You have hip pain and suffer from joint degeneration (osteoarthritis) or another hip pathology (arthritis, necrosis, sequelae of childhood illness). Several questions arise in your mind:

  • What is this disease?
  • What is the surgery?
  • What kind of evolution can we expect after surgery?

The Duval Clinic specializes in hip joint replacement.
Below you will find many answers to your questions and how we can give you back your quality of life.

The hip is a joint composed of the femur (thigh bone) and the pelvis. The proximal part of the femur is shaped like a ball (femoral head) and articulates with a cavity in the pelvis called the acetabulum. The femoral head is held in place by ligaments and muscles. In order for the femoral head and acetabulum to slide together smoothly, they are covered with a very smooth layer of tissue: cartilage. When this protective layer (cartilage) is damaged, the surfaces are rough and do not slide well together. The result is pain, stiffness and inflammation. This is called joint degeneration or osteoarthritis.

OSTEOARTHRITIS OF THE HIP

Causes : Osteoarthritis (cartilage degradation) is the most common cause. It can also be secondary to fracture, bone deformity, aging, normal wear and tear and rheumatoid arthritis.

How does it manifest itself?

Presence of pain

  • at rest; increases with walking; inconvenient to sleep;
  • in the groin, buttock and thigh;
  • can be accompanied by stiffness and lameness.

Limitation des mouvements

  • difficulty squatting, going up and down stairs, putting on socks.

X-ray of a 45-year-old female patient with severe wear of the right hip and mild wear of the left hip.

You certainly have many questions on the subject, you will find brief answers below. Our surgeons will be happy to discuss these points with you in more detail during a consultation.

Hip degeneration is a progressive disease that can take several months or years to significantly limit your activities and quality of life. When the disease is not very advanced, the vast majority of people with hip degeneration can improve their condition by taking anti-inflammatory medication, using a cane and limiting certain activities. When the condition has not improved satisfactorily with these non-surgical treatments and :

  • you have difficulty or can no longer work ;
  • your quality of life is diminished;
  • you have frequent pain

Hip joint replacement is a solution to consider.
The goal of hip joint replacement is to improve your quality of life, relieve your pain and allow you to return to an active life.

There is no minimum age for hip joint replacement. Your degree of pain and disability is the best indicator. In general, hip replacement is performed in people 65 years of age or older for whom conservative treatments are no longer effective. However, if you are younger and severely affected by hip wear, improvements in prosthesis materials and surgical techniques allow most patients to lead a normal life and keep their prosthesis for the rest of their lives.

For young and active patients, at the Duval Clinic, we use prostheses with ceramic surfaces. After more than 21 years, 97% of our patients have not required reoperation (see scientific article). We will be pleased to evaluate your condition and advise you on the best treatment options for your condition.

There is no maximum weight but all complications associated with hip replacement surgery are increased: wound healing problems, infection, joint dislocation, etc. This is why it is best to lose weight before surgery. However, the Clinic’s surgeons regularly perform joint replacements on overweight patients.

There is no age limit for hip replacement surgery.
However, your overall health must be good enough for the surgery to proceed without major medical problems, and your expected function after surgery must be good enough to enjoy a significant improvement in your quality of life. Patients over the age of 80 can have surgery at the clinic.

Total hip replacement involves replacing both parts of the joint by inserting a stem into the thigh bone and a cup into the acetabulum (pelvic cavity). The surgery can be performed with different types of prostheses. The surgeons at the Duval Clinic recommend using a joint with a diameter close to your anatomy (>36mm). With these prostheses, there is very little chance of dislocation and therefore no restriction of movement after surgery (see this text on the subject). The joint surfaces can be made of metal, ceramic or polyethylene. Each prosthesis has its advantages and disadvantages; your surgeon will choose with you, according to your particular condition, the prosthesis likely to give you the best result. Two types of hip prostheses are mainly used:

The dual mobility total hip prosthesis

The joint is made of cross-linked polyethylene and metal.
Link to an article published by us.

 

The total hip prosthesis with large diameter ceramic surfaces

See our clinical results

Hip replacement is a very effective surgery with a high satisfaction rate. The majority of patients who undergo this surgery experience a significant reduction in pain and are able to resume many of the activities they had neglected since the onset of their disease. However, it should be noted that the full benefit of the surgery is often not achieved until 5-6 months after the operation, although after 2 to 3 months, the level of activity can already be greatly increased.

  • Certainly, 1-2 weeks after your surgery you will be able to start using a stationary bike.
    3 to 4 weeks after surgery, you can return to the pool for some water walking or gentle swimming. It is important that the wound is well sealed;
  • During the first 3 months, you should avoid regular and intense sports;
  • From 3 to 5 months after your surgery (depending on your condition), you can do social dancing, gardening, bowling, golf. Tennis (doubles) can be resumed
  • After 6 months, depending on your condition and the prosthesis used, your surgeon will allow or advise against activities with repeated impacts and pivots such as: jumping, jogging, volleyball, soccer, basketball, mogul skiing, aerobic dance, contact field hockey, racquet sports, running, yoga, karate, etc.

Talk to your surgeon at the clinic for recommendations specific to your condition.

The Duval Clinic has 14 individual hospitalization rooms if your condition requires a short stay. The length of stay varies from one patient to another between 1 and 3 days. However, the advancement of operative techniques, optimization of postoperative pain control, better organization of home care, as well as effective multidisciplinary collaboration have made it possible to offer you the possibilitý to spend less than 24 hours in the clinic after your surgery and have an organized and safe discharge. Your surgeon and attending team will inform you if you are eligible for this accelerated recovery protocol (day surgery).

Total hip replacement surgery with a Dual Mobility prosthesis (surgeon P-A Vendittoli)