Dr. McCandless is an experienced orthopedic surgeon, helping patients in the greater San DIego are, get the care they need for chronic, significant hip pain, including total hip replacement procedures using advanced techniques and materials for optimal results. Patients can visit Dr. McCandless for a consultation at his offices in El Cajon and Coronado, CA.
A total hip replacement is performed in patients who have chronic, debilitating pain in their hip that prevents normal activities, and for whom more conservative approaches like physical therapy and medication have not worked. The most common indications for total hip replacement surgery are osteoarthritis and rheumatoid arthritis, an immune system disease that causes the body to attack the joints.
Hip replacement surgery involves replacing the socket and ball portions of the hip joint. The procedure is typically performed under general anesthesia, but may also be performed using a spinal block to numb your body from the waist down. An incision is made over the joint to expose the damaged area and remove diseased cartilage and other damaged tissue and to prepare the joint to receive the implant. The prosthetic socket fits snugly against the prepared bone in the pelvis (the acetabulum). The ball portion has a long stem that is inserted into the femur, or thigh bone. Once the implants are in place, the incision will be closed and you'll be taken to a recovery area. Hip replacement procedures take a few hours to complete.
Once you return home, you'll need to rely on someone to perform daily tasks as you get used to the new joint and the way it feels and functions. You'll be given pain relievers to help with any discomfort, and you'll need to remain active to help the joint heal properly and more quickly. You'll need to use a cane or a walker during this time. Physical therapy will begin soon after surgery, and you'll need to be committed to attending all your therapy sessions since therapy plays a major role in recovery. Most patients are completely healed within a year.