Freedom to move… the ability to enjoy life's activities and move without pain… something important to everyone in every age group. Something you take for granted until osteoarthritis takes away your freedom of movement. Daily activities like walking, or sitting comfortably in a chair, or shopping, have become a struggle.

When your hip was healthy, the movement of bending, straightening, and twisting was absorbed by the cartilage. Cartliage, the cushion between the bones, allowed the ball to move freely in the socket.

When the cartilage is worn away, or is damaged, bones rub against each other.

NATURAL HIP		ARTHRITIC HIP
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The rubbing causes inflammation, and the inflammation causes pain. The pain from a bad hip may be felt as thigh pain, knee pain, or groin pain. The inflammation may cause stiffness, limping, muscle weakness, or a leg length discrepancy.

Total hip replacement has freed patients from the pain and the stiffness. The new technique for hip replacement, minimally invasive surgery (MIS), has quickened recovery, and restored lost freedoms in a shorter recovery time.

HIP ASSEMBLED

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Dr. Penenberg performs the single incision MIS hip replacement. The painful, arthritic hip is replaced with an implant referred to as a prosthesis.

Dr. Penenberg may use a metal and plastic prosthesis or a metal and ceramic device. Dr. Penenberg's incision to implant the prosthesis is 2 to 3 inches long.

HIP ASSEMBLED

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The goal of the new MIS technique is for patients to experience less postoperative pain, a shorter hospital stay, and a faster recovery period. You may be able to return to your normal routines in 3 to 5 weeks, as opposed to the 3 to 4 month recovery period with the traditional surgical approach, and the traditional 6 to 8 inch incision.

REVISION TOTAL HIP REPLACEMENT

The majority of hip replacement patients will never need a revision. A hip replacement may fail for a number of reasons, and fortunately, revision surgery will correct most of these problems.

Not all orthopedic surgeons perform hip revision surgery. Surgical solutions for failed hip prosthesis may be simple or complex. The surgeon's experience with revision surgery is paramount to a successful outcome.

Dr. Penenberg has extensive experience with hip revision surgery.

Patients are referred to him for evaluation from all over the United States. His experience includes simple revisions and complex revisions. An example of a simple revision would be a liner exchange, secondary to wear and tear. A complex revision might be the result of trauma requiring autograft and allograft supplementation for bone deficiency.

Dr. Penenberg has a special interest and expertise in the treatment of hip replacement patients with joint infections.He works with a team of specialists in infectious disease and internal medicine to plan a sophisticated course of treatment to eradicate the existing infection and potentially reimplant a hip prosthesis.