If your hip is compromising your quality of life, it may be time for a hip replacement. But before you decide on surgery, consider non-operative options first. If you have tried those and you are still in a lot of pain, a hip replacement might be right for you.
That's the advice of Dartmouth Health orthopaedic surgeons Alexander Orem, MD, MS; Ivan Tomek, MD; and Wayne Moschetti, MD, MS, who provide answers to common questions about hip replacement surgery.
How do I know that I need a hip replacement?
Typically, you will know you need a hip replacement when your hip is really compromising the quality of your life. That may mean you're having a hard time walking, keeping up with the grandkids, or going up and down stairs. Your hip also could be keeping you up at night.
Before you decide on surgery, first consider non-operative options such as over-the-counter medications, physical therapy, or maybe even an injection. If you've tried those things and you are still having significant pain, then you may want to consider a hip replacement.
Does my age matter?
Age does not matter for hip surgery eligibility. Studies show satisfaction rates after hip replacement are between 90% and 95% whether you are in your thirties, forties, eighties, or nineties.
Who is a good candidate for hip replacement? Who is not?
A good candidate is someone who has osteoarthritis or another condition that has damaged the cartilage in the hip joint. The person should have tried all of those non-operative treatments that include anti-inflammatories, weight loss, and physical therapy to strengthen the muscles, and maybe a cortisone injection.
People who have poorly controlled diabetes should not undergo surgery until their diabetes is in check. Likewise, cigarette smokers need to stop smoking in order to reduce their risk of wound healing problems and infection. People who are overweight also have a higher risk of complications.
Do I need to lose weight before hip replacement?
Like any surgery, a hip replacement has risks, particularly for those with a Body Mass Index (BMI) greater than 40. BMI is a measure of body fat based on height and weight. Surgeries on patients with a high BMI can be technically more difficult, meaning a bigger incision and wounds that can take longer or have less potential to heal. Some people with really high BMI may have problems with their nutrition levels, too, and could need extra protein and calories to heal. You and your doctor will need to balance those heightened risks against potential benefits in your specific case.
Learn more answers to questions on what happens during and after surgery.
Watch the whole interview about hip surgery.