Total Hip Replacement
A total hip replacement (THR), also known as total hip arthroplasty, is a surgical procedure in which a damaged or diseased hip joint is replaced with an artificial joint, called a prosthesis. It is typically performed to relieve pain, improve mobility, and enhance the quality of life in individuals whose hip joint has been severely affected by conditions such as:
Osteoarthritis - Wear and tear of the cartilage in the hip joint.
Rheumatoid arthritis - An autoimmune condition causing joint inflammation and damage.
Hip fractures - Often due to trauma or osteoporosis.
Avascular necrosis - Death of bone tissue caused by a lack of blood supply.
Developmental hip dysplasia - Abnormal development of the hip joint.
Post-traumatic arthritis - Joint damage after an injury.
Components of a Total Hip Replacement
The artificial hip joint usually consists of:
A metal or ceramic ball - Replaces the damaged femoral head.
A metal or ceramic socket - Replaces the damaged acetabulum (hip socket).
A plastic or polyethylene liner - Placed between the ball and socket to ensure smooth movement and reduce friction.
Procedure
The surgeon removes the damaged cartilage and bone from the hip joint.
The prosthetic components are implanted, typically using special cement or allowing bone to grow onto the prosthesis.
The joint is tested for stability and range of motion before closing the surgical incision.
Some hospitals offer robotic assisted total hip replacements, here is a little bit about how it works:
Robotic-assisted total hip replacement is a modern approach that uses advanced technology to improve the precision and outcomes of the procedure. In robotic-assisted surgery, a robotic system helps the surgeon plan and perform the operation with greater accuracy.
How Robotic-Assisted Hip Replacement Works
Preoperative Planning:
A detailed 3D model of the patient’s hip is created using imaging techniques like CT or MRI scans.
The surgeon uses this model to plan the procedure, including the exact placement of the prosthetic components and the angles of the joint.
Intraoperative Assistance:
During surgery, the robotic system provides real-time feedback and guides the surgeon.
The robot may hold instruments or assist in preparing the bone for the prosthetic components with extreme precision.
Placement of Prosthesis:
The robotic system ensures accurate alignment of the prosthetic components, which is critical for joint stability, longevity of the implant, and optimal range of motion.
Benefits of Robotic-Assisted Hip Replacement
Precision: Allows for highly accurate placement of implants, reducing the risk of misalignment.
Personalised Surgery: Tailored to the patient’s anatomy for better outcomes.
Reduced Risk of Complications: Lower chance of dislocations, leg length discrepancies, or uneven wear on the implant.
Improved Longevity of the Implant: Optimal positioning reduces wear and tear, increasing the life of the prosthetic components.
Faster Recovery: Minimally invasive techniques facilitated by robotics often lead to less soft tissue damage, less pain, and quicker recovery.
Recovery
Hospital Stay: 1–4 days, depending on the case.
Physical Therapy: Begins soon after surgery to regain strength and mobility.
Recovery Time: Most people resume normal activities within 6–12 weeks, though full recovery can take up to a year.
Total hip replacement is generally very effective, with most people experiencing significant pain relief and improved mobility after the procedure.
Home visit physiotherapy after a hip replacement is an important part of the recovery process. It involves a physiotherapist coming to your home to help you regain strength, mobility, and function after surgery. This service is often recommended, especially for those who have difficulty traveling to a clinic or prefer to begin rehabilitation in the comfort of their own home.
Benefits of Home Visit Physiotherapy After Hip Replacement
Convenience: You can receive treatment at home without the need to travel, which can be difficult in the early stages of recovery.
Personalised Care: Your physiotherapist can tailor the exercises and rehabilitation program to your specific needs, considering your home environment and daily activities.
Early Mobilisation: Starting physiotherapy at home will help you begin movement and weight-bearing exercises safely, promoting quicker recovery and improving circulation.
Pain Management: Physiotherapists can teach you techniques to manage pain, improve mobility, and prevent complications like blood clots or stiffness.
Safety and Confidence: A physiotherapist can ensure that you’re using the correct techniques and postures while performing exercises, reducing the risk of injury.
Common Goals of Home Physiotherapy After Hip Replacement
Improve Range of Motion: Exercises help restore flexibility in the hip joint.
Strengthening: Building strength in the hip, leg, and core muscles to support the new joint.
Balance and Coordination: Improving your ability to walk safely, maintain balance, and prevent falls.
Functional Movements: Teaching you how to safely perform daily activities such as getting in and out of bed, walking, climbing stairs, and standing up from a chair.
Reduce Swelling and Pain: Techniques like gentle massage, ice application, and specific exercises can help manage discomfort and reduce inflammation.
Typical Phases of Home Physiotherapy After Hip Replacement
Phase 1: Early Recovery (1-2 Weeks Post-Op)
Focus on gentle range-of-motion exercises and managing swelling.
Education on precautions (e.g., avoiding certain movements that could dislocate the hip) and pain management.
Gradual introduction of weight-bearing activities, such as walking with a walker or crutches.
Phase 2: Intermediate Recovery (3-6 Weeks Post-Op)
Increase in the intensity and complexity of exercises to strengthen muscles around the hip and improve balance.
Continuing to work on walking and functional mobility.
Use of assistive devices (e.g., cane) to help with walking.
Phase 3: Advanced Recovery (6-12 Weeks and Beyond)
Focus on strengthening the hip and leg muscles to return to normal function.
Progression of exercises to improve stability, strength, and endurance.
Return to regular activities and potentially work on sports or more strenuous exercise, if applicable.
What to Expect During a Home Visit Physiotherapy Appointment
Initial Assessment: The physiotherapist will assess your current condition, including pain levels, range of motion, strength, and functional abilities.
Personalised Exercise Plan: The therapist will develop a personalised exercise plan tailored to your stage of recovery and goals. Each and every patient is different and recovery following an elective vs traumatic THR can vary too. Your physiotherapist will ensure you have the best plan for you.
Safety Education: You’ll receive guidance on how to safely perform everyday activities (e.g., getting out of bed, walking with crutches, sitting and standing).
Hands-on Techniques: The physiotherapist may use manual therapy techniques, like joint mobilisations and massage to improve movement and relieve discomfort.
Duration and Frequency
Frequency: Initially, physiotherapy might be required 2–3 times per week for the first few weeks, and then it can reduce as you progress.
Duration of Sessions: Each home visit typically lasts around 45 minutes.
Why choose Home Physio Company?
Home visit physiotherapy can be a highly effective way to ensure a smooth and successful recovery after a hip replacement. We have a fantastic team of Orthopaedic physiotherapists hand picked for their compassion and expertise in post-operative rehabilitation. Our services are convenient and beneficial, especially after surgery. Our mobile physiotherapists will ensure you receive expert care tailored to your specific needs while in a familiar and comfortable environment. As you progress through the recovery process, your physiotherapist can help you regain independence and confidence in moving and performing everyday tasks. We support and empower our patients to be in the best physical health possible.
For more information on our services, speak to our friendly team today on 01273 569222 or complete one of our contact forms and we will get back to you within 24 hours. Please click here for a contact form.
