In total hip replacement surgery, the damaged ball and socket are removed and replaced with a new set that is made of metal and a durable plastic material. These artificial parts are called implants, or prostheses. There are three different types of prostheses: cemented, uncemented and custom. Based on your age, activity level, bone shape, size and strength, your orthopedic surgeon will decide which prostheses is best for you. This will be discussed with you at your pre-op visit.
The surgery usually takes two to four hours, although this depends on the severity of the arthritis in your hip. In the operating room, a urinary catheter will be inserted and left in place for one or two days. Compression stockings will be put on both of your legs.
You will be admitted to the hospital on the day of your scheduled surgery. You will be asked to arrive to the hospital two hours before the start of your surgery. After admission, you will move into the pre-operative area where you will be evaluated by an anesthesiologist. The most common type of anesthesia is general, in which you are given anesthesia through an intravenous (IV) drip that keeps you asleep for the entire surgery. Your anesthesiologist also may offer you an epidural or spinal injection or a combination of the above. You will discuss this with your anesthesiologist prior to your surgery.