Hip Bursectomy (Hip Bursa)

The hip, like the shoulder, is a ball-and-socket joint. This means that the top of the femur bone is round and fits into the socket portion of the pelvic bone. The hip bursa contains a fluid that lubricates joints, and the bursa may need to be drained or removed altogether. With a total hip replacement, the surgeon removes the ball from the femur and inserts a metal one. Damaged cartilage is also removed from the socket and replaced so that the new ball moves smoothly within the socket.

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Provider List

2900 12th Avenue North #140W & #100E
Billings, MT 59101
(406) 237-5050

When Procedure is Used

You may need a hip replacement to alleviate pain and restore motion after you have tried other treatments such as physical therapy. At a certain point, the joint becomes damaged enough by arthritis or a severe injury that surgery is the most likely way to restore your quality of life.

During Surgery

A general anesthetic is given to relax your muscles, prevent pain, and help you fall asleep. You may also be given a nerve block to provide additional pain relief following the procedure. The surgeon will then make an incision in your hip in order to remove the very top portion of your femur, to attach the artificial replacement, and to replace the socket part of your pelvic bone. The new ball is then inserted into the new socket before your surgeon reattaches all of your muscles and closes the incision. Traditionally, hip replacements have required an incision of about 8-10 inches, but some can be performed with two shorter decisions. Your surgeon will also decide whether to make an incision at the front of your hip (anteriorly) or the back or your hip (posteriorly). The option that will be best for you is something your doctor will determine and discuss with you based on your specific circumstances.


The risk of complications is very low. However, potential risks might include

  • allergic reactions to medications
  • nerve damage
  • bleeding or blood clots
  • infection
  • injury to surrounding tissues
  • numbness


  • pain relief
  • increase in range of motion
  • return to normal activities

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