Hip replacement surgery
Our website provides useful information and answers to frequently asked questions to help you find out more about hip replacement. How is hip replacement implantation? When do I need hip replacement surgery? How to prepare for the procedure? What to expect after hip replacement surgery? The important information is summarised by the hip replacement specialists at the Budapest Musculoskeletal Private Clinic.
When is hip replacement surgery needed?
In practice, two types of hip replacement surgery are performed: ctibial prosthesis implantation and revision. A prosthesis involves the removal of the original human hip joint and replacement with a prosthesis. A prosthesis revision involves the replacement of a previously implanted hip prosthesis.
Hip replacement implantation is most often used for chronic hip pain, when conservative treatment is no longer able to relieve the patient's pain or when it is preventing them from carrying out their daily activities. This advanced osteoarthritis of the hip joint we call it.
There are several possible causes of hip joint pain and cartilage wear:
- Osteoarthritis (wear and tear arthritis),
- rheumatoid arthritis (autoimmune polyarthritis)
- Post-traumatic joint wear (e.g. after a fracture of the femur or pelvis)
- Avascular necrosis of the head, i.e. necrosis of the femoral head (usually caused by an arterial circulatory disorder),
- Hip joint dysplasia, a congenital hip deformity.
Hip replacement revision if the primary prosthesis becomes loose or a part of it wears out and causes a complaint. Because of the risk of this, it is necessary to check the prostheses regularly, every 1-2 years, by X-ray examination. Today's modern prosthesis systems are implanted in a multi-component system, so sometimes it is sufficient to replace only a single component to prevent complete loosening.
Dr. Gergely Holnapy PhD
Orthopaedic traumatologist, assistant professor, robotic surgeon
Online appointment booking for Budafoki út:
Please choose the service that suits you
The control fee is valid for 3 months after the initial examination, for the same complaint.
- 1. Select the service you need from the drop-down box!
- 2. Use the calendar to choose a date that suits you!
- 3. Enter your details to register or login with your previous registration!
- 4. If you would like to make a reservation on behalf of someone else (e.g. your child), please let us know at the location provided.
- 5. Briefly describe your complaints!
- 6. Select the type of consultation: initial examination, control examination or prescription.
- 7. Click on the button to book your appointment. Thank you for choosing BMM!
If you are unable to make the appointment you have already booked, please, at least 24 hours before notify us of your intention to withdraw. This gives other patients the opportunity to get the medical care they need in time. Thank you for your cooperation and understanding!
Resignation: +36 1 44 33 433
If for the week of your choice cannot find an available appointment, for further assistance, please call our call-center at +36 1 44 33 433-phone number! Our staff will be happy to help you make an appointment with the doctor of your choice or another specialist according to your complaint.
Our patients' recovery stories - click for videos (34+ videos)
About the hip replacement
Thanks to rapid advances in medicine and technology, hip joint replacement has also advanced in recent decades. The qualitative advances are impressive, both in terms of the surgical techniques used and the prosthetic systems implanted. Our experienced orthopaedic traumatologists, who are skilled and experienced in large joint prosthetics, now treat using specially designed soft tissue-sparing surgical techniques and the most modern and highly qualified prosthetic implants. The implanted hip joint prosthesis replaces the function of the original, damaged hip joint virtually immediately, and also allows for a much faster and less painful rehabilitation.
The healthy hip joint
The hip joint is a large ball and socket joint. The spherical part is the femoral head, which is the spherical end of the femur covered with cartilage. The part that contains the ball is called the vape, also known medically as the acetabulum, which is a cartilage-covered cavity in the pelvic bone. In a healthy hip joint, the cartilaginous surfaces slide easily over each other. For smooth movement, lubrication is provided by synovial fluid, which also nourishes the articular cartilage.
The hip joint is surrounded by a strong ligamentous connection that provides stability to the joint. The head of the femur is supplied by the femoral neck by the femoral arteries, which provide circulation to the head of the femur.
Robot-assisted hip replacement implantation
Robotics is increasingly transforming medicine and in the future doctors will use robotic technology more and more. These systems can work and assist the doctor with a precision that goes beyond human perception and performance. One of the most advanced procedures for hip replacement is the robotic navigation-assisted surgical technique, which represents a revolutionary advance over traditional manual implantation. The use of robotics and precision technology makes the procedure even more precise, safe and personalised.
While in many places this technology is not yet available, we are already using it and an increasing number of our patients are choosing this type of surgery to ensure a successful recovery and long-term freedom of movement with the most modern procedure.
Advantages of the robotic navigation assisted surgical technique
- Maximum precision
The robotic system is computer-engineered to ensure a perfect fit of the implant, which almost completely eliminates limb length discrepancies. - Minimally invasive procedure
Muscles and soft tissues remain intact, resulting in faster recovery and less postoperative pain. - More durable prosthesis
The near-perfect custom fit means that the implant components wear less, significantly extending the life of the prosthesis. - Fewer complications
Precise implantation reduces the risk of loosening of the prosthesis and other complications. There is no need to worry about possible hip dislocation.
How does robotic navigation assisted hip replacement work?
A CORI robotic hip replacement surgery one of its biggest advantages is that does not require CT or MRI scans for pre-operative planning. This not only makes the procedure more accurate, but also reduces the radiation exposure that could occur during a CT scan. They suggest that the robotic system is a Create a 3D virtual model, which allows the surgeon to accurately determine the optimal size and placement of the prosthesis. During surgery the surgeon is guided by the robotic navigation system is provided with live feedback to perform the intervention, which is then performed with an accuracy of tenths of a millimetre.
How does robotic hip replacement perform compared to conventional surgery?
Robotic hip replacement surgery offers significant advantages over traditional surgical procedures. Below are specific comparisons along each of these factors:
The above data show that a robot-assisted surgeries are not only more accurate, but also ensure a longer implant life, reducing the need for complications and revision surgery.
The orthopaedic surgeons at the Budapest Musculoskeletal Private Clinic are committed to the use of the latest technologies, including robotic hip replacement with robotic navigation.
BMM specialists talk in detail about hip replacement surgery:
The hip replacement surgery procedure
The surgical procedure is essentially determined by the type of surgery (implantation or revision), the type of prosthesis chosen (cemented or cementless) and the surgical technique. Our surgeons use the most modern and effective minimally invasive surgical technique currently available, which is performed without muscle transection using a technique called muscle displacement. This is a special soft tissue-sparing surgical procedure that allows for a much faster and less painful post-operative rehabilitation.
Hip replacement surgery involves the removal of the diseased femoral head from the femur. In the pelvic bone, the diaphragm is de-digested and mopped up with a series of ball milling cutters. A metal, hemispherical scaffold is implanted into which a hardened plastic insert is placed or a plastic scaffold is glued in place with bone cement (bone glue). The metal stem of the prosthesis is then also implanted in the femoral marrow cavity. This is done either without glue, which is wedged into the bone, or with glue (bone cement). A metal or ceramic ball head is placed on the stem component, which moves in the plastic part of the stem, replacing the function of the original joint.
Types of hip replacements
A key element in planning hip replacement surgery is the choice of the type of prosthesis. The main consideration here is that the implant should be the most suitable for the patient, taking into account their age, bone structure and lifestyle. The types of hip prosthesis can be divided into two main groups: the so-called cemented prosthesis, also known as adhesive prosthesis, and the cementless prosthesis, i.e. without adhesive. Nowadays, cementless prostheses, which are specially designed so that the bone tissue can grow onto them, are becoming more and more common and are the most commonly used by experienced orthopaedic surgeons. In addition, the choice of the length of the prosthesis stem is an important factor, as is the choice of the prosthesis material.
The orthopaedic surgeons at the Budapest Musculoskeletal Private Clinic, who specialise in hip replacement, use a prosthesis system that has an outstanding durability statistic in the international prosthesis register.
Preparing for surgery
Preparation for surgery begins at the time of the orthopaedic specialist examination when the need for hip replacement is discussed. A thorough examination includes taking a medical history, examining hip joint motion, and obtaining diagnostic imaging findings (X-rays, CT, MRI). These can be used as a basis for the diagnosis and treatment plan. If the condition of the hip joint warrants it, surgical hip replacement may be considered.
There are several factors to consider before hip replacement surgery. One of the most important is the importance of body weight, which has a significant impact on the survival of the prosthesis after surgery. In addition, a thorough examination protocol (laboratory tests, anaesthetic consultation, etc.) should be followed before the operation.
What to expect after hip replacement surgery?
After hip replacement surgery, the patient can sit up on the day of the operation, possibly stand up at the bedside, and sometimes walk carefully. There is no significant pain immediately after surgery because modern surgical techniques and anaesthesia, as well as an anaesthetic injection into the wound before the operation is completed, provide comfortable pain relief. The next day after surgery, the patient is seen by a physiotherapist who mobilises him/her using a walker or elbow crutches. After hip replacement surgery, it is usually necessary to stay in hospital for 3 nights. Sutures or staples are taken about 10-14 days after the operation.
During the first 6 weeks after surgery, a more cautious use of weight-bearing is recommended, so the patient can walk and run, but it is still advisable to use an assistive device (elbow crutches, walking frame), even if full weight-bearing is allowed. After the 6th week after the operation, a specialist check-up and X-ray examination is required. If the position of the prosthesis has not changed since the implantation, full weight-bearing is then allowed without an assistive device. Regular physiotherapy with a qualified physiotherapist is a key part of post-operative rehabilitation.
Our hip replacement specialists:
Dr. Gergely Holnapy PhD
Orthopaedic traumatologist, assistant professor, robotic surgeon
Dr. Péter Molnár
Orthopaedic traumatologist, chief operating surgeon, robotic surgeon
Dr. Zoltán Bejek PhD
Associate Professor of Orthopaedics, Robotic Surgeon
Dr. Szabolcs Gáspár
Orthopaedic traumatologist, head of department, robotic surgeon
Dr. János Bartha
Orthopaedic-traumatologist, robotic surgeon
Dr. Péter Doszkocs
Orthopaedic traumatologist, hip and knee surgeon, lower limb specialist, robotic surgeon
Dr. Kálmán Ferenc Egyed
Orthopedic-traumatologist general practitioner
Dr. Dániel Kincses
Orthopaedic-traumatologist specialist, robotic surgeon
Dr Maysam Moghaddam Amin
Orthopaedic-traumatologist specialist, robotic surgeon
Dr. Ferenc Tompai
Orthopaedic and trauma surgeon general
WHY IS BMM THE SAFEST OPTION?
A close-knit team of surgeons
Our hip replacement orthopaedic surgeons have worked together for decades, knowing each other's every move.
Experience of thousands of operations
Our orthopaedic surgeons have performed thousands of successful hip replacements, there is no case they have not encountered.
Modern technology
Our surgeons use hip joint endoprosthesis implantation without muscle transection to greatly reduce post-operative pain and speed rehabilitation.
Double specialist surgeries for the best results
Complete patient journey from check-in to recovery
Priority service for people waiting for surgery
Lucia Szentirmai
Patient of Dr. Péter Molnár
“I'm so happy I had the hip replacement. I can move as well as I did before the complaints started, I can't stay in one place for two minutes, I'm really enjoying being able to move freely again! I am extremely grateful to the doctor, I am very happy that he has given me back my previous mobile and active life by implanting the hip replacement.”
Ilona Danyiné Varga
Patient of Dr. Zoltán Bejek
“Everything went very well and I am grateful that I went to Dr. Zoltán Bejek for a hip replacement. My possibilities and my living conditions have improved significantly because I can move without any obstacles and pain, which means a lot. I've been playing sport all my life and I've been running regularly for 30 years, so it was very important.”
János Markó
Patient of Dr. Gergely Holnapy
“I was working as a courier when the hip pain started, then unfortunately, my condition got so bad that I couldn't walk, so I had to leave the job. However, thanks to the successful operation, I returned. Within 3 months of the operation I was back to being a courier without pain.”
Mrs Gézán Michnay
Patient of Dr. Szabolcs Gáspár
“I feel like the world has opened up to me. Walking, shopping, climbing stairs and getting on the bus is no longer a problem. I still exercise to this day and I like to use my indoor bike. Two knee replacements and a hip replacement have allowed me to go hiking and swimming. And I love dancing, which I can do now.”
| Hip replacement without muscle transection | Traditional hip replacement implantation | |
|---|---|---|
| Time spent in hospital | 1-3 days | 3-10 days |
| Rehabilitation time | 3-4 weeks | 6-12 weeks |
| Start an office job | 14 days | 21-28 days |
| You can start a physical job | 8 weeks | 12 weeks |
| Driving a car | 6 weeks | 12 weeks |
| Restrictions after surgery | twisting and crossing of the lower limb, low sitting, squatting are forbidden in the first 6 weeks! | twisting and crossing of the lower limbs, sitting low, squatting is forbidden in the first 10-12 weeks! |
| Operating time | 50-70 minutes | 50-70 minutes |
| Blood loss | smaller | average |
| Magnitude of pain | smaller | average |
| Early joint stability (first 6 weeks) | better | average |
| Prosthetic dislocation frequency | 0.1-1 % | 2-4 % |
| Size of surgical scar | depends on the patient's build and musculature | greater than with the technique without muscle transection, depending on the patient's build and musculature |
| Possibility of aesthetic (bikini) surgical incision | is | none |
If you have any questions about hip joint pain or hip replacement surgery, please feel free to contact one of our specialists.
Please call +36 (1) 44-33-433 to make an appointment for a consultation or examination.
CALL US NOW
Online booking
