Minimally InvasiveHip Arthroplasty

Total Hip Arthroplasty (THA) is a minimally invasive surgery in which Dr. Shah removes damaged cartilage & bone from the acetabulum (socket), head (ball), & neck of the femur & replaces them with implants.

Ritesh Shah, MD, FAAOS

Ritesh Shah, MD, FAAOSFellowship Trained Orthopedic Surgeon

Asked Question:
Is Hip Arthroplasty Right For Me?

Do you enjoy exercise or athletic activities like walking, jogging, running, racquet sports, golf, martial arts, yoga, pilates, dance, ice skating, hockey, soccer, and other sports?

Does hip pain limit your activity?

Has pain in the hip (groin, buttock, outside of hip, or thigh) limited your ability to enjoy activities or even perform activities of daily living (ADLs) such as sitting, standing, walking, climbing stairs, and pivoting?

Have you exhausted conservative treatments?

Have you tried limiting activities, possibly some over-the-counter medications, physical therapy, a home exercise program, or even an injection? Then a hip arthroscopy may be a viable treatment option.

Hip Arthroplastyis performed to treat a variety of problems that cause hip pain such as:

Avascular Necrosis or Osteonecrosis is the loss of blood supply to the ball part of the hip joint.

Some infants and children have hip problems resulting in childhood hip disease. Even though the issues are successfully treated during childhood, they may cause arthritis later in life. This happens because the hip may not grow normally, and the joint surfaces are affected.

Dysplasia is a condition in which the hip socket is abnormally shallow. This puts more stress on the labrum to keep the femoral head within the socket and makes the labrum more susceptible to tearing (labral tear).

Osteoarthritis 0r OA is age-related wear and tear type of arthritis. It usually occurs in people aged 50 and older and often in individuals with a family history of arthritis. The cartilage cushioning the bones of the hip wears away. The bones then rub against each other, causing hip pain and stiffness. Osteoarthritis may also be caused or accelerated by subtle irregularities in how the hip developed in childhood.

Schedule A Consultation

Are you experiencing groin or hip pain? Let's go over your treatment options today.

How Does It Work?

the r3 process


Consultation &
Exam + Imaging

Dr. Shah is dedicated to providing you with a personalized experience. At your appointment, Dr. Shah will meet with you personally and:

  • Perform your evaluation
  • Review your imaging
  • Share insight into his findings
  • Discuss your options ranging from conservative care to joint reconstructive surgery.

Team Meeting

Before undergoing surgery, you’ll meet with Dr. Shahs’ team to:

  • Clearly establish expectations
  • Review necessary paperwork
  • Discuss medical clearance with primary care
  • Review pre & post-operative medication lists
  • Obtain all prescriptions ahead of your surgery

Nutrition &
Physical Therapy

Our preoperative & post-surgical care plan is tailored to you for optimal success – enhanced nutrition helps ensure that your body is well prepared before the surgery, and a personalized physical therapy plan grants strength, balance, and confidence leading to surgery. We’re dedicated to ensuring you experience Rapid Recovery.


Hip ArthroplastySurgical Procedure

Estimated Surgical Time: 60-90 Minutes

  1. Dr. Shah takes a minimally invasive approach by making a small 3-4 inch incision on the side of the hip, using muscle sparring techniques that preserve the muscles around your joint.
  2. Using specialized instruments, Dr. Shah removes the femoral head (ball) and prepares the acetabulum (socket) & proximal femur (thigh bone) to accept a:
    • Titanium acetabular shell (cup)
    • Polyethylene liner
    • Ceramic head (ball)
    • Titanium femoral stem
  3. Dr. Shah uses contemporary technologies such as Intellijoint, a mini-optical navigation system that assures that leg length, hip center, offset, and component positioning is accurate without any radiation from X-ray.
  4. Patients can rest assured that they are getting the best implants using the longest-lasting components on the market today.
  5. Once your procedure is complete, the incisions will be closed with stitches or skin adhesive strips and covered with a dressing.
  6. With advanced pain control processes, less invasive surgery, and current anesthesia practices, patients sleep comfortably during the procedure but walk within minutes of waking up from surgery.
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Recovering FromHip Arthroplasty Surgery

  • Patients have minimal pain using contemporary and minimal or no narcotic pain control methods.
  • Physical Therapy starts minutes after the procedure. Most patients:
    • Walk 30-45 minutes after surgery
    • Climb stairs at 60-70 minutes,
    • Return home 90 to 120 minutes after surgery.
  • Our patients that travel from far-away states or countries will usually spend 7 days in a hotel while performing physical therapy and then fly home.

Expected Outcomes

Most of our patient experience similar outcomes, but results may vary.

Frequently Asked Questions:About Hip Arthroplasty

Patients traveling from other states or countries will usually be able to travel home the same, or the next day depending on distance and assistance.  

This will depend on several variables, including your progress in rehab, the physical demands of your job, and whether or not your job offers reduced duty. The goal is to get you back to work as quickly as possible without risking your personal safety.

There are no posterior hip precautions unless stated after surgery.

As long as needed until you feel stable.

As long as needed until you feel stable.

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Schedule A Consultation

Are you experiencing groin or hip pain? Let's go over your treatment options today.

How to schedule yourpre-surgery mri or CT

Once you have chosen your surgery date, you can schedule your PRE-Surgery MRI with any of these three facilities:

When scheduling your image study, please confirm the type of image study designated on your prescription, as they both have different lead time requirements:

  • Microport MRI or CT Scan
    Images must be completed 16 days before surgery
  • Zimmer MRI or CT Scan
    Images must be completed 20 days before surgery

Once your image study has been scheduled, please contact our office to update the staff on your appointment date. 

If you cannot secure an appointment by the required date or your appointment has been rescheduled, please let us know as soon as possible.