Hip surgery may be considered when osteoarthritis, a fracture, osteonecrosis, or another structural problem causes severe pain, loss of mobility, or difficulty with daily activities. The decision follows evaluation of the diagnosis, imaging, health, goals, and response to nonsurgical treatment.
Total Hip Replacement
Total hip replacement may be considered when advanced joint damage causes persistent pain and functional limitation despite medication, activity modification, physical therapy, a walking aid, injections, or other appropriate treatment. During the operation, the damaged femoral head and hip socket surfaces are replaced with implant components.
The decision is not based on an X-ray alone. Pain, mobility, sleep disruption, loss of independence, overall health, and nonsurgical treatment response matter.
Advanced osteonecrosis, also called avascular necrosis (AVN), can cause collapse of the femoral head and secondary arthritis. Total hip replacement may become appropriate after collapse when pain and joint damage are substantial.
Hip Fracture Surgery
Most hip fractures require prompt hospital treatment. The operation depends on fracture location, displacement, bone quality, age, health, and preinjury activity. Treatment may involve stabilizing the fracture with implants or replacing part or all of the damaged joint.
Planning and Recovery
Same-day office X-rays may support elective evaluation. Additional imaging may be ordered externally. Before elective surgery, review medications, chronic conditions, infection prevention, rehabilitation, and home support. Recovery differs between fracture surgery and elective replacement.
Locations
Surgical consultations and follow-up visits are available through our clinics in New Braunfels, Seguin, Cuero, Kenedy, Hallettsville, and Yoakum. Surgery may be performed at affiliated facilities, including Resolute Health and Guadalupe Regional Medical Center, depending on the surgeon, procedure, and patient needs.