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Let's discuss each of these separately. Most hip replacements we are currently performing are done so through an anterior approach. The prostheses we use are usually made of titanium. Titanium is a wonderful surface for hip replacements because it is flexible, just like the bone. The bone cells also love titanium, since a rough titanium surface feels like a bone surface to them and they actually fuse the bone to the titanium over the course of six to eight weeks. The femur or thigh bone has to be carefully exposed and brought up in such as a way as to avoid putting in the prosthesis at the wrong angle. When this is not done properly, the bone can break. Even when done properly, sometime the bone is soft due to osteoporosis and can crack. We carefully inspect the femur at the end of each surgery to be sure there is no crack. If a small crack is seen we augment the bone with metal wires or cables. It is important in general to put only the weight specified by your surgeon on the leg. In some cases, if the bone is very weak, we may restrict weightbearing to 30 pounds. This can be assessed by the patient putting their leg on a scale to understand what 30 pounds will feel like on the bottom of their heel. Alternatively, 30 pounds can be estimated by telling the patient to pretend like they are walking on "eggshells." We continue this for approximately six weeks after surgery to give the implant a chance to heal to the bone. After that point, we let patients put their full weight on the leg. In most cases, we tell patients that they can put their entire weight on the leg and that makes the recovery even easier. So the take-home point is to follow the instructions provided by your surgeon. 2ff7e9595c
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