Hip Replacement Surgery

04 December 2017 / By Andrea

What to expect

Dr. Berger’s minimally invasive outpatient method has revolutionized hip replacement surgery and provided significantly reduced pain and recovery times for thousands of patients suffering from arthritis. His advanced anterior approach allows him to replace the invaluable hip joint without cutting a patient’s muscles, ligaments, or tendons. This enables him to perform hip replacement surgery without dislocating the hip or tearing the muscles surrounding the joint, a common approach in traditional hip replacement surgery.

During hip surgery, Dr. Berger uses innovative surgical tools to create a small, 3- to 4-inch incision along the side of the hip, revealing the hip joint. To prepare the patient’s body to receive the prosthesis, Dr. Berger first removes the arthritic femoral head of the patient’s thigh bone, taking care not to dislocate the patient’s joint. With the femoral head removed, he is able to prepare the acetabulum—the socket part of the joint. Using a special sanding tool, he carefully smooths the socket surface. He then prepares the thighbone by partially reaming the bone. This creates space for the femoral component of the prosthesis.

With the patient’s joint space now prepared to receive the prosthesis, Dr. Berger inserts an acetabular shell into the prepared hip socket. This piece of the prosthesis is made of metal and has a rough, articulated outer surface that encourages the bone to grow and attach to the shell, securing it to the hip. Dr. Berger lines the acetabular shell with a polyethylene liner that acts as cartilage and facilitates smooth and fluid movement. He then inserts the hip implant into the femur. The femur also has an articulated surface that helps the bone attach to the implant.

Once all prosthesis pieces are in place, Dr. Berger tests the patient’s range of motion by manually straightening and bending the patient’s knee. He finishes the surgery by cleansing the inside of the hip with an antibiotic wash to prevent infection and then sews up the incision. On average, the whole process takes just over an hour.

After surgery, the patient is sent to a recovery room and then to a hospital room. A few hours after surgery, the patient is examined by one of Dr. Berger’s experienced nurses. A physical therapist will have the patient walk down the hospital hallway and climb and descend one flight of stairs. Once the patient has been thoroughly examined and all questions have been answered, the patient is discharged from the hospital the same day of surgery.

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