Everything You Need To Know About Total Hip Replacement Surgery 

I have an aortic aneurysm and 7 stents in my heart. I need and am scheduled for a total hip replacement. Im terrified in one way and excited in another. These fellas nail it very well. My doc is great and I TRUST him. Thanks

Thanks guys y’all got me through my first total hip replacement surgery being my right side I am no getting ready for my left side to be done but I’m so glad to be getting it done. The pain I’d so bad right now I can’t wait to get it done. Keep up the good videos guys 👍

Dr. Zalal is the best! He has done both mine and they over 20 years old

I need a right hip rep. and my pain was a 9 but i lost 43lbs. and my pain went down to a 2. I'm planning on losing another 30lbs. i feel so good. I was a weight lifter at 287lb. Thank you guys....

Thanks for making these videos. I'm getting my hip replaced and you gave me great info. Thank you!

Thank you for the information. Tomorrow I am having my hip replaced. I had the other one done 5 years ago and I am very happy with it. So I am looking forward to getting this one done and hopefully being out of pain after I heal up. You guys are awesome and your video's are very informative, thanks again.

Super big thank you to Talking with Docs!! You guys are amazing and deserve many thanks for taking the time to provide us with some great helpful information. And you might be able to say you’re kind of funny!!! I’ve now had both hips replaced and I used your videos many times as a reference to help better understand some of the post surgical complexities. Thank. You, thank you, thank you !!!🎉😊

Great videos Doctors. Very informative and caring attitude. Thank you.

Thanks for the information about hip replacement. I’m 28 and this has helped me get ready for the new hip.

Hey docs! Just had my 2nd hip replacement 3 weeks ago. So much cramping now! And of course I can't sleep!

Cocia I am 9 weeks post op and my limp is almost gone. It is very important to do your exercises religiously to strengthen all the muscles.

The best video that u guys post are amazing as always!! You guys are very informative. Thanks for posting!

May 2022 I had my l femoral head reshaped. December 2022 , 7 months later, my mri showed osteonecrosis which I think was due to the surgery. I’m headed for a THR now. Thanks for your series.

Could do you a video explaining the different approaches used for total hip surgeries?

Great vids, you guys! Very helpful!

One thing you do not mention is recovery time and if physio will help. I had my left hip replaced on 11 December 2023 due to arthritis. I did not lose much blood during the surgery but had an internal hemorrhage shortly after the operation and my hemoglobin dropped from 15 to 7. They put two bags of blood in me and I had to take iron and folic acid treatments for a couple of months post-op. I ended up spending a week in hospital. The surgeon told me that the recovery period would be 6-8 weeks and that I would not need physio but it has now been more than 4 months since the operation and I still have stiffness in the joint and walk with a limp. Is this normal for someone of my age (70)?

Thank you, great info.

I haven't seen anything about a labrum tear. Can you talk a little about thanks . I really enjoy your videos.

Hello --this question is a follow up on a question last night regarding loosening of the tibial plate. As you pointed out, the tibial plate is the weak link in this operation for a TKR. I am curious as to how often do you see a patient that presents with a loose tibial plate? Is this a common occurrence in your practice, or, is it a relatively rare event? Is there, or, are there common events that cause the tibial plate to loosen? Thanks again

You two gentlemen have been a great source of information for me as I was getting ready for my TKR and THR on my right side. My TKR was done late October 2021 and my THR was done late January 2022. My arthritis has also destroyed my left hip and I will be having it totally replaced in a couple months. I am concerned about my mobility after this surgery. I was very fit until my back failed me in my early 40s. I have a T10 -S1 fusion and a C5-C7 fusion to go along with my new knee and hip. Due to arachnoiditis, I’ve been using a walker since 2014. I am 61 years old and want to continue to walk, even if I need a walker most of the time. Should I be concerned about having my other hip replaced?

Best surgery I have had ever!! F.R.

I'm wondering if you could talk about specific things around the hip that before replacement are chronic like a tight IT band, how that and other things like a very sore knee, revert to normal after a replacement. Or do they?

Why can't you just make the legs the same length? I don't understand why you can't operate with exact measurements?

Dear talking with docs hi my name is Rachel and I am 45 years old and I was born with hip dysplasia when I was younger and I want to know if there any other way to fix it or repaired it thanks Rachel Grant

great two know thanks guys 🥰🌹

Getting patients out of pain? Are you kidding me. I'm a week after my hip replacement surgery on my right hip and the pain is worse now on that side than it was before surgery. Not to mention that my walking, limp, etc... is even worse now than before surgery. If I would have know it would have been this bad I wouldn't have even bothered to have it done.

I will be seeing Dr. Weening soon ..

Thank you for valuable information. My question is “Can arthritis settle in ?”again after the operation is done

What about riding a bike?

I am on day 11 after hip Pouteria surgery. I woke up from surgery like I had no pain med. After given a oxycodone and over half hour given another one. Finally got pain under control and tolerable. So I started feeling a lot better after five days. Then for whatever reason seem to be in a lot more pain. I was told that happens and is normal being that outer area is healing faster than the deep inside area of the surgery. Is that true?

Hi, I'm scheduled for a THR 4/24. Currently, I skate once a week, limiting myself to 3-4 jumps and a couple of spins, but it hurts. I've skated 30 years as an adult hobbyist and hardly ever fall, but the bone on bone is causing less mobility and a lot of pain. Understanding this is potentially a high impact activity if I were to fall, do you think following recovery I will be able to continue skating and jumping off of the replaced hip's leg? I land on the good one. What about skiing on gentle slopes (greens and slight blues) where I also rarely fall (once a season maybe).

Not sure if this is the video where you mention it, but I am concerned about the potential for inflammatory reactions from wear particles. If they happen, are they usually localized to the hip? I am guessing it wouldn't be recognized as from coming from the artificial joint if it were systemic inflammation. In the same vein I wonder if there are concerns for patients who have had hormone receptor positive breast cancer (I had DCIS, breast cancer "lite", sometimes called "stage 0") since part of the component is plastic? Doesn't seem likely it could make it's way to interact with breast cells but I sure don't have a clue. Any problems for folks with autoimmune diseases? Just curious if there is a body of research about any of this that you are aware of? Thanks.

Thank you for all you provide. I am experiencing left hip pain, an x-ray showed bone on bone on both sides. He told me the right side is actually worse than the left side. I have no pain at all on the right side. This surgeon uses the anterior approach to replacement and told me he would make the left leg a little longer and then when I do the right side he would match up the leg length to the left side. I asked him what grade the x-ray was 1-4 he told me it was a 5 if there were such a thing. I am 66 and he explained I have the hips of an 85 year old person. Low dose ibuprofen 200-600 mg provides significant relief. Your opinion especially on the difference in leg length approach. Thank you!

Both my hip have been replaced and I’m still in the same amount of pain as before the replacements.

Horseback riding is not comfortable c a hip FC. Ow. You are great to publish these videos.

Hi guys...my leg ended up a tad longer and my Dr told me the same thing, put lifts in...ok, that advice is great for the more older folks, but I was still in my 40s and in the beauty business and wearing high heels has always been a part of my wardrobe, but nope, no more high heels for me, only little kitten heels lol

Thank you for such informative video. I have one question, if you have developmental bilateral hip dysplasia, is it recommended to have total hip replacement in both side ? And can they both been done at once? I currently have been diagnosed with osteoarthritis in the left side and suffering from constant pain only on the left, so recommended to have total hip replacement on the left but having bilateral dysplasia

LOVE YOU guys

My hip replacement is fine but I have a connective tissue disease. It hurts really bad.

what about burning the nerve root heads to stop the hip pain to avoid hip replacement, i had my right hip completely replaced and i would like to try burning the hip nerve root heads for my left hip? what do you think, good or bad idea?

I'm 62 and my insurance isn't good, I have Aetna, my out of pocket is awful, so I live with anterior hip pain ☹️

How you are well! I have a question, does hip arthritis cause knee achiness, like before you wake up. I don't have any knee aches other times of the day. I toss and turn, putting heating pad on one and then the other.

im looking at getting hip replacement done,,,will i be able to surf after my surgery heals ...thank you for your input .

what about dancing/zumba dancing?

I'm 10wks post op and asked my consultant (uk) about me not being able to open my leg wide and also not being able to lift it up when on the bed. It's like my thigh wont let it. All I was told is it will happen just keep walking and using steps. Surely must be a better exercise I can do to help? I must add that my other hip needs doing as it never formed properly and has no ball and sits in the muscle and not in the socket. But I want to be able to get the operated leg opening wide and to be able to lift it.... only 42 and feel very old 😔

I heard a patient can donate the bone??? Is that common and what do the use it for?

hello doc I m from India & my age 25 yrs after 10 days I m going for a hip replacement surgery & I want to know that implant of which material is better Ceramic on Ceramic or Ceramic on Poly??? please reply

Hi I’m 20 years old and I had right hip replacement surgery 2 months ago and now I’m walking using the walker My question is how long does it take till I can walk free without using walker or Crutches and do normal activities . I hope you answer my questions . Thank you Sincerely Yousif . A

It's all wonderful, til it's not. 5 hips, 3 debredements, 2 spacers, ton's of anti biotics, 10 operations in total. Almost 3 years stolen from my life, and I am still infected and on antibiotics for life. I suffer from PTSD, anxienty, and the daily fear of waiting for the other shoe to drop. So you'll have to give me a minute if I find that your "love" of this operation is cool. My first surgeon when I asked him why he does these particular operations, was so excited and animated when he described how he just loved doing them. But, by all means, keep enjoying and don't worry about us lowly 1%, your numbers will still be great. I won't hold my breath on whether anyone will care enough to prevent and/or care for the ones that just don't hit the high percentage.

I need both hips replaced. I will not be able to walk until they are both replaced?

my son 28 has a femur neck fracture at the ball. Not getting better after surgery 10 weeks out. Have you heard of Super Path method of hip surgery? Would like your thoughts about hip replacement at his young age.

Can I ride a bicycle .??after .a hip replacement???Thanks alot.....

hi I have Avn if my both hips. Im told I need a total hip replacement. will my pain n limp go away completely

I have snapping and catching now and then when I lean over, then stand. My pain is worse some days. I should be finished with dental by September then get THR in November. My question is if it's a labral tear will that be fixed during THR?

Why do some surgeons cut in front some on the side and some via butt cheek? Which is best?

How much money total hip replacement would coast in USA

You mentioned bears.......(sorry just HAD to open my question with bears). I am 45, I began feeling pain in my right hip around age 33. I now limp and definitely have mobility issues. My X-rays indicate arthritis in both hips, however, I only have pain in one. I anticipate replacement sometime in the n6+++++++ext 2 years, definitely before 50. Should I have them both done at the same time? I would assume there would be significant savings. For the sake of recovery advice info, I am 5'9" and fluctuate between 185 and 200lbs ( I think at least 1/2 of excess weight is muscle). I am an active snowboarder 1/2 of the year (yes I caught your 8-year-old snowboarder comment LOL) and am probably overly active around the home the other half. You would never ever ever catch me jogging..........even from a bear. (krav maga lol) thanks in advance

Qq

Even with a new hip you probably couldn't outrun a bear so maybe you should stay out of bear country. Also everybody should stay off of skis or motorcycles, these things are suicide machines. Don't get in helicopters or small planes either. Contraptions just looking for a place to crash. Just sit in front of your computer and comment on RU-vid, fairly safe. Wait, is that a tornado headed this way? Oh well, I can't out run it, just had hip replacement.

Does the surgeon grind off the osteophytes that often build up outside the bones? Are there bits of bone or cartilage chips floating around inside the joint?

Thanks Dr's. I like your approach & enjoy the bit of humor!!😅 I'm out 8wks & feeling pretty good..have been doing PT for wks now..❤❤😊

Dear talking with docs hi my name is Rachel Grant hi I want to know if a total hip replacement surgery is good for a birth defect in the hip joint that sticks out of place from Rachel Grant

I've had both hips replaced left 2013, right 2018. My left hip felt loose about 3-4 years ago. Revision on left hip December 2020, left hip infection revision October 2021. I guess I beat the odds. Also knee replacement 2018 and same knee a revision in September 2020. Able to walk the golf course in 2 hours like I used. Stay in shape and you can through all these surgeries- but you have to do the work.

How common is it to have extensive bruising on the back of the surgery leg and burning in the knee area? Other than horrible nausea this was my greatest discomfort in the first week post surgery, Thanks in advance.

Thank you for another great informative video. My doctor met with me and showed me brochure for DePuy, he does anterior approach.

Im 38 years old and was run over by a Dodge Dully truck where my pelvis was a combined mechanism fracture and lower spine fractures. I have had 30 surgeries and I am going to see a Joint surgeon Tuesday. I’m worried I won’t be a candidate to get a hip replacement. If not where else could I go? Because I don’t want to give up.

My surgeon has suggested he may do a partial knee replacement vs a complete replacement. He suggested I may have better movement afterwards. I ride my bike approx 5,000 km/ year. I’m 67 & I hope to continue to do this for 10 yrs+/-. 1. After recovery, will 1 vs the other be more desirable? 2. Will 1 vs the other last longer than the other? 3. I hope to have my surgery in November, recover across the winter & be back riding with my cycling club in the spring. Realistic?

Can you get an infection at anytime after a THR or just the weeks following?

Activities, what about just driving your car or walking while shopping or swimming? I only want to be able to do what I used to do and that's not extreme sports. Please answer. August 11 2018

What happens with metal implant when you are getting cremated?

Hi docs, thank you for your videos, superb. Can I request you do one about knee revisions. As young people are have TKRs revisions will be the next big thing..J

Dear talking with docs hi I am 45 years old and I have been born with a birth defect in my left hip I had it for a long long long time and I want to know can it cause some damage to the hip joint if left untreated and can it be repaired or replaced ps please thanks Rachel Grant

Hi there! Im 39 years old and I had my hip replacement about a year ago. I had a juvenille reumatoid arthritis when I was 11 years old.. after 7 years of physio and meds I was ok when I was about 18. Anyway, after a very active life, I was cycling, dancing, swimming a lot I almost forgot that I have arthritis. But he remembered me so he destroyed my hip. After this long story I would like to ask you guys. Im cycling and swimming again but Im worried about dancing. I dance again but Im very carefull and im scare to do moves. Like to sit on the floor when Im standing, or the deep squats..what do you reccomend? How easy to dislocate? P.S I had the robotic surgery and it was a success. No discrepancy, no pain only muscle pain sometimes especially at the beggining.. Thank you for your videos! X

This is a helpful video. I have avascular necrosis and had my right hip replaced 2 days ago. I was sent home the next day. The pain comes in waves, but I am using a walker and have been up and down the stairs twice. I am hoping in the next few days my pain will dissipate considerably. I'll be having the left hip done in about 6 weeks.

Well guys my hips are bone on bone I have worked and played hard and im paying the piper now. Just saw my surgeon last week he asked if I wanted both done since I don't have a good one. He advises he will do the anterior procedure and im happy to hear that. He did advise I could play hockey but Im a goalie says that wont happen (ive read NHL goalies have it done and play at that level- purebreds vs donkeys Im talking about me being the donkey) He advised it will be a lot of work at the front end of recovery but worth it. The pain right now is off the charts now and seems to get worse by the day, I have a very little range of movement and I was into karate and could do the splits I would be happy to be able to walk without pain at this point. Thanks Dr.'s

This was a really useful and informative video that you have made. I am waiting for a total hip replacement and it answered all my questions. Thank you so much for your time in making this excellent video.

In the case of a 50 something person who had bilateral Perthes as a child and now needs hip replacements: Can any good hip surgeon deal with the challenges of working around the unique deformities that brings, or should one look for a surgeon with experience dealing with this somewhat rare condition?

I would like to thank you for your quick responsiveness and empathy. The surgeon I saw (one of the best in my city apparently...) presented as a miserable bast*rd who obviously prefers his patients unconscious. 😉

I have an inherent leg length discrepancy that I have had my entire life. Both hips need to be replaced. If I get the longer leg replaced first, at what point will xrays be accurate to determine the final length of the surgical leg? In other words, when the implants are placed and the skin is closed, will that be the final length of the leg or will there possibly be changes with healing?

I was walking without a Walker week 2. Returned to work week 3. Was mountain bike riding the same hills I used to do before within a month. Its 4 months for me now. Hey Docs how about Brazilian jiujitsu? I've read online some people are doing it after getting HIps done. One woman competes and won gold after one year post hip surgery. I'm still going to try it anyway but it's never mentioned in activities to avoid.

I had hip replacement surgery about 6 weeks ago,I am not having much pain,but this is my question,how long does it take before you are able to put your sock,and shoe on,I still can't do that.

Great video guys! I am 37 years old and I have avascular necrosis on both sides and have to get a total hip replacement done, I'm honestly a little nervous about the whole thing but I'm hoping I will feel much better than I do right now after I have the surgery and I am all healed up.

What about dental work about 4to 5 months later and the need of antibiotics ?

Can I play billards

When my doctor told me InwS scheduled for left hip teplscment in Frb for May 20 I was totally floored. I onew nothing about what to expect except the little I understod from her exolanation she was doing it Anterior. My daughter and granddaughter both talked over me at that appointment so I lost track of most of what was discussed. I read and read thenotes of the visit and the After visit Summary we were given to tell us what to expect. In this case the Summary was 40 pageswith almost 10 repeating food choices. I didn't understandmist if what was written in both papers until I found your podcasts and heard your expkanations if Total Hip Replacment and then when reading both papers again recently I understood almost everything. Your Podcasts explain joing teplacment surgery so anyine who really listens can understand. I have had some possible setbacks at 4 weeks before surgery I found sime cavitys in my teeth so had to wt them fixed before surgery but by 3 weeks befire lije the dicyor wanted.when the dentistvscheduled the fixing the cavitys my surgeon mived my surgery forward 3 days to May 23 to have it exactly 3 weeks after the dental work but fortnatwly thevdentist coukd get ne in on April 31 fir the dental work. Then the Pre-surgery physucal found I had a urine infection and I was put on Antibiotics 4 times a day for 1 week which aksi covered the dental work. Tiday I am doind a final test to know if the infection is gone. Then I will be cleared for the surgery. I guess nothing worth while is easy. Have no more appointments until my surgery date. I did have a conflict about the walker I can use after the surgery. A young nurse tried to convince me that I would fall and not be able to use the 4 wheel rollator style I have only used for the past 9 years instead of the small 2 wheel walker with skids on the back legs. My surgeon gave me permission to use my 4 wheel rollator instead after I messaged her that I have only used the rollator style for almost 9 years and have never fallen because of it but would use my 2 wheel walker if she insisted. Listening to your podcasts and the other podcasts on U-Tube has given me so much information that I am not so fearful of the surgery as I was in Feb. I am still nervous about it but also a bit excited to be able to walk without leaning on my arms on my walker because I cannot put weight on my left leg. I am also hoping the surgery will make my left leg as long as my right. Now it is about 3/8s shorter and I have fitted a heel lift in my left shoevso I do not stand on my left toes to make my legs even and that makes my balance off.

How long is hip replacement surgery?

You guys make me laugh. “From a bear”.

How is a THR going to affect a previous but recent Lumbar Fusion (L4-L5). The fusion is needed first bc I can only walk or stand for about 2 minutes before I have to sit or find something sturdy to lean over on. Knowing THR can be a somewhat violent (sorry, I hate using that word) procedure according to which approach is taken, the dislocation of the joint, the sawing, the pounding concerns me. That’s a lot of pressure possibly being put on the lumbar region I would think. Of course I’ll be asking my neurosurgeon and orthopedic surgeon but thought asking you guys could give me an idea about it bf I do ask my surgeons. Thanks so much!

how long until i can golf or ride a motorcycle

These are so good these videos

horseback riding after?

What about getting a filter placed inside of you, to help if,, a blot clot should form?

I kno the recovery is gonna be painful 😣

anterior total hip replacement surgery

I'm needing bilateral THR. First the right. X-rays show cyst's from none on bone for a while. Will that complicate things? My dr says I have to lose 40 POUNDS before he will do my surgery. I'm only ten pounds down in two months. Is there a faster way you can suggest? My pain is crazy, walking with a cane and can't sit or sleep good if any????

My hip was impact broken 42 yrs ago. No prosthetic at the time. Repaired with plate and screws. I’ve just had replacement surgery. So Gods bones vs man made, don’t compare. I’m overjoyed with the outcome. I affirm when it’s done, the result is great.

Thanks guys always helpful 🌹🥰

What is the likelihood of a pelvic fracture during hip replacement? My friend's doctor broke her pelvis and is on a walker now for a long time. I said well at least after your weeks on the walker you'll have $20M too! I was only kind of kidding, but she said NO that it was a total accident, and she'd never sue. But after asking Dr. Google, I couldn't find anything saying pelvic fracture was a risk during hip replacement surgery and you guys did not list it as a risk/complication. Now I'm thinking about the docudrama Dr. Death where two doctors fought to get a doctor's license revoked after he constantly had mishaps and killed people. Should my friend's doctor be reported to the state for investigation?

Bursa injection mid-December, hip injection 30 December. Physical therapy month of January. No improvement. MRI scheduled for 12 Feb. Worse case scenario is hip replacement but if it will get back on the Picklebal court - I'll do it! thank you for your honest insite

Can a Hip Replacement cause Complex Regional Pain syndrome? I feel worst after the surgery. I was told the pain is from CRPS, and that there is no cure. Please reply or do a video. Please.