At Orthopedic Associates of Hartford, we specialize in replacement surgery of all joints, including the hip, knee, shoulder, elbow, wrist, ankle, and spine to alleviate pain associated with Arthritis – a painful condition that occurs due to breakdown of cartilage within your joint – and to improve the function of people who suffer from arthritis.
The joint replacement specialists of Orthopedic Associates of Hartford lead and deliver superior care. As founding members of Hartford Hospital’s renowned Bone & Joint Institute, all inpatient operations are performed at this prestigious location. We also perform outpatient joint replacement surgery at our independently owned surgical center in Rocky Hill, as well as at the Glastonbury and Hartford Surgical centers. Learn more about our state-of-the-art Surgery Centers
Total and partial joint replacement has become common for diseases of the hip, knee, elbow, hand, wrist, and ankle. These procedures use metal alloys, high-grade plastics, and polymeric materials. Orthopedic surgeons can replace a painful, dysfunctional joint with a highly functional, long-lasting prosthesis. Over the past half-century, there have been many advances in the design, construction, and implantation of artificial joints, resulting in a high percentage of successful long-term outcomes. Conditions that may benefit from joint replacement include:
- Avascular necrosis (osteonecrosis)
- Failed previous replacement surgery
- Osteoarthritis (degenerative joint disease)
- Post-traumatic arthritis
- Rheumatoid arthritis
The hip joint is a “ball and socket” joint made up of the top of the femur (thigh bone) forming the ball and the acetabulum (portion of the pelvis) forming the pelvis. The hip is surrounded by strong tendons, ligaments, and muscles that add to the stability of this joint. The structures around the joint, as well as the joint itself, can cause symptoms of varying disorders. Arthritis is a disease in which the cartilage on the end of the bones irreversibly wears away, and this commonly affects the hip joint. Conditions in the hip joint often cause pain in the groin or front of the thigh. Some of the most common hip problems include:
Arthritis: Occurs when the cartilage of a joint surface is injured. Arthritis can cause pain, swelling, and loss of motion.
Avascular Necrosis (AVN) or Osteonecrosis: This means “death of bone.” This can occur in different joints of the body, but the hip is the most common site for this condition. The bone beneath the cartilage of the femoral head (thigh bone) dies, and this can lead to premature arthritis.
Bursitis: Inflammation of a bursa. A bursa is a fluid-filled sac that is found where tendons pass by bony surfaces. Trochanteric bursitis is a very common condition that causes pain and tenderness on the side of the hip.
Femoroacetabular Impingement (FAI): A condition where abnormal abutment between the thigh bone (femur) and socket of the pelvis (acetabulum) leads to damage to the cartilage or surrounding structures. This can cause pain, loss of motion, catching sensations, and occasional feelings of instability.
Fractures: Fractures of the bones, or broken bones that occur as a result of a fall or more serious trauma. Stress fractures may occur due to overuse, as in excessive high impact training. In this latter condition, the bone has not completely broken, but intervention (activity modification or, occasionally, surgery) is needed to prevent a complete fracture.
Tendonitis: Inflammation or pain along a tendon. Tendons are the structures that connect your muscles to your bones. Tendons in the hip that can experience tendonitis are the hamstring tendons, quadriceps tendons, and abductor tendons.
Symptoms associated with hip pain depend on the cause, and vary in intensity from mild to severe. Hip pain can be a cause of substantial disability. Symptoms include:
- Difficulty donning and doffing shoes and socks
- Difficulty sleeping on the hip
- Groin pain is the #1 complaint
- Loss of motion of the hip
- Tenderness of the hip
- Trouble getting into and out of a car
How We Diagnose
Symptoms associated with hip pain depend on the cause, and vary in intensity.
Medical History and Examination
During your first visit, your orthopedic surgeon will gather information about your general health and ask questions about the extent of your joint pain and how it affects your ability to perform everyday activities. During the physical examination, your doctor will assess hip mobility, strength, and alignment.
These images help to determine the extent of damage or deformity in your hip.
Other tests, such as a magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of your hip.
There are a number of non-surgical and surgical options to restore mobility and reduce pain.
There are several conservative treatments for hip pain that may include rest, non-weight-bearing, cold application, and anti-inflammatory medications. For local inflammation, sometimes injection of cortisone medication (steroids) is used to quiet the inflammation. OAH has state of the art ultrasound machines that allow for these injections to be performed in the office setting. Physical therapy and rehabilitation can be used to increase mobility and strength.
Joint surgical options may include arthroscopy, partial or complete replacement, complex fracture stabilization, and treatment of deformity.
Total Hip Replacement
In a total hip replacement, also called total hip arthroplasty, the damaged bone and cartilage are removed and replaced with prosthetic components. Learn about how a normal hip works, the causes of hip pain, what to expect from hip replacement surgery, and what exercises and activities will help restore your mobility and strength, and enable you to return to everyday activities.
Learn more about Total Hip Replacement Surgery.
Total Hip Revision Surgery
A hip replacement will wear out over time, and surgery to reconstruct or replace the present hip replacement may become necessary. Subsequent surgery is referred to as revision surgery.
Below are some videos that may help you better understand your condition and/or procedures to correct issues:
Meniscus Problems – Meniscus Transplant
Meniscus Problems – Torn Meniscus Repair
Meniscus Problems – Torn Meniscus Trimming
Patella (Knee Cap) Pain – Drilling/Microfracture
Patella (Knee Cap) Pain – Patella Realignment
Patella (Knee Cap) Pain – Removal of Damaged Cartilage
Patella (Knee Cap) Pain – Removal of Painful Plica
Synovial Problems – Removal Of Painful Plica
Synovial Problems – Removal of Inflamed Synovium
Torn ACL – Anatomic Footprint ACL Reconstruction
Torn ACL – Bone-Patellar Tendon-Bone Graft
Torn ACL – Quadriceps Tendon Graft
Periacetabular Osteotomy (PAO)