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Hip Replacement Surgery Baltimore MD

The hip joint provides a wide range of movements we take for granted every day. People who experience intense hip pain or have hip arthritis may have problems moving, doing everyday activities, and sleeping. Degenerative joint diseases such as osteoarthritis or a hip injury may lead to hip replacement surgery. Your doctor has to qualify you for this surgery, where the painful parts of the damaged hip are replaced with artificial hip parts called a hip prosthesis, basically a device that substitutes or supplements a joint. The hip prosthesis is put in place using bone cement, a press-fit process or a combination of both. Older patients may opt for an osteotomy instead. An osteotomy is a surgical operation whereby a bone is cut to shorten, lengthen, or change its alignment to relieve excessive arthritis pain. Listed below you will find knowledgeable rheumatologists around Baltimore that can give you more information on hip replacement surgery and other available treatment options for hip pain.

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Marcelo G Cardarelli
(410) 328-6897
22 S Greene St
Baltimore, MD

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John Scott Roth, MD
252-816-3290
22 S Greene St Rm S4B13
Baltimore, MD

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Richard F Heitmiller
(410) 554-2063
3333 N Calvert St
Baltimore, MD

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Stephen C Jacobs
(410) 328-6897
22 S Greene St
Baltimore, MD

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Thomas Michael Scalea, MD
410-328-8976
22 S Greene St
Baltimore, MD

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Harold Edward Ramsey, MD
410-523-5222
301 McMechen St
Baltimore, MD

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Alexander E Pazoki, MD
410-328-6195
419 W Redwood St Ste 410
Baltimore, MD

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Gauri C Bedi, MD
800-636-3729
227 Street Paul Place 5th Floor
Baltimore, MD

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Marshall E Benjamin
(410) 328-6897
22 S Greene St
Baltimore, MD

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Donald Stuart Gann, MD
410-328-8701
22 S Greene St
Baltimore, MD

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Hip Replacement

Overview

Hip replacement, also called total hip replacement, is a surgical procedure in which damaged parts of the hip joint are replaced with artificial parts (prosthesis). The goals of total hip replacement are to relieve pain, improve function of the hip joint, and increase mobility.

The hip joint is one of the largest weight-bearing joints in the body. It is a ball-and-socket joint in which the thighbone (femur) fits into a rounded socket (acetabulum) in the pelvis. The top of the thighbone (femoral head) is connected to the socket with bands of connective tissue (ligaments), which help to make the hip joint stable. A thin layer of smooth, elastic tissue (articular cartilage) cushions the ends of the bones within the hip joint.

The most common cause for hip damage is osteoarthritis . Other conditions that can damage the hip joint include the following:

Bone tumor
Injury
Osteonecrosis (death of bone tissue caused by inadequate blood supply to the bone)
Rheumatoid arthritis

Damage to the hip joint can cause pain and interfere with daily life. Treatment may include physical therapy , exercises to strengthen the muscles surrounding the hip joint, walking aids (e.g., canes, walkers), and medications (e.g., acetaminophen, nonsteroidal anti-inflammatory drugs [NSAIDs]). In some cases, stronger medications, topical pain relievers (analgesics), corticosteroids (e.g., prednisone, cortisone), and joint lubricants may be used.

When these treatment methods are ineffective, a procedure called an osteotomy may be performed. In an osteotomy, bones in the hip are realigned to shift pressure and weight to a healthy bone surface. If hip function worsens and pain continues, total hip replacement may be necessary.

Surgical Procedure

Total hip replacement can be performed using traditional surgery or a minimally invasive method. The procedure, which usually takes a few hours, may be performed under general or regional anesthesia. Sedation may also be given before the patient is taken into the operating room.

General anesthesia, which renders the patient completely unconscious, is given intravenously or inhaled through a breathing mask. Once the anesthesia has taken effect, patients need assistance breathing (e.g. oral airway, endotracheal tube). Regional anesthesia (e.g., spinal, epidural) may be used to numb the hip area. Some patients feel pressure or tugging during surgery when regional anesthesia is used.

Patients are closely monitored by the anesthesiologist throughout the surgery. Heart rate, blood pressure, and blood oxygen levels are continuously recorded. The amount of anesthesia received is carefully controlled and adjusted for the duration of the hip replacement surgery.

In traditional open surgery, an incision (usually 6 to 8 inches in length) is made in the hip and the damaged tissue is removed and replaced with artificial parts (prosthesis). The healthy portions of the hip joint are left i...

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What are the risks of hip replacement from Thomas Sculco, MD

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UNIVERSITY OF MARYLAND MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210002 Title: UNIVERSITY OF MARYL...

ProviderNumber: 210002

Title: UNIVERSITY OF MARYLAND MEDICAL CENTER

Address1: 22 S GREENE ST

City: BALTIMORE

State Code: MD

Zip Code: 21201

County: BALTIMORE CITY

Phone Number: 4103280313

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - YES; Stroke Care - YES; Nursing Care - YES

Death from serious treatable complications after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Breathing failure after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious blood clots after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious Complications Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 6; Usually: 19; Always: 75
Doctors communicated well - Sometimes/Never: 4; Usually: 17; Always: 79
Receive help as soon as they want - Sometimes/Never: 13; Usually: 27; Always: 60
Pain was well controlled - Sometimes/Never: 7; Usually: 25; Always: 68
Explained about medicines before giving it to them - Sometimes/Never: 17; Usually: 19; Always: 64
Clean room and bathroom - Sometimes/Never: 15; Usually: 23; Always: 62
Area around their room were quiet at night - Sometimes/Never: 16; Usually: 31; Always: 53
Provided recovery at home instructions - Yes: 87; No: 13
Hospital rating (O to 10; 10 highest) - 6 or lower: 8; 7 or 8: 24; 9 or 10: 68
YES, would recommend the hospital: 73
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 68

Percentage of Patients who would recommend the hospital: Definitely Recommend: 73; Probably Recommend: 23; Not Recommend: 4

Surgery patients given the right antibiotic to prevent infection: NA

Patients treated at the right time within 24 hrs before or after: NA

Outpatients having surgery who got an antibiotic at the right time: NA

Outpatients having surgery who got the right kind of antibiotic: NA

SAINT JOSEPH MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210007 Title: SAINT JOSEPH MEDICA...

ProviderNumber: 210007

Title: SAINT JOSEPH MEDICAL CENTER

Address1: 7601 OSLER DRIVE

City: TOWSON

State Code: MD

Zip Code: 21204

County: BALTIMORE

Phone Number: 4103371200

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Church