24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
Fax: (361)578-5500

Medical Disorders
Basic InformationLookupsLatest News
Inflammatory Bowel Disease, Celiac Are Linked: ReviewCOVID-19 Rates May Be Lower Than Thought for Pregnant WomenAs Postponed Surgeries Resume, Can U.S. Hospitals Handle the Strain?Most Americans Still More Worried About COVID-19 Spread Than the EconomyWhat to Know If You're Headed to College With Asthma or AllergiesCoronavirus Was Already Spreading in U.S. in January: StudyAHA News: Inherited High Cholesterol May Be Common in People With Heart DiseaseDVT Clots Strike Many Critically Ill COVID-19 Patients: StudyYour Eyewear and COVID-19 SafetyPandemic Having More Impact on U.S. Hospitals Than Thought: StudyBig Need for Blood Donations as Postponed Surgeries ResumeAs Hard-Hit Areas of America Show Slowing in Coronavirus Cases, Other Regions See SpikesHydroxychloroquine May Worsen Odds for Cancer Patients With COVID-191 in 10 Hospitalized COVID-19 Patients With Diabetes Dies: StudyAHA News: How Bacteria in Your Gut Interact With the Mind and BodyMusic Might Help Soothe Ailing HeartsCould an Injected Electrode Control Your Pain Without Drugs?100,000 Dead, 40 Million Unemployed: America Hits Grim Pandemic MilestonesFDA Approves IV Artesunate for Severe Malaria'Silent' COVID-19 More Widespread Than ThoughtDrug Combos May Be Advance Against Heart FailurePollen Fragments Linger After Rains, Leaving Allergy Sufferers MiserableA New Hip or Knee Can Do a Marriage Good, Study FindsOnly Half of Americans Say They'd Get a Coronavirus Vaccine: SurveyAlzheimer's Gene Linked to Severe COVID-19 RiskCoronavirus Cases Ticking Upwards in Nearly a Dozen U.S. StatesLockdown Got You Down? Experts Offer Tips to De-StressCould a Hormone Help Spur High Blood Pressure?Nursing Homes Are Ground Zero for COVID-19Getting Back to Work Safely After LockdownRemdesivir Will Not Be Enough to Curb COVID-19, Study FindsOutdoor Swimming Pools Not a COVID-19 Risk: ExpertStrokes Are Deadlier When They Hit COVID-19 PatientsAHA News: How to Accurately Measure Blood Pressure at HomeU.S. Earmarks $1.2 Billion for New Vaccine Deal as Coronavirus Deaths Near 95,000During the Pandemic, How Safe Is the Great American Summer Vacation?COVID-19 Damages Lungs Differently From the Flu: StudyMore Evidence Hydroxychloroquine Won't Help, May Harm COVID-19 PatientsYour Sleep Habits May Worsen Your AsthmaExtra Pounds Could Bring More Painful JointsCOVID Can Complicate Pregnancy, Especially If Mom Is ObeseWHO Predicts COVID-19 Will Take Heavy Toll in AfricaCombining Remdesivir With Other Meds Could Boost COVID-Fighting PowerMultiple Sclerosis Ups Odds for Heart Trouble, StrokeAHA News: Not Wanting to Burden Busy Hospitals, She Disregarded Heart Attack SignsExperimental Vaccines Shield Monkeys From CoronavirusHeart Attack Cases at ERs Fall by Half – Are COVID Fears to Blame?Asthma Ups Ventilator Needs of Younger Adults With COVID-19: Study1 in 5 Hospitalized NYC COVID-19 Patients Needed ICU CareObesity Ups Odds for Dangerous Lung Clots in COVID-19 Patients
Questions and AnswersLinks
Related Topics


Is Partial Hip Replacement Often the Better Option?

HealthDay News
by By Elizabeth Heubeck
HealthDay Reporter
Updated: Oct 3rd 2019

new article illustration

THURSDAY, Oct. 3, 2019 (HealthDay News) -- In recent years, the number of U.S. adults getting total hip replacements -- meaning both a new ball and joint socket -- following a hip fracture has soared to an estimated 500,000 annually.

That's nearly three times the rate at which these adults undergo a partial hip replacement, which only replaces the ball of the hip joint.

But a new Canadian study that compared the short-term outcomes of both surgeries showed somewhat surprising conclusions.

"What we now know is that within two years of having either a total or partial hip replacement, there's no difference, and possibly more harm, with total replacements," said lead author Dr. Mohit Bhandari, academic head of orthopedic surgery at McMaster University in Hamilton, Ontario.

The global study randomly assigned an estimated 1,500 patients -- all of whom were 50 or older with a hip fracture but able to walk independently -- to receive either a total or partial hip replacement.

Researchers wanted to learn, first and foremost, which group would be more likely to need a secondary hip procedure within two years of follow-up. They also analyzed differences between the two groups with regard to function and quality of life, as well as the development of serious adverse effects.

Most differences proved negligible. About 8% of patients in both groups needed to undergo a second hip procedure within 24 months of follow-up. Patients who received a total hip replacement reported slightly better function, less pain and stiffness than those with the partial hip replacement. But the improvements weren't enough to be clinically significant.

The difference in serious complications between the two groups perhaps came as the biggest surprise. Serious complications occurred in 42% of patients with a total hip replacement, compared to 37% among those with a partial hip replacement.

Bhandari suggested that the adverse effects suffered by either group may not have been a direct result of surgery, but added that any time you undergo a more complex surgery that takes longer, your risk of complications is likely to increase.

The findings were published recently in the New England Journal of Medicine.

A quick glance at the findings suggests that partial hip replacement is the way to go. But experts urge consumers not to jump to this conclusion.

"The study only looks at outcomes two years out," said Dr. Claudette Lajam, spokesperson for the American Academy of Orthopaedic Surgeons. Many patients who opt for partial hip replacement, she said, end up returning to their surgeon later for additional surgery.

Here's one of the main reasons why. "A metal ball sitting in a native socket doesn't feel good after a while," explained Lajam, an associate professor of orthopedic surgery at the NYU Langone Orthopedic Hospital and Center for Musculoskeletal Care in New York City. After time, the natural cartilage of the individual's socket wears down as it moves against the artificial surface of the "metal ball" that is surgically implanted during a partial hip replacement.

Cost is generally not a deciding factor in which surgery to get, either. Most insurance plans, including Medicare and Medicaid, cover hip replacement surgery and associated costs. But a patient's age and anticipated remaining life span can and should play a pivotal role in the decision.

Bhandari explains: "Someone who's 51 may believe strongly they don't mind the potential of earlier risk for longer-term gain. But patients who are 90 may want to see less risk with similar earlier benefits."

While the study does provide new insights into some of the likely short-term outcome differences between partial and total hip replacements, it's unlikely to serve as a game-changer among candidates for hip surgery.

"It's a very individualized decision," Bhandari observed. "No patient with a hip fracture will fall under a blanket guideline."

More information

Visit the American Academy of Orthopaedic Surgeons for more on hip replacement surgery.