hip joint that have been damaged and to relieve hip pain that cannot be controlled by other treatments.
A traditional hip replacement involves an incision several inches long over the hip joint. A minimally invasive hip replacement uses smaller incisions during the procedure, however, this approach is not appropriate for all hip replacement surgery candidates.
During the procedure, the surgeon removes the damaged parts of the hip joint and replaces them with a prosthesis. The hip prosthesis is made up of a stem that goes into the femur (thighbone), the ball (head joint) that fits into the stem, and a cup that is inserted into the socket of the hip joint. The stem and cup are made of metal. The cup insert may be polyethylene or ceramic. The ball may be made of metal or ceramic. The cup has a liner that may be made of plastic or ceramic. The two most common types of artificial hip prostheses used are cemented prostheses and un-cemented prostheses. A cemented prosthesis attaches to the bone with surgical cement. An un-cemented prosthesis attaches to the bone with a porous surface onto which the bone grows to attach to the prosthesis. Sometimes, a combination of the two types is used to replace a hip. Most hip replacements now are uncemented.
Brigham and Women’s Hospital is one of only few New England hospitals to offer a procedure called hip resurfacing. Hip resurfacing replaces the socket, but leaves the ball portion of the femur in place and instead covers it with a hollow hemispherical cap.
The Orthopaedic & Arthritis Center at Brigham and Women’s Hospital is one of the most highly regarded orthopaedic and joint disease research and treatment programs in the world. Comprehensive and innovative bone and joint care is the foundation of the Center, beginning nearly a century ago when one of our founding hospitals, the Robert Breck Brigham Hospital, became the first teaching hospital in the country wholly devoted to arthritis and related diseases.
Today, the Center – a collaboration of the Department of Orthopaedic Surgery and the Division of Rheumatology, Immunology and Allergy - is known for its pioneering team of physicians and researchers dedicated to doing everything possible for our patients while helping to develop and apply the most advanced treatments for bone and joint diseases and conditions.
Patient- and Family-centered Care
Brigham and Women’s Hospital has long been committed to not only the care of our patients but also the many other needs that they and their families have. This philosophy of patient- and family-centered careinvolves systems and services that emphasize healing in a comfortable, relaxed environment.
Quality of Patient Care
Brigham and Women’s Hospital is committed to providing all of our patients with the safest, highest-quality, most-satisfying care possible and follow established protocols that have been shown to improve patient outcomes. Our inpatient satisfaction survey, sent to patients to assess their total care experience, helps us to monitor what we are doing well and what areas may need improvement. We pride ourselves in the quality of patient care we provide and how we compare with other hospitals.
If you believe you should have an evaluation and would like to schedule an appointment with one of our orthopaedic surgeons for hip replacement surgery, knee replacement surgery or rotator cuff surgery, call 1-800-294-9999 to speak to one of our knowledgeable coordinators who can help to connect you to the doctor that best meets your needs, or fill out an online appointment request.