Treatment for hip arthritis is similar to the treatment of knee arthritis, which starts with conservative treatment. The following treatment options are always a first step if patients can tolerate them:
Conservative management is always the first step of treatment. For many patients, conservative treatment can offer months to years of pain relief without the risks of surgery.
While joint replacement is one of the safest surgeries, all surgeries carry the risk of infection, nerve or blood vessel injury, or complications from anesthesia. Once patients have exhausted conservative treatment, they are usually candidates for hip replacement, which The Lancet named the “Operation of the Century” in 2007.
My approaches are considered minimally invasive, which minimizes or avoids damage to muscles, tendons, and ligaments around your hip joint while still replacing the arthritic joint. The steps of a hip replacement are as follows:
The materials used in modern hip implants are designed to last a lifetime. I always use the latest generation of ceramic on plastic bearing surfaces whenever possible. It’s worth noting that around 95% of patients are still doing well with their hip replacement at the 15-year mark.
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Dr. Keating has trained with every major orthopedic device company and has most implants available. His current preference is to use a ceramic head with a highly cross linked polyethylene liner, which is the most advanced bearing surface available. The stem and cup are both manufactured from titanium.
Yes. Dr. Keating learned anterior hip replacement from the pioneers of the operation and performs it with specialized instruments that avoid the use of a traction operating table.
Yes. Dr. Keating has access to every surgical robot on the market. For most patients, Dr. Keating prefers to use the latest generation of surgical navigation. This includes using a sterile camera to track your bones in space during the operation to ensure that component placement and leg length is accurate within millimeters.
Every joint replacement has a plastic bearing that can be removed and replaced without disturbing the metals parts fixed to your bones. This allows a new bearing to be placed with a minor surgery compared to the first joint replacement surgery you had.
No! Dr. Keating does not restrict his patients from doing things that they love after surgery. However, patients must understand that the plastic bearing of their joint replacement will wear out faster with higher impact activities.
No. Dr. Keating does not prescribe hip precautions after surgery as the surgical approaches he uses have a low dislocation rate compared to other approaches.
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