Advances in Knee Replacements

This new design allows surgeons to preserve the important central ligaments of the knee called the anterior and posterior cruciate ligaments. This design should allow a knee replacement to move, respond, and feel more like a normal knee.

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The Anterior Hip

Patients are being told by both surgeons and orthopedic implant companies that Anterior Hip Replacement approach offers something unique and different compared to other approaches. This is a flatly untrue, unscientifically supported myth...

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Outpatient Joint Replacement

With Outpatient Joint Replacement Surgery, patients are able to return home the same day as the procedure. Patients also begin physical therapy within hours of surgery.

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Hip Replacement Surgery in Portland, Oregon

Since the first hip replacement surgery in the 1960s, joint replacement surgical techniques and technology have greatly increased the effectiveness of the procedure. According to the American Academy of Orthopaedic Surgeons (AAOS), more than 193,000 total hip replacement surgeries are performed in the United States each year.

Anatomy of the Hip

The hip is one of the largest weight-bearing joints in the human body, and it is comprised of two main parts: a ball (femoral head) at the of the patient’s thighbone that fits into a rounded socket (acetabulum) in the patients pelvic bone.

The bone surface of the ball and socket contains a smooth durable cartilage that cushions the ends of the bones and enables them to move easily.

The ligaments of the hip connect the ball to the socket and provide stability to the joint. A slim, smooth tissue, called synovial membrane, covers the remaining surfaces of the hip joint and releases a lubricating fluid that reduces the friction between the bones.

Indications for Hip Replacement Surgery

Although many patients that undergo hip replacement surgery are 60 to 80 years of age, each patient experiencing severe hip pain can be evaluated and considered for this procedure. Recommendations for surgery are based on the extent of the patient’s pain, disability, and general health status. The strongest indications to undergo a total hip replacement procedure are:

    Oregon Hip Replacement
  • Hip pain limits the patient’s everyday activities
  • Physical therapy does not alleviate hip pain
  • Hip pain continues even while resting
  • Hip medications do not work, or cause an unpleasant side effect
  • Stiffness in the hips limit the ability to move properly

Common Causes of Hip Pain

The most common causes of hip pain are the different types of arthritis. They include Osteoarthritis, Rheumatoid Arthritis, and Traumatic Arthritis.


Osteoarthritis (the “wear and tear” arthritis) is a progressive disease in joints that gradually wears away the articular cartilage. If the cartilage is worn out, the surfaces of the bones rub directly against each other during movement, causing hip pain and inflammation.

Rheumatoid Arthritis

In rheumatoid arthritis, the joint lining swells and invades the surrounding tissues; then a chemical substance is produced that attacks and destroys the joint surface. Without proper treatment, rheumatoid arthritis can become a chronic, disabling condition.

Orthopaedic Evaluation for Surgery

The orthopaedic surgeon will review the results of the patient’s evaluation and decide whether a total hip replacement surgery is the best method to relieve pain and improve mobility. An orthopaedic evaluation usually includes a medical history, a physical examination, x-rays, magnetic resonance imaging (MRI), and occasionally blood tests.

Total Hip Replacement Surgery Information

In a total hip replacement surgery, the orthopaedic surgeon will remove the damaged cartilage and bone, and replace them with the metal, plastic, or ceramic joint implant to restore the alignment and function of the patient’s hip. The orthopaedic surgeon will decide which type of prosthesis is most appropriate for the patient’s need.

After the surgery, the patient will be moved to the recovery room for a couple of hours while the anesthesia wear down. In the majority of cases, the patient is required to stay for a few days in the hospital for specialized care. It is normal to feel pain in the hip, however pain medication will be administered to make the patient feel comfortable.

For a full recovery, the orthopaedic surgeon will recommend special wound care, a specific diet, and a certain level of activity. The activity program will include walking slowly to increase mobility, resuming normal activities, such as sitting and standing, and specific exercises several times a day to help restore movement and straighten the hip joint.

Hip Replacement Surgery in Oregon City, Oregon

James C. Ballard, MD is committed to excellence by pledging to provide the highest quality orthopedic care. To make an appointment please call the offices of Dr. Ballard in Oregon City, OR and Tualatin, OR at (503) 656-0836.