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Highland Hospital / Quality of Care / Hip Replacement

Quality Measures For Hip Replacement

Relieve Pain, Increase Mobility, and Improve Joint Functions

The goals of hip replacement surgery are to relieve pain, increase mobility, and improve or restore normal joint functions. Diseased or damaged parts of the hip joint are removed and replaced with artificial implants. 

Hip replacements may be total or partial. First-time hip replacement surgery is called "primary surgery" and subsequent implant replacements are called "revisions." Revision surgery is becoming more common as people begin to have hip replacements at a younger age. 

The standard incision size for conventional surgery has been from 8 to 12 inches. Surgeons at the Evarts Joint Center are often able to perform surgery using an incision of 6 inches or less. The size of the incision will be determined by the surgeon and by the patient's specific circumstances.   

Minimally invasive techniques can reduce blood loss during surgery, lessen pain following surgery, shorten hospital stays, reduce scar appearance and shorten recovery time. However, these procedures are not right for everybody. In particular, people who are significantly overweight, have advanced osteoporosis or severe bone deformities or who have previously had hip surgery may not qualify. 

Successful outcomes for hip replacement surgery depend on several factors: 

  • Training and experience. The Evarts Joint Center is a dedicated unit for joint replacement surgery. A multidisciplinary team of medical professionals are specially trained in, and care only for, joint replacement patients.
  • Expertise in procedures. All hip replacement procedures are technically demanding, but minimally invasive techniques require special dexterity and skill. Our board-certified surgeons have received extensive training and are among a select group who routinely perform both types of procedures in New York State.
  • Precise implant alignment and positioning. Computers can help surgeons take precise measurements to match the surface of implants to the interior surfaces of the hip socket and thigh bone. They also give surgeons greater ability to perform less invasive procedures by enhancing surgical visualization. A better fit may extend the life of a hip replacement by reducing uneven wear and increase range of motion. The Evarts Joint Center is one of the first joint centers in the country to use the evolving technology of computer assisted joint surgery.
  • Infection control. Infection is one of the more serious complications following hip replacement surgery but is fortunately rare. To reduce the risk, patients are given antibiotics both prior to and after surgery. Additionally, special precautions are taken in the operating room. Evarts Joint Center's dedicated surgical suites are outfitted with ultra-clean air systems including a state-of-the art laminar air flow system and helmet exhaust systems for operating room personnel. We employ meticulous operating room discipline for skin preparation, draping, and instrument preparation.