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A 49-year-old female asked:

i need a new hip, what is the best procedure? i'm 58, having chronic pain. hip locks, can't bend. mother had both done in her 50's. in good health, very active.

2 doctor answers2 doctors weighed in
Dr. Mary Engrav
Dr. Mary Engravanswered
Emergency Medicine 31 years experience
The : The main types are: 1. Hemiarthroplasty, which is a surgical procedure which replaces one half of the joint with an artificial surface and leaves the other part in its natural state. This class of procedure is most commonly performed on the hip after a fracture. The procedure is performed by removing the head of the femur and replacing it with a metal or composite prosthesis. 2. Hip resurfacing is an alternative to hip replacement surgery. It is a bone conserving procedure that places a metal cap on the femoral head. It is more like a natural hip and may allow patients a return to many activities, including marathons and triathlons. 3. There is also conservative treatment, such as injections, to try to avoid a hip procedure.
Dr. Bertrand Kaper
Orthopedic Reconstructive Surgery 29 years experience
Total hip: Based on your worsening pain, you need to consider a total hip replacement (tha). Although enthusiasm for hip resurfacing was high several years ago, outcomes research has shown higher failure rates in hip resurfacing cases in females. A tha can be done through the less invasive direct anterior approach which can help facilitate your recovery. Consult with an experienced total hip surgeon.

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Last updated Oct 3, 2016

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