Osteoarthritis<\/strong>: Age-related wear and tear of cartilage.<\/p>\n<\/li>\n Rheumatoid arthritis<\/strong>: An autoimmune disease causing joint inflammation.<\/p>\n<\/li>\n Avascular necrosis<\/strong>: The death of bone tissue due to reduced blood supply, often caused by trauma or medication.<\/p>\n<\/li>\n Post-traumatic arthritis<\/strong>: Arthritis following a hip injury or fracture.<\/p>\n<\/li>\n<\/ul>\n The result of these conditions is damage to the hip joint’s cartilage, leading to bone-on-bone contact, which causes pain and restricts movement.<\/p>\n The hip joint<\/strong> is a ball-and-socket joint:<\/p>\n The ball<\/strong> is the femoral head at the top of the femur (thighbone).<\/p>\n<\/li>\n The socket<\/strong> is the acetabulum, a part of the pelvic bone.<\/p>\n<\/li>\n Both the ball and socket are lined with smooth articular cartilage<\/strong> that helps reduce friction during movement. Ligaments and muscles surrounding the joint provide stability and mobility.<\/p>\n<\/li>\n<\/ul>\n Depending on the type of hip replacement you will receive, the equipment and instruments used will differ in terms of their exact specifications, but broadly speaking the materials consist of a stem for the femur, an artificial femoral head that affixes to the stem, an acetabular component which may also require bone screws and the acetabular liner – usually made of a special type of plastic called polyethylene.<\/p>\n Femoral Prosthetic Component<\/p><\/div>\n Your procedure may or may not require the use of a fluoroscopic imaging unit and will also require special retractors that allow the surgeon to visualize the hip joint as well as trial components of the aforementioned to ensure that the appropriate size component is used at the time of implanting the definitive prosthesis.<\/p>\n Common symptoms indicating the need for hip replacement surgery include:<\/p>\n Severe hip pain<\/strong> during everyday activities such as walking or sitting.<\/p>\n<\/li>\n Stiffness<\/strong> that makes it difficult to bend or move the leg.<\/p>\n<\/li>\n Pain at rest<\/strong>, especially at night.<\/p>\n<\/li>\n Loss of mobility<\/strong>, making it challenging to perform basic tasks like putting on shoes or getting in and out of a car.<\/p>\n<\/li>\n<\/ul>\n Diagnosis typically involves:<\/p>\n Physical examination<\/strong>: Assessing joint mobility and strength.<\/p>\n<\/li>\n X-rays<\/strong>: Showing the degree of arthritis or joint damage.<\/p>\n<\/li>\n MRI or CT scans<\/strong>: Providing detailed images of bone and soft tissue.<\/p>\n<\/li>\n Bone scans<\/strong>: Sometimes used to assess the extent of damage.<\/p>\n<\/li>\n<\/ul>\n There are various techniques for hip replacement surgery, such as:<\/p>\n Cemented vs. Cementless<\/strong>: Some implants are secured using bone cement, while others rely on bone growth.<\/p>\n<\/li>\n Minimally invasive surgery<\/strong>: Uses smaller incisions for quicker recovery.<\/p>\n<\/li>\n Anterior vs. Posterior approaches<\/strong>: The surgeon accesses the joint through the front (anterior) or the back (posterior) of the hip.<\/p>\n<\/li>\n<\/ul>\n Trochanteric bursitis<\/strong>: Inflammation of the bursa on the outside of the hip.<\/p>\n<\/li>\n Sciatica<\/strong>: Pain radiating from the lower back to the hip and leg.<\/p>\n<\/li>\n Hip labral tear<\/strong>: Damage to the cartilage around the hip socket.<\/p>\n<\/li>\n Osteonecrosis<\/strong>: Bone death due to a lack of blood supply.<\/p>\n<\/li>\n<\/ul>\n Conservative treatments<\/strong>: Medications, physical therapy, and joint injections.<\/p>\n<\/li>\n Surgical treatment<\/strong>: If conservative methods fail, hip replacement surgery is typically recommended.<\/p>\n<\/li>\n<\/ul>\n Hospital Stay<\/strong>: Most patients stay in the hospital for 1-3 days.<\/p>\n<\/li>\n Pain Management<\/strong>: A combination of medications and therapies is used to control pain.<\/p>\n<\/li>\n Physical Therapy<\/strong>: Begins immediately after surgery to improve mobility and strength.<\/p>\n<\/li>\n Full recovery<\/strong>: Most patients recover within 3-6 months, although full recovery may take longer in some cases.<\/p>\n<\/li>\n<\/ul>\n Infection<\/strong>: Can occur at the incision site or around the prosthesis.<\/p>\n<\/li>\n Blood clots<\/strong>: DVT or pulmonary embolism can occur.<\/p>\n<\/li>\n Dislocation<\/strong>: The prosthetic hip may dislocate if not properly aligned.<\/p>\n<\/li>\n Leg length discrepancy<\/strong>: The length of the legs may be slightly different after surgery.<\/p>\n<\/li>\n Implant loosening<\/strong>: Over time, the implant may become loose, requiring revision surgery.<\/p>\n<\/li>\n<\/ul>\n With proper care and follow-up, hip replacement implants can last for 15-20 years or more. Many patients experience significant pain relief and improved function, allowing them to return to normal activities.<\/p>\n Hip replacement instruments<\/p><\/div>\n Medicare<\/strong><\/p>\n CPT Code 27130 \u2013 Primary Total Hip Arthroplasty (Replacement of Both Acetabulum and Femoral Head): $303.45<\/p>\n CPT Code 27132 \u2013 Conversion to Total Hip Arthroplasty (Conversion of Prior Hip Surgery to Total Hip): $394.09<\/p>\n CPT Code 27134 \u2013 Revision THA (Both Components, Acetabular and Femoral): $448.00<\/p>\n CPT Code 27137 \u2013 Revision THA (Acetabular Component Only): $345.69<\/p>\n CPT Code 27138 \u2013 Revision THA (Femoral Component Only): $359.01<\/p>\n CPT Code 27125 \u2013 Hemiarthroplasty (Partial Hip Replacement, Replacement of Femoral Head Only): $268.14<\/p>\n Medicare Part B typically covers 80% of the approved cost for these procedures once your annual deductible has been met, leaving you responsible for the remaining 20%. Supplemental Insurance plans such as Medigap, AARP, or Blue Cross Blue Shield generally cover that remaining 20%, minimizing or eliminating out-of-pocket expenses for Medicare-approved surgeries. These plans coordinate with Medicare to fill the coverage gap and reduce patient costs.<\/p>\n If you have Secondary Insurance, such as TRICARE, an Employer-Based Plan, or Veterans Health Administration coverage, it serves as a secondary payer. These plans generally cover any remaining balance, including coinsurance or small deductibles, which typically range from $100 to $300, depending on your plan and provider network.<\/p>\n Workers\u2019 Compensation<\/strong><\/p>\n If your hip replacement or revision surgery is required due to a work-related injury, Workers\u2019 Compensation will cover all associated medical expenses, including surgery, rehabilitation, and follow-up care. You will not have any out-of-pocket expenses, as the employer\u2019s insurance carrier directly covers all approved treatments.<\/p>\n No-Fault Insurance<\/strong><\/p>\n If your hip surgery is needed due to an automobile accident, No-Fault Insurance will typically cover the full cost of treatment, including surgery and postoperative care. The only potential out-of-pocket cost may be a small deductible or co-payment depending on your insurance policy.<\/p>\n Example<\/p>\n Thomas Johnson required a primary total hip arthroplasty (CPT 27130) due to arthritis, with an estimated Medicare out-of-pocket cost of $303.45. Later, he required a revision of both components (CPT 27134) with an estimated out-of-pocket cost of $448.00. Since Thomas had supplemental insurance through Blue Cross Blue Shield, both amounts were fully covered, leaving him with no out-of-pocket expenses for the procedures.<\/p>\n Q. How long will my new hip last?<\/strong> Q. Can I run after hip replacement?<\/strong> Total hip replacement is a highly effective procedure for individuals suffering from hip pain and mobility issues due to arthritis or other joint conditions. The surgery can significantly improve quality of life by reducing pain and increasing mobility.<\/p>\n A recent study examined the effectiveness of prehabilitation programs for older patients awaiting total hip replacement (THR).<\/p>\n The study found that while preoperative exercises and education (AktivA\u00ae) improved gait speed and quality of life in the short term, it did not significantly affect postoperative outcomes such as gait speed or other performance-based tests at 3, 6, or 12 months after surgery.<\/p>\nHow the Body Part Normally Works? (Relevant Anatomy)<\/h3>\n
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Hip Replacement Surgery Materials And Equipment<\/h4>\n
![\"prosthetic](\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2020\/09\/stem.jpg\")
What You Might Feel \u2013 Symptoms (Clinical Presentation)<\/h3>\n
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How Doctors Find the Problem? (Diagnosis and Imaging)<\/h3>\n
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Procedure Types or Techniques (Classification)<\/h3>\n
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Other Problems That Can Feel Similar (Differential Diagnosis)<\/h3>\n
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Treatment Options<\/h3>\n
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Recovery and What to Expect After Surgery<\/h3>\n
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Possible Risks or Side Effects (Complications)<\/h3>\n
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Long-Term Outlook (Prognosis)<\/h3>\n
![\"Hip](\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2020\/09\/IMG_7853.jpg\")
Out-of-Pocket Costs<\/h3>\n
Frequently Asked Questions (FAQ)<\/h3>\n
A. Implants typically last 15-20 years, but some may last longer with proper care.<\/p>\n
A. High-impact activities like running are discouraged. Low-impact activities like walking, swimming, and cycling are ideal.<\/p>\nSummary and Takeaway<\/h4>\n
Clinical Insight & Recent Findings<\/h4>\n