Hip Replacement Surgery and Scar Management | Biodermis.com

Hip replacement surgery is a common invasive procedure designed to correct hip joint pain caused by arthritis or severe fractures. A total hip arthroplasty or a partial hemiarthroplasty may be performed depending on the severity of the condition and the source of the pain. Although hip replacements are often considered a last resort, they are sometimes necessary to restore joint functionality and relieve discomfort.

To access the hip joint, a surgeon makes an incision measuring between 3 and 12 inches in length, depending on the surgical approach used. In some patients, this incision can lead to the formation of keloids or hypertrophic scars, which are cosmetically unappealing, itchy, and even painful. Fortunately, advanced surgical techniques, such as the anterior approach, can minimize scarring. Effective scar management products are also readily available online.

Continue reading to learn more about hip replacement surgeries and to discover safe and effective solutions for post-operative recovery and scar care.

What Causes the Need for Hip Replacement?

The leading cause of hip pain and reduced functionality is osteoarthritis, a degenerative condition marked by the breakdown of cartilage, the protective tissue that cushions joints. When cartilage deteriorates in the hip, it typically affects the femoral head, the acetabulum of the pelvis, or both. The acetabulum is a concave, rounded opening that houses the femoral head, creating a smooth ball-and-socket joint. As the cartilage erodes, pain and reduced mobility follow, necessitating corrective surgery in severe cases.

Osteoarthritis affects nearly 300 million people annually, most of whom are over the age of 40. Although not everyone with this condition will require surgery, the risk of needing a hip replacement increases significantly with disease progression.

A Brief History of Hip Replacement Surgery

The first recorded hip replacement surgery was performed in Germany in 1891, using ivory to replace the damaged joint. Since then, significant advancements have been made, with modern replacements utilizing metallic prosthetics for the femoral head and acetabulum, along with a medical-grade plastic liner to ensure smooth movement.

Modern approaches, such as the anterior method, minimize tissue damage by avoiding muscle cuts. This technique reduces post-operative pain and enables faster recovery while maintaining stability through the use of screws or bone cement to secure the prosthetic components.

Post-Operative Recovery: What to Expect

Recovery after a hip replacement takes time and varies from person to person based on age, activity level, and overall health. On average, complete recovery may take 6 months to 2 years. During the first few days post-surgery, your surgeon may prescribe pain medication and antibiotics to manage discomfort and prevent infection. Patients typically stay in the hospital overnight but may return home sooner with proper support.

Rehabilitation and Physical Activity

A personalized exercise plan is critical for restoring strength and mobility. Walking, swimming, and light physical therapy are highly recommended. Running, heavy weightlifting, or other high-impact activities are discouraged during the recovery period and, in some cases, permanently.

Guidelines for Rehabilitation:

• Walking as tolerated to improve circulation and reduce swelling.
• Gradual progression to swimming or cycling after consulting your physical therapist.
• Avoiding overexertion to prevent setbacks in healing.

Managing Post-Surgical Scars

A hip replacement incision can leave a noticeable scar, often on the outer thigh. For some patients, this may discourage confidence in wearing swimsuits or other revealing clothing. Addressing scar visibility is a key component of post-operative care that can boost psychological and physical well-being.

Scar Management with Silicone Gel Technology

Silicone gel technology, developed 30 years ago, is the only clinically-proven topical advancement in scar therapy. Medical-grade silicone works by:

1. Hydrating Scar Tissue: Maintaining the moisture balance of the skin to prevent dehydration.
2. Regulating Collagen Production: Controlling excessive collagen buildup that leads to raised, discolored scars.

By encapsulating the scar site, silicone creates an environment conducive to proper healing, reducing scar size and discoloration. A treatment regimen of 8-12 weeks with daily silicone application can flatten scars, improve elasticity, and blend them with the surrounding skin.

Research Insights on Silicone-Based Scar Management

A recent study further supports the efficacy of silicone-based scar treatments. Patients using both Mepiform sheets and Mepiform Ultra Scar Gel demonstrated greater improvements in scar vascularity (33%), height (33%), and overall appearance (67%) on the Vancouver Scar Scale over 24 weeks compared to those using only the gel (22% improvement across similar parameters). This highlights the advantages of combining silicone sheet and gel products for post-surgical scar care. Despite a small sample size, the study confirmed that all scars either remained stable or improved, underscoring the value of silicone-based solutions in postoperative recovery.

By leveraging proven silicone technologies and incorporating combined approaches like those outlined in the study, patients can effectively minimize the visibility and discomfort of surgical scars following hip replacement surgery.

You can find more about the above in this article about Clinical Applications of Self-Adherent Scar Care with Silicon Sheets and Silicone Gel.

Recommended Products for Hip Replacement Surgery and Scar Management

After undergoing hip replacement surgery, managing scars effectively is an essential part of your recovery journey. At Biodermis, we offer cutting-edge solutions designed to improve scar appearance, reduce discomfort, and support the healing process. Our patented silicone scar therapy products provide clinically-proven results and are trusted by medical professionals worldwide.

Pro-Sil Silicone Scar Treatment Stick

Price: $36.95
Size: 4.25g stick

The Pro-Sil stick is the world’s first and only patented silicone scar treatment stick, offering unparalleled convenience and effectiveness. Designed for easy application, Pro-Sil ensures optimal scar hydration and collagen regulation, helping to flatten and fade scars from surgical incisions.

Why Choose Pro-Sil?

• Patented Technology: Provides advanced scar therapy with compact, portable convenience.
• Easy Application: Glide-on stick format eliminates drips and leaks for mess-free use.
• Trusted by Experts: Delivers the same industry-leading results as Xeragel in a convenient applicator.

Instructions for Use:

1. Clean and dry the scar site before application.
2. Apply Pro-Sil liberally over the entire scar several times daily.
3. Continue use for 8-12 weeks or until the scar stops responding.

Compact and Portable: The Pro-Sil stick is perfect for on-the-go care, easily fitting into your pocket or purse for daily use.

Epi-Derm Standard Silicone Gel Sheet

Price: $58.95
Sheet Options: Clear Gel or Natural Fabric Backed

Epi-Derm Standard Sheets provide a healing environment ideal for reducing surgical scars and improving the appearance of medium to large keloid or hypertrophic scars. These sheets are versatile enough to wrap around limbs or cover medium scar areas on the torso, making them an excellent choice for post-hip replacement scar therapy.

Why Choose Epi-Derm?

• Custom Fit: Sheets can be trimmed to match the exact size and shape of your scar.
• Proven Effectiveness: Supports healing and reduces scar visibility through consistent silicone therapy.
• Versatile Options: Available in clear or fabric-backed materials to suit your preferences.

Instructions for Use:

1. Clean and dry the scar site before applying the sheet.
2. Apply the Epi-Derm sheet directly to the scar, ensuring it adheres securely.
3. Remove and clean daily, reapplying as needed for optimal results.

Advancements in Scar Placement and Healing

For anterior hip replacements, scars are often smaller and more discreet, running along the natural lines of the skin in the groin crease. This minimizes their appearance and reduces post-operative pain due to the preservation of surrounding muscles and tendons. Surgeons may use innovative techniques, such as the bikini incision, to ensure optimal cosmetic and functional outcomes.

To promote healing and prevent complications:

• Keep the wound clean and dry as advised by your surgical team.
• Avoid submersion in water until the incision has fully healed.
• Notify your doctor immediately if you notice signs of infection, such as redness or drainage.

The Feel of a Replaced Hip

Many patients report that their replaced hip feels natural over time, thanks to the ball-and-socket design of the prosthetic components. Activities such as walking, swimming, and light exercise can resume after the recovery period, allowing patients to enjoy an active lifestyle free from pain.

What is the 90% Rule with Hip Replacement?

The "90% rule" refers to the expectation that patients will regain approximately 90% of their pre-surgery functionality and quality of life within the first year of recovery. This includes improvements in mobility, reduction of pain, and the ability to perform daily activities without assistance. While individual outcomes vary based on age, activity level, and adherence to rehabilitation plans, most patients experience significant progress by the one-year mark. Complete recovery, which includes the remaining 10%, may take up to two years as muscles and soft tissues continue to strengthen and adjust.

What to expect after a hip replacement?

Recovering from total hip replacement surgery involves several stages, each designed to help you heal and regain mobility. Here’s what you can expect after the operation, along with tips to make your recovery smoother and more comfortable.

Scar and Wound Care

You will have a single scar near your hip, measuring 8–20 cm (3–8 inches), depending on factors like body type and surgical approach. The scar’s position—front, side, or back—depends on how your surgeon accessed the hip joint. The wound may be closed using:

• Stitches (removable or dissolvable)
• Staples
• Glue

If your stitches need removal, a nurse at your GP surgery can do this around 10 days post-surgery. Make an appointment upon returning home. Follow hospital instructions for wound care, including showering and dressing guidelines. Inform your surgeon immediately if you notice any leakage from the wound.

Rehabilitation and Mobility

After leaving the hospital, you may continue physiotherapy, though it is not always necessary. Stick to the exercises your physiotherapist taught you during your stay, as these will aid your recovery. Walking is strongly encouraged, so aim to walk as far as you feel comfortable each day. Over time, your hip joint will naturally regain mobility.

Pain and Swelling Management

Expect some pain and discomfort around the scar, especially in the first few days. Pain relief will likely be required, tapering off over the weeks. Swelling in your leg can also occur and may last several weeks, causing heaviness and aching. To minimize swelling:

• Avoid sitting for extended periods.
• Alternate between walking and reclining.
• Don't be alarmed by bruising; it will fade in time.

Preventing Blood Clots

Blood clot prevention is crucial after hip replacement surgery. Your surgeon may recommend:

• Daily mobility and exercises.
• Blood-thinning injections (e.g., Heparin sodium).

These measures typically continue for about six weeks post-surgery.

Managing Fatigue and Tiredness

Healing takes a toll on your body, leaving you feeling fatigued. Blood loss during surgery and subsequent recovery can also contribute to tiredness. To support your recovery:

• Take iron supplements if recommended.
• Eat a healthy, balanced diet rich in nutrients.

Using Crutches or Walking Sticks

Crutches or walking sticks may be necessary for a time. Your physiotherapist will provide and adjust these to suit your needs, along with instructions on proper use.

Handling Digestive Changes

It’s common to experience constipation in the first few days post-surgery. To keep your digestive system moving:

• Eat plenty of fiber-rich foods like fruits, vegetables, and whole grains.
• Stay hydrated, drinking up to 2 liters of water daily.

Source

How Big is the Scar After Hip Replacement Surgery?

The size of a hip replacement scar typically ranges from 3 to 12 inches, depending on the surgical approach and the patient’s individual anatomy. Anterior hip replacements generally result in smaller, more discreet scars, often located in the natural creases of the groin. In contrast, traditional posterior or lateral approaches may require longer incisions on the outer thigh or buttock. While scar size is influenced by factors such as musculature and body type, advancements in surgical techniques have made smaller scars increasingly common.

Are You Ever the Same After a Hip Replacement?

Yes, many patients report feeling as though their replaced hip is completely natural over time. Thanks to the ball-and-socket design of prosthetic components, most individuals regain full range of motion and enjoy a pain-free, active lifestyle. Activities like walking, swimming, and light exercise are typically resumed within months, and many patients even forget they’ve had the surgery. However, high-impact activities or extreme sports may be discouraged to preserve the longevity of the implant and reduce wear over time. Individual outcomes vary, but for most, the surgery restores normalcy to their daily lives.

Do Hip Replacement Scars Fade?

Yes, hip replacement scars fade over time, especially with proper care. Initially, scars may appear red or purple due to increased blood flow and inflammation during the healing process. Over the course of 6 to 12 months, the scar typically lightens to match the surrounding skin, becoming less noticeable. Scar therapy, such as silicone gel sheets or sticks, can further improve the appearance by flattening the scar and reducing discoloration. Regular moisturizing and avoiding direct sun exposure are additional steps that can help scars fade more effectively.

Conclusion

Hip replacement surgery is a life-changing procedure that restores mobility and eliminates chronic pain. With advancements in surgical techniques, post-operative care, and scar management technologies, patients can achieve excellent outcomes.

Biodermis offers a range of innovative scar management solutions backed by 30 years of expertise. Visit Biodermis.com today to explore our full line of silicone gel sheets, sticks, and other post-operative care products designed to help you heal beautifully.

 Biodermis is an innovative market leader with 30 years of expertise in the medical silicone industry. VisitBiodermis.com today to explore a complete range of scar management and post-operative care solutions.