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Spire Manchester Hospital


Osteoarthritis is a common condition. One and a half million people in the United Kingdom are being treated for osteoarthritis. Two thirds of people over the age of sixty five have signs of osteoarthritis on their hip xrays. Fortunately, less than half of these have any symptoms of pain or stiffness in their hip joint. When hip symptoms are limiting a patients lifestyle, such as their ability to walk as far as they would like, hip surgeons are able to offer a range of treatments to relieve pain.

Treatment may begin with painkillers, physiotherapy and walking aids. When symptoms are more severe, a hip operation may be necessary. There are several types of hip surgery available, and the operation required depends on the individual patient.

The Manchester Orthopaedic Group has several surgeons who perform hip surgery. Michael O'Connor , Pankaj SharmaTahir Mahmud and Simon Ghalayini are well respected, established Consultant surgeons who regularly undertake various types of hip operation, mostly for hip arthritis. They can advise you which type of hip replacement is best for you - be it a conventional hip replacement, a ceramic hip replacement, a metal on metal hip replacement or a hip resurfacing procedure. For younger patients, with soft tissue problems with their hips. 


Conventional Hip Replacement

When the hip has become worn out, the ball and socket in the joint lose their covering of cartilage. This leads to pain. The conventional hip replacement replaces both the ball and the socket with a metal head and a plastic socket. This combination has been used reliably for the last forty years. The new ball and socket are secured in place with a special bone cement.


Resurfacing Hip Replacement

Some patients are suitable for a different operation which conserves the bone of the ball in the ball and socket joint. This procedure replaces just the surface of the bone with a metal coating. The socket is replaced with a metal coating. This type of hip replacement allows greater movement and the ability to take part in sports again, but there is a greater risk of fractures around this in patients over the age of 65, so patients in this age range would benefit more from conventional hip replacement.


Ceramic and Metal Hip replacement

Younger patients not suitable for resurfacing hip replacements may benefit from ceramic joint surfaces or metal joint surfaces. The advantage of these surfaces is that they may last longer than the conventional metal on plastic surface of a conventional hip replacement in more active patients. They can, however, have their own problems, and are not suitable for everyone. Your surgeon will be abe to advise you about this.


Uncemented Hip Replacements

Conventional hip replacements are secured in position by special bone cement. In some patients, especially younger patients, uncemented hip replacements which do not use bone cement can be advantageous. Your surgeon can advise you if you are suitable for an uncemented hip.


Revision Hip replacements

If your hip replacement has been in place for more than 10 years, it can start to loosen around the stem of the thigh component or the socket component. If this occurs, the artificial hip will need to be itself replaced. This second procedure is called revision hip replacement. It is more technically demanding than normal hip replacements and there are more risks involved. Our consultants are accomplished revision hip surgeons and perform these operations on a regular basis.


Hip Arthroscopy

This procedure is usually reserved for younger patients with soft tissue tears within the hip. The hip is examined with a fibreoptic camera via keyhole surgery. Instruments can be introduced within the hip joint to remove any damaged tissue that may be causing discomfort or limiting activity. 



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