Same Day Hip Replacement Surgery | Minimally invasive hip replacement

Same Day Hip Replacement Surgery | Minimally invasive hip replacement

Ross Hauser, MD and Katherine L. Worsnick, MPAS, PA-C

Many people that we see with hip pain are in our offices because they are exploring options to an already recommended traditional hip replacement surgery. Two of the options they are exploring to their hip replacement recommendation are a same day hip replacement and Prolotherapy and/or stem cell therapy. In this article we will present information on these options.

The idea of same day hip replacement certainly has its appeal. It also has some misconceptions. Many people believe the same day hip replacement is a walk into the hospital in the morning and they walk out at night with a new hip without further ado. Of course this is not how the procedure works. There is preparation for the surgery and there is rehabilitation from the hip surgery. For many, it simply means a smaller surgical incision and getting out of the hospital faster. Who can argue with that? Concerned surgeons for one.

The realistic expectation of same day hip replacement: Same day hip replacement is not right for everyone

In the medical journal Clinical Orthopaedics and Related Research, doctors at the Anderson Orthopaedic Research Institute & Inova Center for Joint Replacement at Mount Vernon Hospital, Virginia, and The Rothman Institute & Thomas Jefferson University Hospital, in Philadelphia provided these insights into the same day hip replacement procedure:

The supportive research findings:

Who is a good candidate for same day hip replacement?

The researchers then identified who would be a good candidate for the procedure.

What were the results of this study

The researchers then identified the success ratio of the same day hip replacement procedure.

The researchers found 24% (27 of 112) of patients planning to have same day release surgery were not able to be discharged the same day. Some had to stay overnight in the hospital.(1)

Is a same day hip replacement discharge something patients even want?

Here is an interesting survey from doctors who perform same day hip replacements published in the The Journal of Arthroplasty.

Survey results of patients offered same day release joint replacement:

Recovery and rehabilitation from Same Day Hip Replacement Surgery

All the while there is also physical therapy, visiting nurses, and other home help people.

Same day hip replacement? Options that keep your own hip

The purpose of our writing this article is because many people who contact our office are looking for an alternative to traditional total hip replacement. They see possibilities in Prolotherapy and stem cell therapy as a completely non-surgical option.

In the video below, a patient examination is performed and discussed to show who would be a good candidate for Prolotherapy, a non-surgical, in-office procedure.

The benefits of Prolotherapy:

In the video examples of patients being treated with stem cell or bone marrow Prolotherapy. This is our alternative to hip replacement surgery.

1 Goyal N, Chen AF, Padgett SE, Tan TL, Kheir MM, Hopper RH, Hamilton WG, Hozack WJ. Otto Aufranc Award: A multicenter, randomized study of outpatient versus inpatient total hip arthroplasty. Clinical Orthopaedics and Related Research®. 2017 Feb 1;475(2):364-72. [Google Scholar]

2 Meneghini RM, Ziemba-Davis M. Patient Perceptions Regarding Outpatient Hip and Knee Arthroplasties. The Journal of arthroplasty. 2017 Sep 1;32(9):2701-5. [Google Scholar]

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