Hemiarthroplasty of the Hip

If you have a hip fracture, your doctor may recommend hemiarthroplasty of the hip. Your hip is one of the largest joints in the body and is made up of a ball and socket. Hemiarthroplasty of the hip means that your surgeon will only replace the ball portion of the hip joint with a metal implant.

What should I expect during hemiarthroplasty of the hip?

During your procedure, you’ll have anesthesia to put you to sleep. Your doctor will make an incision on the hip. Then, he or she will remove part of the top of the thigh bone (the femur).

Next, your surgeon will insert a piece of metal into the thigh bone. A metal ball will then be connected to the top of the thigh bone.

Depending on your bone health, your surgeon may or may not use cement to secure your new joint components in place. Once they’re secure, your doctor will close up the incision and bandage your hip.

What are the risks of hemiarthroplasty of the hip?

While uncommon, some potential risks during and after your surgery include:

• Blood clots, such as DVT
• Infection in the hip
• Dislocation or a loosening of the artificial hip pieces
• Continuing pain in the hip despite surgery

What does recovery involve for hemiarthroplasty of the hip?

After surgery, your care team will work with you to help control your pain and any inflammation in your hip. To protect your hip as it recovers, you’ll be asked to avoid:

• Crossing your legs
• Bending and twisting the hip
• Picking up heavy items
• Sitting in low couches or chairs
• Standing for a long time
• Using a toilet without an elevated seat

You’ll also be encouraged to start physical therapy in the hospital and continue once you leave. This will help you have a smoother return to normal activity.