• About the Surgery

    Hip replacement has become a commonly performed procedure that generally is safe and reliable. The results are typically truly miraculous for the patient and very satisfying for me, the surgeon. Once patients are fully recovered they commonly report that they really have no awareness of an artificial hip and that they frequently feel normal. The typical diagnoses leading to hip replacement are osteoarthritis, rheumatoid arthritis, avascular necrosis or AVN, and occasionally fracture.

  • Recovery

    In my practice the procedure is typically done with a “minimal incision” posterior approach. Rather than the standard 10-12 inch incision this is typically a 4 inch incision. Suitability for this less invasive technique depends to some extent upon the patient’s weight and physical fitness. With this technique patients who are physically fit typically are out of bed the day of surgery and most commonly discharged to home the day after surgery.   For suitable patients discharge can even be done on the day of surgery.  The goal will be to transition patients to the use of a cane within 4-7 days after surgery and off the cane between 7-14 days post-op. Patients are given some limited precautions that they rarely find restrictive and are just what I refer to as good “hip hygiene” for long term care of their hip. Patients can typically shower the day after surgery and no sutures or staples need to be removed. Other approaches are available for hip replacement surgery and each has its risks and benefits. I will be happy to discuss pros and cons of each and rationale for my preferences with you at the time of your consultation. Therapy will be started in the hospital and continued at home with the assistance of a visiting therapist or at an outpatient therapy facility.  I tell all of my total hip and knee patients that a therapist will see you at most 1 hour 3 times per week. You will have 16 hours each day to rehabilitate your new total joint and therefore will have much more ability to influence the rate of recovery and ultimate successful outcome than anyone else. I, and the physical therapist under my direction, will review your exercises with you before surgery, during your hospitalization, and at follow up appointments so that you have all the tools needed for swift and successful recovery. My general philosophy emphasizes patient understanding and independence.

  • Other Considerations

    All surgical procedures are associated with some risk. I will discuss those that are most applicable with you at your office consultation. I tell my patients that no one ever needs a joint replacement. They choose to have a joint replacement when I feel that they have a disease process effectively treated by joint replacement, have failed reasonable attempts at non-operative treatment, and want to undergo the procedure in an effort to decrease their pain, improve their function, and restore a better quality of life.  Overall the procedure is amongst the most successful and reliable orthopedic surgeries available at this time.

Couple plays golf after successful shoulder surgery

Hip Replacement Testimonials

American Basin Postcard

Dr. Kassman, this is a patient update.  We’ve been in Colorado for the month of June–walked a total of 69 miles on trails and riverwalks. My surgery was in September 2018.  Think I am doing great!  Thank you!

A.C. 78 years old 10 months after robotic-assisted left total hip replacement 08/02/2019

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