Hip

The hip is the largest ball and socket joint in the human body.  Its design allows a remarkable range of motion between the pelvis and lower limb while still maintaining a high degree of stability.  A specialised layer of cartilage lines the bones of the hip allowing smooth, frictionless movement within the joint.

Hip Joint Arthritis

Osteoarthritis of the hip is a debilitating condition that results from loss of cartilage within the joint. The main symptom is pain around the groin and hip area that may radiate down into your knee. As the disease progresses you may experience trouble with everyday activities such as putting on shoes and socks, driving a car or participating in recreational activities. In severe cases you may experience difficulty working or sleeping. Mr Barnes will discuss both non-operative and operative treatment options with you, including total hip replacement surgery.

Total Hip Replacement

Mr Barnes performs hip replacement surgery for a several important conditions including osteoarthritis, rheumatoid arthritis, fracture, avascular necrosis and hip dysplasia. He performs over a hundred of these procedures each year and combines new technology with traditional methods, depending on the individual needs of each patient. There are many surgical options regarding hip replacement in terms of materials and design. Mr Barnes will demonstrate and discuss these options in depth when you meet him at your appointment.

Anterior Approach Hip Replacement

Anterior approach hip replacement is a technique that has been utilised overseas for a long period of time particularly in European countries such as Switzerland and France. It is a “muscle-sparing” approach that involves cutting in-between muscles rather than through them. As a result patients may experience a faster recovery in the short term and be able to go home sooner following their operation. Mr Barnes performs hip replacements utilising several different approaches depending on the needs of each individual patient. He is happy to discuss the benefits of each different type of hip replacement and will plan your operation to achieve the best possible results.

Revision Hip Replacement

Mr Barnes has a special interest in worn out or painful hip replacements. Most commonly this occurs when the polyethylene liner in the socket has been worn away by grinding of the femoral head. Plastic particles may then escape around the back of the components causing them to loosen from the surrounding bone and cause pain. Other reasons for painful hip replacements include infection, fracture and soft tissue irritation around the components. Mr Barnes will organise a series of specialised investigations to diagnose the reason for your painful replacement and then discuss the treatment options with you. Mr Barnes has a special interest in revision surgery for joint replacements and he will formulate a specific plan for your hip based on the reason for failure. He also sees patients with failed metal-on-metal hip replacements.

Hip Conditions in Young Adults

Femoro-Acetabular Impingement (FAI) occurs in young, active adults due to abnormal contact between the bones of the hip joint. Patients experience groin pain which is often associated with tears of the labrum, a special soft tissue structure that protects the hip from injury. FAI most commonly occurs due to a bony overgrowth on the femoral neck or pelvis. If standard treatments such as physiotherapy and anti-inflammatories have not worked, surgery may be required to improve the function of your hip. At your appointment Mr Barnes will discuss the possibility of hip arthroscopy to remove excess bone and repair the labrum.

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