hip replacement

Don’t let hip pain keep you down

Written by Dr. Patrick O’Donnell, an orthopaedic oncologist who treats bone cancer and also does reconstructive orthopaedic surgeries. 

When patients have hip pain and other treatment options aren’t providing relief, the next step is often a hip replacement surgery.

Hip replacement surgery can drastically improve your mobility, offer pain relief and allow you to get back to a more active lifestyle. Although it might sound scary, hip replacement is one of the most common and effective surgeries in medicine today. In fact, it’s one of my favorite surgeries because my patients tend to do so well afterward.

So, who’s a candidate for hip replacement and what can you expect during the procedure? Let’s find out.

What is a hip replacement?

The hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis (the socket) and the upper-end of the femur, called the femoral head (the ball). Hip pain is frequently caused by arthritis in the hip joint. When arthritis damages the cartilage between the two bones, it can create friction in the joint, damaging both the femur and pelvis.

During hip replacement surgery, your surgeon will remove the damaged parts of the femur and pelvis and insert artificial replacements that allow your joint to move smoothly.

Who should consider a hip replacement?

Hip replacement is usually recommended for patients who have hip pain despite having tried other nonoperative treatment options. For many patients with end-stage arthritis, a replacement might be the best option.

Not everyone is a candidate for hip replacement, however. If you’ve had a history of infection, blood clots or pulmonary embolism, hip replacement might not be right for you.

How long does the procedure take and what’s recovery like?

Usually between 45 minutes and an hour. Many patients are able to walk soon after their surgery, though most people require about three months of rehabilitation before the hip joint is fully recovered.

I hear old myths about people not being able to walk after a hip replacement surgery, but the truth is that it’s a much easier recovery than other surgeries, such as knee replacements. We expect each of our patients to make a full recovery and return to the activities they love with reduced pain.

We can help

What makes UK unique is our breadth of care for anyone with hip pain.

We offer hip preservation treatments for patients who aren’t ready for a hip replacement, but we also have a team of surgeons who can take care of you, no matter what kind of surgery you need.

Next steps:

Dr. Patrick O'Donnell

Oncologist Patrick O’Donnell on why he has the world’s best job

Making the RoundsWe sat down with Dr. Patrick O’Donnell, an orthopaedic oncologist at the UK Markey Cancer Center, for our latest installment of Making the Rounds, a blog series that introduces you to the providers at UK HealthCare. Dr. O’Donnell specializes in treating bone cancer and also does reconstructive orthopaedic surgeries. 

How did you become interested in orthopaedic oncology?

I actually went into medicine with an interest in doing oncology, and I always knew I wanted to be a doctor. I had some interaction with cancer patients when I was a really young kid, and I just found it fascinating that your body could attack itself.

It got me interested in medicine, so I went to medical school saying, “I’m going to be an oncologist.” But then I did a surgical rotation and I loved it. I loved having a problem and then a surgery and then a solution. And then I ended up really liking the reconstruction, the big surgeries of orthopaedic oncology. I’ve got the best job in the world.

What kinds of conditions do you treat?

I specialize in orthopaedic oncology and reconstructive orthopaedics. I treat a lot of different types of cancers. I treat soft tissue sarcomas, bone sarcomas, bone tumors that are not cancerous tumors, and then I treat a lot of metastatic disease to bone – the so-called “bone cancer.”

Bone cancers that start in the bone are called sarcomas, and sarcomas are the rarest type of human cancer. They’re also one of the most aggressive types of human cancer. I treat both types of bone tumors – those that have started outside the bone and tumors that have spread inside the bone.

Tell us about your interest in rock climbing.

I’ve always really liked rock climbing, and Kentucky is like the world mecca of rock climbing. An hour away is the Red River Gorge, and there are over 3,000 documented climbing routes. Recently in Lexington, we’ve gotten a new climbing gym, which has been great.

I got reinvigorated with rock climbing when my daughter had a birthday party at the gym. I went and just got completely excited, and my kids got into it. And now it’s the way that I blow off steam when I’m not at the hospital. I’ve got a great group of friends that I climb with.

What’s your favorite food?

I really like Indian food mostly because I don’t get it very often, so when I do get it, it’s a big treat. My wife, she can’t do curry, she can’t do Indian food, so the only time I get Indian food is when I’m by myself.

What does your ideal weekend look like?

A weekend when I’m not working, I get to spend a lot of time with my family. My son and I will play baseball. My daughter is a really good swimmer, so we’ll get to go to a swim meet. And then we really like going out to dinner and trying all the different places in Lexington.

So, an ideal weekend would be a little bit of baseball, a little bit of swimming and going out to dinner at a new restaurant.

Watch our interview with Dr. O’Donnell, where he discusses how his experience treating patients with bone cancers has expanded treatment options for other patients with orthopaedic problems.

Next steps:

  • July is Sarcoma Awareness Month. Learn more about Markey’s Musculoskeletal Oncology team, which is nationally recognized for expertise in the diagnosis and treatment of bone tumors, soft tissue sarcomas and metastatic diseases of bone.
  • One of Dr. O’Donnell’s patients is a well-known member of the Big Blue Nation – former UK basketball player Todd Svoboda. When Todd was diagnosed with bone cancer, he turned to Markey and Dr. O’Donnell for help. Read Todd’s story.
Todd Svoboda

Former Wildcat teams up with Markey experts to beat rare bone cancer

Although he rarely played, Todd Svoboda was a universally adored member of the 1993 UK men’s basketball team that made it to the Final Four, and will forever be linked to the Big Blue Nation.

Years after he hung up his basketball sneakers, Todd’s bond with UK became even stronger when he was diagnosed with a rare form of bone cancer. With the same toughness and perseverance that helped him on the hardwood, and with the help of an expert team at the UK Markey Cancer Center, Todd faced his disease head on.

Read Todd’s story and watch our video to find out how Todd is doing today.

Next steps: