Hip Replacement Surgery in Austin, TX – Dr. Sean Gallagher, ATX Orthopedics

If you’re struggling with chronic hip pain, stiffness, or limited mobility, hip replacement surgery can provide long-term relief and restore your ability to move freely. At ATX Orthopedics, Dr. Sean Gallagher specializes in total hip replacement (THA), offering minimally invasive techniques to help patients recover faster and with less discomfort.

Whether due to osteoarthritis, rheumatoid arthritis, hip fractures, avascular necrosis, or other degenerative conditions, our advanced surgical methods provide lasting solutions for hip joint pain. A total hip arthroplasty (THA) replaces the damaged ball-and-socket joint with a durable, high-performance implant, allowing smooth movement, reduced pain, and improved function. After full recovery, patients can regain an active lifestyle and enjoy activities such as walking, cycling, golf, tennis, and even running.

Our same-day outpatient hip replacement surgery at Pinnacle Surgery Center is designed for minimal downtime and faster healing. At the same time, hospital-based procedures are available for those needing additional medical support. With state-of-the-art implants, innovative pain management techniques, and a patient-focused recovery plan, Dr. Gallagher ensures optimal outcomes for every patient. Our practice prioritizes minimally invasive surgical approaches, advanced orthopedic technology, and personalized treatment plans to help you achieve the best possible mobility and quality of life.

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What is Hip Replacement Surgery?

Hip replacement, or total hip arthroplasty (THA), is a surgical procedure that removes damaged cartilage and bone from the hip joint and replaces it with a prosthesis made of titanium, ceramic, or polyethylene. This new joint restores smooth movement and alleviates pain caused by arthritis, injury, or degenerative conditions.

The Hip Replacement Procedure

  • The damaged femoral head (the hip joint ball) is removed and replaced with a prosthetic ball.
  • The hip socket in the pelvis is resurfaced and fitted with a prosthetic cup.
  • The new joint is secured using cemented or uncemented techniques depending on the patient’s needs.
  • SuperPATH (Superior Approach Percutaneously Assisted Total Hip) is used for all patients, offering minimally invasive benefits such as smaller incisions, less tissue damage, and faster recovery.

When Should You Consider Hip Replacement?

  • Pain persists despite medications and physical therapy.
  • Daily activities like walking, bending, or climbing stairs become difficult.
  • Stiffness and swelling limit movement.
  • Hip joint damage is visible on X-rays.

Ideal candidates for hip replacement:

  • Are in good overall health.
  • Can tolerate anesthesia and surgery.
  • Have strong bones for implant support.
  • Are at a healthy weight to minimize stress on the joint.
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The 6-Step Hip Replacement Process at ATX Orthopedics

Step 1: Decision for Total Hip Replacement (THA)

If hip arthritis affects your quality of life, consider hip replacement surgery. Reviewing treatment options and discussing expectations with a co-pilot (family member or friend) can help ensure a smooth recovery process.

Step 2: Meet Dr. Gallagher & Schedule Surgery

During your consultation, Dr. Gallagher will evaluate your hip condition, review imaging results, and discuss your surgical options. Most hip replacements are performed as same-day outpatient procedures at Pinnacle Surgery Center, with hospital-based options at Ascension Seton Medical Center Austin for patients requiring additional care.

Step 3: Pre-Surgical Lab Work

Lab tests must be completed within 60 days before surgery.

  • Can be done at Seton Hospital Perioperative Surgical Home (PSH), CPL, or with your PCP.

Step 4: Surgery Day – What to Expect

Arrival & Pre-Op Preparation

  • Arrive 1.5-2 hours before surgery for check-in.
  • You will be given pre-op medications to minimize pain and inflammation.

Anesthesia & Nerve Block

  • The anesthesia team will administer regional nerve blocks to numb pain and reduce the need for narcotics.
  • Spinal anesthesia is preferred over general anesthesia, as it minimizes complications and allows for faster cognitive recovery.

IV Sedation & Surgery

  • You will receive light IV sedation to relax while remaining in a twilight sleep.
  • The surgery lasts about 1.5 hours and utilizes the SuperPATH technique for a minimally invasive approach.
  • The Biomet G7 cup and Taperloc stem implants are made of titanium alloy and designed to last 35+ years.

Post-Surgery Recovery & Discharge Guide

Days 0-1: Managing Pain & Swelling

  • Expect rebound pain as the spinal anesthesia wears off. If pain is tolerable, avoid narcotic medications to reduce side effects like nausea and dizziness.
  • Avoid excessive walking or activity for six weeks to prevent strain on healing soft tissues.
  • Begin a structured home exercise program:
    • Ice and elevate the leg for 30-40 minutes every hour while awake.
    • Perform 10 ankle pumps per hour.
    • Walk 30 steps per hour using a walker.

Days 2-14: Transitioning to Mobility

  • Bruising and swelling are expected in the hip, thigh, and buttocks but will gradually improve.
  • On day 7, the surgical dressing can be removed, and the incision can be exposed to air.
  • Steri-Strips will naturally fall off within two weeks.
  • On Days 7-14, most patients transition from a walker to a cane, depending on their mobility progress.

Weeks 3-6: Gradual Activity Increase

  • Physical therapy options:
    • Home Exercise Program (HEP): Self-guided recovery with structured movement progression.
    • Outpatient PT (OPPT): Recommended for patients who prefer guided rehabilitation.

Week 12 & Beyond: Returning to Full Activity

At 12 weeks post-op, patients can resume full activity, including running, biking, skiing, and most sports. The implant is fully secured within the femur, allowing unrestricted movement without risk of dislocation or fracture.

Why Choose Dr. Sean Gallagher for Hip Replacement?

  • Minimally Invasive SuperPATH Approach – Faster recovery, less pain
  • Innovative Pain Management – Reducing reliance on narcotics
  • Same-Day Surgery Options – Get home faster for a comfortable recovery
  • Personalized Care & Support – Comprehensive patient education and follow-ups

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