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Hip Reconstruction and Replacement Surgery

UT Southwestern Medical Center specializes in hip reconstruction and hip replacement surgery (hip arthroplasty). Our specialists in Orthopaedics and Physical Medicine and Rehabilitation provide expert-level care for patients with severe hip pain and, when surgery is required, offer the latest surgical techniques and technology.

Experienced Orthopaedic Surgeons, Positive Outcomes

Unmanageable hip pain can have a profound impact on a patient’s life, making everyday activities a struggle. In these cases, hip reconstruction or hip replacement surgery can help the individual move freely again.

Successful total hip replacement has been linked to the experience of the surgeon and the volume of the procedures he or she has performed. Surgeons at UT Southwestern perform a high volume of hip replacement surgeries, which translates into positive outcomes and low complication rates for our patients.

UT Southwestern’s experts in orthopaedics and physical medicine and rehabilitation have helped set national quality standards regarding how joint replacement procedures should be performed. We are also among a small number of North Texas surgeons skilled at arthroscopic hip replacement, a minimally invasive procedure that requires smaller incisions and reduces recovery time for patients. 

Our surgeons stay up to date on the latest hip replacement techniques, including anterior hip replacement, to ensure patients benefit from the newest medical advances.

Conditions

We offer hip reconstruction and replacement surgery for patients with hip pain and damage that results from:

  • Arthritis
  • Fractures
  • Osteonecrosis, a condition caused by inadequate blood supply to the ball of the hip joint

Symptoms

Symptoms of a hip injury or disorder that might require reconstruction or replacement surgery include:

  • Discomfort that interferes with sleep, makes it difficult to go up or down stairs, or makes it painful to rise from a seated position
  • Pain that persists, even with medication
  • Pain or immobility that seems to get worse with time
  • Swelling or bruising in the hip, which can be a sign of a fracture

Diagnosis

Total hip replacement is a major surgery, so our doctors closely monitor each case to determine the best course of treatment.

We begin by asking each patient about his or her medical history and conducting a thorough physical examination to evaluate the strength and mobility of the hip. We then order diagnostic tests such as X-rays and magnetic resonance imaging (MRI) to view the extent of the deformity or damage.

Treatments

For patients with severe hip pain, we might first offer conservative measures such as medication and physical therapy. However, if those fail, the patient might be a candidate for hip reconstruction or replacement surgery.

Hip Reconstruction

Depending on the patient’s needs, we might recommend one of the following hip reconstruction techniques:

  • Arthroscopy, a minimally invasive procedure in which the hip is repaired through a small incision. The surgeons use a tiny camera to view the joint’s interior and then insert small surgical instruments to perform the surgery.
  • Osteotomy, in which the hip bone is reshaped and fixed in a new position to help distribute weight more evenly
  • Resurfacing, in which surgeons resurface the head of the femur bone and the hip socket with smooth metal to reduce pain and improve mobility

Total Hip Replacement

In a total hip replacement surgery, the surgeon replaces cartilage that has deteriorated beyond repair with an artificial joint (implant) that the doctor selects to best meet the patient’s needs.

Hip Rehabilitation

Following hip surgery, our team of nurses and therapists works closely with our surgeons to provide patients with a viable and successful rehabilitation. We offer patients rehabilitation therapy, medications, exercise, and nutritional advice. This coordinated approach maximizes efforts to regain motion for long-term recovery.

We customize our rehabilitation programs to meet each patient’s needs, with a goal of easing the transition from the hospital to home. If needed, a social worker can help make arrangements for home assistance services, such as in-home therapy and nursing services, as well as attendants to help with daily living needs.

Family members also play a vital role in a patient’s rehabilitation. Our staff provides families with information about support groups and other resources that are an integral part of our rehabilitation program for all joint replacement patients.

Related Conditions and Treatments

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Outpatient Building

1801 Inwood Road
Dallas, Texas 75390
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