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St. Vincent Medical Center



For physician referral, call (866) 478-8462. For general information, call (213) 484-7111.

To reach a patient, call (213) 484-7111. If you know their room number, call (213) 484-[7 + room number]. Patients can receive calls daily from 7:00 AM to 11:00 PM.


For physician referral, call (866) 478-8462. For general information, call (213) 484-7111.

To reach a patient, call (213) 484-7111. If you know their room number, call (213) 484-[7 + room number]. Patients can receive calls daily from 7:00 AM to 11:00 PM.

 

 St. Vincent Medical Center

Hip Joint Replacement

The hip joint can develop arthritis over time, leading to a complete wear of the articular cartilage. When this point has been reached in the development of the disease, a total hip replacement is necessary to relieve hip pain and restore function by replacing the worn cartilage with an artificial bearing on both the pelvis and the femoral head.

Whenever the cartilage on the pelvic side is preserved (i.e. after a femoral neck fracture that cannot be repaired, for example) a hemiarthroplasty can be performed, in which the head of the femur is replaced but articulates with the native acetabular (pelvic) cartilage instead of an artificial bearing material as in a total hip replacement.

Non-Operative Treatments

Hip pain can have a number of origins. Our surgeons are committed to a conservative approach to treatment and usually explore non-invasive treatment options as a first step. Non-operative treatment options include:

  • Modification of patient activity
  • Physical therapy
  • Oral medications
  • Local injection

Total Hip Replacement

RA-THRsmallTotal Hip Replacement has been one of the most successful surgical procedures from the last century and remains the gold standard for the treatment of hips with arthritis. It starts with the insertion of a stem into the femoral medullary canal. A femoral head is mated with the neck of the stem and articulates with the acetabular component fixed to the pelvic bone.

Several bearing materials are suitable for total hip replacements and all combinations of a metal or ceramic head articulating with polyethylene, metal, or ceramic liners are possible. Your surgeon will determine which bearing couple is preferable based on multiple pre-and post-operative factors.

Surgeons performing Total Hip Replacement at the Joint Replacement Institute:

  • Dr. Mynatt
  • Dr. Goring
  • Dr. Long
  • Dr. McPherson
  • Dr. Mynatt
  • Dr. Saluta
  • Dr. Schmalzried
  • Dr. Wassef

Resurfacing

Hip resurfacing differs from a conventional total hip replacement in that the femoral head and neck are not resected to allow the insertion of a stem into the femoral medullary canal, but a metal shell caps the reamed femoral head to articulate with an acetabular implant.

Hip resurfacing can be performed for various diagnoses, depending on the severity of the hip disease, and as long as the femoral head and neck provide sufficient support for the femoral component.

The bearing material of choice for full hip resurfacing is metal-on-metal, because it is currently the only material allowing to manufacture thin acetabular implants (to accommodate the large femoral head) with sufficient strength to sustain the joint reaction forces associated with an active lifestyle.

Surgeons performing Hip Resurfacing at the Joint Replacement Institute:

  • Dr. Schmalzried
  • Dr. Wassef

Hip Revision Surgery

Artificial hip replacements are extremely durable but sometimes cease to function properly during the patient’s lifetime. A revision surgery is then needed in which one or all components of the previous prosthesis will be removed and replaced.

There are advantages to having the surgeon who implanted the original prosthesis also perform the revision surgery when it is needed, because this surgeon is already familiar with component types, sizes and the patient’s specific anatomy. However if this is not possible, select a surgeon who will have access to all the needed information for a successful revision surgery.

Surgeons performing Hip Revision Surgery at the Joint Replacement Institute:

  • Dr. Schmalzried
  • Dr. Mynatt
  • Dr. Wassef

Fracture Repair

A fractured bone will typically repair itself if the broken extremities of the bone are close enough and maintained immobilized. However, a surgical intervention will often facilitate a fast and complete recovery, depending on the location of the fracture and the degree of displacement between the two (or more) broken parts of the bone.

Bone fracture repair is a surgery usually involving metal screws, pins, rods, or plates to hold the bone in place. It is also known as Open Reduction and Internal Fixation (ORIF) surgery.

Joint Replacement Institute surgeons performing Fracture Repair around the hip joint:

  • Dr. Goring
  • Dr. Saluta
  • Dr. Wassef

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