Total Hip Replacement

Hip pain can make simple tasks exhausting, from walking to sleeping. If you experience this daily struggle with hip pain, you may be eligible for a total hip replacement. The experts at the Orthopedic Institute of PA (OIP) are here to help you find relief and get back to living.

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When to Consider
Hip Replacement Surgery

A total hip joint replacement is often the last resort for hip pain relief, as many doctors will request nonsurgical treatment first. If these aren’t working for you, it may be time to consider surgery.

Osteoarthritis is the primary reason behind the need for a hip replacement, as your hip’s protective cartilage wears down over time. You may have difficulty with everyday activities, such as putting on shoes, sleeping comfortably or standing up from a seated position. Bone-on-bone friction will develop once the cartilage wears down completely, causing nerve damage, pain and inflammation if left untreated.

Other conditions that may warrant a full hip replacement include:

  • Rheumatoid arthritis
  • Osteonecrosis
  • Severe hip fractures
  • Hip bone tumors

Need specialized help?

We also care for many patients with other less common conditions.

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How a Total Hip Replacement
Restores Function

Hip replacement surgery replaces the damaged ball-and-socket joint with high-grade prosthetic components. The new prosthetic reduces friction and pain and restores smooth joint movement. Total hip replacements have a high success rate in the United States, with recent studies from the American Joint Replacement Registry (AJRR) showing that 92% of patients experience meaningful improvements in hip pain and osteoarthritis.

The OIP Advantage: SuperPath® Technology

OIP offers SuperPath® technology, which stands for Supercapsular Percutaneously-Assisted Total Hip. This unique approach to hip replacement provides the following benefits:

  • Muscle-sparing technology: SuperPath® spares the muscles and soft tissues around your hip, causing less tissue damage during surgery. As a result, patients can experience a much faster recovery than with traditional hip replacement methods.
  • Adjustable approach: This technique is adjustable, making it easy to adapt to each patient. Our expert surgeons will provide the most appropriate reconstruction for your hip replacement.
  • Smoother recovery: In addition to faster healing, SuperPath® reduces pain and dislocation risk. Patients can walk sooner after surgery and go home to recover in comfort.

About OIP's Continuum of Care

OIP can guide you through the full hip replacement process, from preoperative education to postoperative physical therapy. 

  • Informative consultation: You’ll meet one-on-one with your surgeon to ask questions and learn more about the procedure. We will ensure you feel comfortable and educated before surgery.
 
  • Fellowship-trained surgeons: OIP is a regional leader in Central PA, with a team of board-certified surgeons specializing in upper extremity care. Our team is happy to serve you and answer any questions you have throughout the process.
 
  • Rapid recovery protocol: OIP follows a rapid recovery protocol to help you get back on your feet once the anesthesia wears off. From there, we’ll work with you through our physical therapy program so you go from a cane to independent walking in weeks.
 
  • Personalized rehabilitation plan: After surgery, our dedicated team will provide you with a personalized rehabilitation plan to ensure a safe return to your hobbies and work. Together, we can promote healing, improve flexibility and reduce postoperative pain.

Take the First Step Toward Pain-Free Living

We have several locations across the Central PA area, including Camp Hill, Harrisburg, Carlisle, Hershey and Millersburg for convenient follow-ups and physical therapy appointments. Contact our team today to get started.

Hip Specialists

Patient Testimonial

After my hip replacement, I was worried about how long it would take to get back on my feet. The rehab team at OIP was fantastic. They guided me every step of the way, and I’m now walking without any pain!” Brian B., York, PA

Brian B., York, PA

MRI Upper Extremity (Shoulder, Upper Arm, Elbow, Forearm, Wrist, or Hand) Preauthorization Documentation Guidelines

1. Suspicious mass or tumor
      a. On initial evaluation or follow up
2. Staging of known cancer
3. Suspected or known infection (septic arthritis or osteomyelitis)
4. Suspected Osteonecrosis
5. Evaluation of Rheumatoid Arthritis or other autoimmune diseases
6. Evaluation of Post-op Complications
      a. Infection, delayed union, other
7. Suspected fracture with prior imaging non-diagnostic
8. Abnormal bones scan with non-diagnostic Xray
9. Significant injury with suspected ligament, cartilage, tendon, nerve or bone injury with non-diagnostic prior imaging
      a. Suspected massive rotator cuff tear
10. Evaluation of pain or more minor injury with initial imaging non-diagnostic:
      a. Pain lasting 3 months or greater
      b. Failed conservative therapy: Must include each one:
           i. Rest: modified activities or assistive devices/rigid splints or braces
           ii. Ice or heat
           iii. Medications and/or injections
           iv. Physical therapy or a physician directed home exercise program
           or chiropractic care
                1. Document instructions given
                2. Document compliance and results
                3. Document duration and dates

MRI Spine Preauthorization Documentation Criteria

1. Tumor, masses, or cancer: suspected or known
2. Neurological Deficits
3. Trauma or acute injury
       a. With neurological deficits
       b. With progressive symptoms during conservative treatment
4. Infection: known or suspected
5. Inflammation: Ankylosing Spondylitis
6. Pre-op Evaluation
7. Post-op Complications
8. Acute or Chronic Axial or radicular pain
       a. Pain lasting 6 weeks or greater
       b. ADLs must be affected
       c. Progressive neurological deficit or an abnormal EMG
             i. Must document specific dermatome, muscle weakness, reflex
abnormalities
       d. Failed conservative therapy: Must include each one:
             i. Rest: modified activities or bracing
             ii. Ice or heat
             iii. Medications, acupuncture or stimulators
                   1. Specific name of medication start date and duration and
                   results
             iv. Epidurals or other injections (not trigger point injections)
             v. Physical therapy or a physician directed home exercise program
             or chiropractic care
                   1. Document instructions given
                   2. Document compliance and results
                   3. Document duration and dates

MRI Pelvis Preauthorization Documentation Criteria

1. Musculoskeletal Pelvic MRI:
     a. Mass or tumor
    b. Significant injury to rule out fracture or other injury
    c. Osteonecrosis of hips
    d. Sacroiliitis
    e. Sacroiliac joint dysfunction
    f. Pain lasting 3 months or greater
    g. Failed conservative therapy: Must include each one:
            i. Rest: modified activities or assistive devices/rigid
            splints or braces
            ii. Ice or heat
            iii. Medications and/or injections
            iv. Physical therapy or a physician directed home
            exercise program or chiropractic care
                    1. Document instructions given
                    2. Document compliance and results
                    3. Document duration
    h. Persistent Pain not responsive to 4 weeks of conservative treatment

2. Prostate Cancer Evaluation, follow up, and surveillance

3. Mass or Tumors

4. Cancer detection, staging, or surveillance
    a. 3, 6, or 12 month follow up

5. Infection:
        a. Appendicitis
        b. Diverticulitis not responding to conservative care
        c. Inflammatory bowel disease
        d. Abscess suspected
        e. Fistula
        f. Abnormal fluid collection

6. Pelvic Floor failure

7. Uterine abnormalities

8. Undescended Testes

9. Pre-op Evaluation

10. Post-op Complication

MRI Lower Extremity (Hip, Knee, Leg, Ankle, or Foot) Preauthorization Documentation Guidelines

1. Suspicious Mass or Tumor
       a. On initial evaluation or follow up
2. Staging of known Cancer
3. Known or suspected infection
4. Suspected Osteonecrosis or Legg-Calve-Perthes Disease
5. Suspected SCFE, tarsal coaltion
6. Evaluation of Post-op complication:
       a. Infection, delayed union, other
7. Suspected fracture with prior imaging non-diagnostic
8. Abnormal bone scan with non-diagnostic xray
9. Significant injury with suspected ligament, cartilage, or bone injury
10. Evaluation of pain or more minor injury with initial imaging negative:
       a. Pain lasting 3 months or greater
       b. Failed conservative therapy: Must include each one:
             i. Rest: modified activities or assistive devices/rigid splints or braces
             ii. Ice or heat
             iii. Medications and/or injections
             iv. Physical therapy or a physician directed home exercise program orchiropractic care
                  1. Document instructions given
                   2. Document compliance and results
                   3. Document duration

MRI Chest Preauthorization Documentation Guidelines

1. Mediastinal or hilar mass
2. Myasthenia gravis with suspected thymoma
3. Brachial Plexus Dysfunction
4. Thoracic/Thoracoabdominal aneurysm
5. Suspected or confirmed Congenital Heart Disease
6. Thoracic Outlet Syndrome

MRI Brain Preauthorization Documentation Criteria

1. Suspected or known MS
2. Seizure disorder, known or suspected new or refractory
3. Suspected Parkinson’s disorder
4. Neurological symptoms or deficits
     a. Acute, new or fluctuating deficits
5. Mental status changes
6. Trauma to the head with neurological changes, vomiting, headache
7. Evaluation of headaches
      a. Chronic with change in pattern/character
      b. Sudden onset severe headache
      c. New onset headache in pregnancy
8. Suspected brain tumor or cancer
9. Known or suspected stroke
10. Suspected Infection
11. Suspected Congenital abnormality
12. New onset tinnitus or vertigo associated with visual changes

MRI Abdomen and MRCP Preauthorization Documentation Criteria

MRI
1. Suspicious Mass or Tumor
2. Surveillance of Mass, Tumor, or Cancer    
      a. 3, 6, 12 month follow up
3. Suspected infection:
      a. Appendicitis
      b. Peritonitis
      c. Pancreatitis
      d. Inflammatory bowel disease
      e. Cholecystitis
      f. Abscess
      g. Fistula
      h. Hepatitis C
4. Preoperative Evaluation
5. Post-op complication

MRCP
1. Suspected Congenital Abnormality
2. Chronic pancreatitis or related complications
3. Biliary tree symptoms
4. Pre-op Evaluation
5. Post-op complication or surveillance
6. Inconclusive abnormalities identified on other imaging