Hip replacement surgery is a procedure to remove damaged parts of the hip joint and replace them. The replacement part, known as a prosthesis, is typically made of metal, ceramic, and hard plastic. Its function is to reduce pain and improve hip function.
Hip replacement surgery is also known as total hip arthroplasty. It may be recommended if hip pain interferes with daily activities and nonsurgical treatments are ineffective or no longer provide relief. Arthritis is the most common reason for hip replacement surgery.
Contents
Purpose of Hip Replacement Surgery
The following are the goals and indications for hip replacement surgery:
- Osteoarthritis: This condition damages the smooth cartilage covering the ends of the bones, which helps joints move easily.
- Rheumatoid arthritis: Caused by an overactive immune system, this condition leads to inflammation that can erode cartilage and sometimes the underlying bone, causing joint damage or deformity.
- Osteonecrosis: When there is not enough blood supply to the ball part of the hip joint, the bone may collapse and become misshapen. Osteonecrosis can result from dislocation or fracture that disrupts blood flow.
Hip replacement may also be considered if hip pain:
- Persists despite taking pain relievers
- Worsens while walking, even when using a cane or walker
- Disturbs sleep
- Affects the ability to climb stairs
- Makes it difficult to get up from a seated position
Hip Replacement Procedure
Before the Procedure
Before surgery, the patient will have a consultation with an orthopedic surgeon to:
- Review medical history and current medications
- Examine the hip, checking joint range of motion and surrounding muscle strength
- Request blood tests and X-rays; MRIs are rarely needed
The doctor may also advise the patient to quit smoking, including e-cigarettes, as it can interfere with healing.
During the Procedure
Upon arrival at the hospital, patients will be asked to change into a hospital gown. The doctor will administer either spinal anesthesia to numb the lower body or general anesthesia to put the patient to sleep.
The surgeon may also inject a nerve block or medications around the joint to manage post-surgery pain.
Steps of the surgery typically include:
- Making an incision above the hip through tissue layers
- Removing the damaged bone and cartilage, preserving healthy bone
- Inserting a replacement socket into the pelvic bone
- Placing a metal stem into the top of the thigh bone, which is topped with a replacement ball
After the Procedure
After surgery, the patient will be moved to a recovery area for several hours until the anesthesia wears off. The medical team will monitor blood pressure, heart rate, alertness, pain level, and medication needs.
Patients may be asked to breathe deeply, cough, or use a breathing device to help clear fluid from the lungs.
The duration of stay depends on individual needs, but most patients can go home the same day.
Hip Replacement Recovery Outcomes
Full recovery varies by patient, but most improve within about three months after surgery. Progress continues throughout the first year.
A new hip joint can relieve pain and improve mobility, but patients should not expect to do everything they could before hip pain began.
High-impact activities such as running or playing basketball may strain the artificial joint. However, most people can return to low-impact activities like swimming, golfing, and cycling.
Recommended Hip Replacement Doctors at RS Mandaya Royal Puri
RS Mandaya Royal Puri has a team of orthopedic consultants specializing in hip and knee surgery, including hip replacement procedures.
1. dr. Ardi Setiawan, Sp.OT (K) Hip & Knee
dr. Ardi Setiawan is an orthopedic surgeon specializing in hip and knee surgery. He completed general medical and orthopedic training at Universitas Padjadjaran, followed by a subspecialty in Adult Reconstruction, Trauma, & Sports (K-Hip & Knee).
His expertise includes ACL injuries, arthroscopic surgery, joint lubrication injections, meniscus surgery, and both total (TKR) and partial (UKA) knee replacements.
Schedule:
- Monday: 15:00 – 18:00 WIB
- Tuesday: 15:00 – 17:00 WIB
- Friday: 14:00 – 17:00 WIB
2. dr. Paulus Ronald Hibono, Sp.OT (K) Hip & Knee
dr. Paulus Ronald Hibono is a hip and knee subspecialist known for handling various knee cases, including robot-assisted joint replacement using CORI technology at RS Mandaya Royal Puri.
He treats ACL injuries, knee cysts, osteoarthritis, meniscus tears via arthroscopy, and fractures.
Schedule:
- Monday: 08:00 – 13:00 WIB
- Tuesday: 17:00 – 20:00 WIB
- Wednesday: 14:00 – 17:00 WIB
- Thursday: 14:00 – 17:00 WIB
- Friday: 14:00 – 20:00 WIB
- Saturday: 08:00 – 14:00 WIB
3. dr. Rahendra Pratama, Sp.OT (K) Hip & Knee
dr. Rahendra Pratama is an orthopedic surgeon specializing in hip and knee. He completed general medical training at Universitas Trisakti and specialized in orthopedics and traumatology at Universitas Gadjah Mada.
He handles osteoarthritis, knee cysts, total and partial knee replacements (TKR and UKA), nerve compression, meniscus arthroscopy, ACL injuries, and fractures.
Schedule:
- Wednesday: 10:00 – 12:00 WIB
- Friday: 09:00 – 11:00 WIB
4. dr. William Chandra, Sp.OT (K) Hip & Knee
dr. William Chandra is a hip and knee orthopedic consultant experienced in managing hip and knee conditions including osteoarthritis, knee cysts, TKR and UKA, nerve compression, meniscus arthroscopy, ACL injuries, and fractures.
He trained in Indonesia and completed a fellowship in Sports and Adult Reconstruction at Kreisklinikum Siegen, Germany.
Schedule:
- Monday: 16:00 – 19:00 WIB
- Thursday: 16:00 – 19:00 WIB
To make your visit easier, use the Chat via WhatsApp, Book Appointment, or the Care Dokter app, available on Google Play and the App Store, to check queue numbers, book appointments, and access other useful information.
