Pain and limited hip mobility can affect quality of life and make everyday activities more difficult. Whether joint damage is caused by hip arthritis, an injury, or another medical condition, several treatments may help improve comfort and mobility.
Dr. Brian Cohen is a board-certified orthopedic surgeon with more than 20 years of experience, over 30,000 orthopedic surgical procedures performed, and more than 100,000 patient evaluations. When nonsurgical treatment no longer provides sufficient relief, total hip replacement may help reduce pain, improve function, and restore range of motion. Dr. Cohen uses advanced surgical planning and MAKO robotic-arm-assisted technology to provide personalized hip replacement care.
MAKO Robotic Technology and Dr. Cohen’s Expertise
Dr. Cohen uses the MAKO robotic-arm system during qualifying hip replacement procedures. The technology helps him create a personalized surgical plan based on a three-dimensional model of the patient’s hip and provides guidance during bone preparation and implant positioning.
MAKO technology may support greater accuracy and precision while helping Dr. Cohen remain within the boundaries of the surgical plan. The robotic arm does not perform the procedure independently or make decisions for the surgeon.
Through the Cohen Advantage, patient safety and high-quality surgical outcomes remain central to every treatment plan. Dr. Cohen has more than 20 years of orthopedic experience and has performed over 30,000 orthopedic surgical procedures. His experience with advanced technology and modern surgical techniques allows him to tailor total hip replacement to each patient’s anatomy, symptoms, and recovery goals.
How the Hip Joint Works & Causes of Hip Pain
The hip is one of the largest joints in the body and works like a ball-and-socket joint. Part of the pelvis, known as the acetabulum, forms the socket. The upper portion of the thighbone, called the femoral head, forms the ball.
Articular cartilage covers the surfaces of the hip joint and provides cushioning for smooth movement when walking, bending, or changing position. The synovial membrane produces fluid that helps lubricate the joint, while surrounding ligaments form a capsule that provides stability.
Damage to any part of the hip joint may cause pain, stiffness, and limited mobility. Arthritis is a leading cause of hip pain and disability. Hip dislocation, bone fractures, and other injuries may also contribute to osteonecrosis, also known as avascular necrosis.
Osteonecrosis occurs when the blood supply to the femoral head is disrupted. This can damage the bone and joint surface and may eventually lead to arthritis. Hip problems during infancy or childhood may also increase the risk of developing arthritis later in life.
Common forms of hip arthritis include:
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Osteoarthritis
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Rheumatoid arthritis
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Post-traumatic arthritis
Total Hip Replacement Procedure Details
A total hip replacement removes the damaged cartilage and bone and replaces them with prosthetic parts. A metal stem and a metal or ceramic ball are used for the femoral head (the ball portion of the socket). The stem is fitted securely into the thighbone. The socket part of the hip joint (acetabulum) is replaced with a metal one that is cemented or held in place with “press-fit fixation,” sometimes with screws. Damaged cartilage is also removed, and spacers made of metal, ceramic, or durable plastic are placed between the artificial ball and socket to perform the same duties as the cartilage and synovial membrane. The result is a total prosthetic ball-and-socket joint that provides smooth, pain-free motion, so you can enjoy long walks and up-and-down movements with ease.
Total Hip Replacement Procedure Details
A total hip replacement removes damaged cartilage and bone and replaces them with prosthetic components. A metal stem is placed securely inside the thighbone, and a metal or ceramic ball is attached to the stem to replace the femoral head.
The damaged socket portion of the hip joint, called the acetabulum, is replaced with a metal component. This component may be secured with bone cement, press-fit fixation, or additional screws, depending on the patient’s anatomy and surgical plan.
A spacer made of durable plastic, ceramic, or metal is positioned between the artificial ball and socket. This spacer allows the new joint surfaces to move smoothly against one another.
Together, these components create a prosthetic ball-and-socket joint. The goal of the procedure is to reduce pain, improve stability, and make walking, bending, and other daily movements more comfortable.
Is Total Hip Replacement Surgery Right For You?
When medications, physical therapy, injections, activity modification, and other nonsurgical treatments no longer provide sufficient relief, total hip replacement may be considered.
Candidates for the procedure often have difficulty walking, bending, climbing stairs, or resting comfortably due to hip stiffness and moderate-to-severe pain. Dr. Cohen determines whether hip replacement is appropriate by reviewing the patient’s symptoms, medical history, imaging results, previous treatments, and overall health.
Why Choose Dr. Cohen?
OVER 25+ YEARS OF EXPERIENCE
One of the first orthopedic surgeons employed by a large hospital. Dr. Cohen spent 20 years.
TRUSTED BY OVER 100,000+ PATIENTS WORLDWIDE
Over his distinguished career, Dr. Cohen has cultivated a reputation of excellence and trust among his patients and his peers.
UTILIZING THE LATEST TECHNOLOGY
To achieve the best surgical outcomes, Dr. Cohen uses the most advanced technologies and techniques, keeping his practice state-of-the-art.
PATIENT SAFETY IS TOP PRIORITY
An individualized, patient-focused process coupled with decades of training and experience helps ensure maximum safety for all of Dr. Cohen’s patients.
Total Hip Replacement Care In Chillicothe, OH
Total hip replacement may help reduce pain and improve mobility when arthritis or joint damage no longer responds to nonsurgical care. Dr. Cohen evaluates each patient’s symptoms, imaging, treatment history, and health before recommending surgery. Patients receive a personalized treatment plan that may include MAKO robotic-arm-assisted technology when appropriate. To schedule a consultation with Dr. Brian Cohen, call (614) 788-0375.
