Total Hip Replacement


What is total hip replacement surgery?

The total hip surgery is an orthopedic procedure that replaces the damaged cartilage and bones in the hip areas with a prosthesis (implants). These implants can reduce the pain and improve walking with increased motion.

Such pain and discomfort can cause stiffness in your hip, wherein medications and walking supports might be insufficient. To get back to your routine activities you can consider total hip replacement surgery that can relieve pain and increases your daily movements.

Common Causes:

The person suffering from hip pain is unable to move and perform common activities including bending at the hips. The affected activities can include walking and sitting.

Therefore, they might face difficulties while performing hip related movements like sitting and performing physical exercises.

There might be several causes for hip pain including: joint pain, crotch pain, loss of movement of hips, swelling of hips and sensitive hip areas.

Some of the most common causes of hip pain that can raise the risk of disability are:

  • • Osteoarthritis: The osteoarthritis is caused due to the break down of the cartilage (protective tissue in between the ends of the bones) at the end of the bones, due to this the end joints bones get rub-down causing pain and stiffness.
  • • Hip Fractures: The hip fractures is a crack that develops on the upper part of the femur (thigh bone) that can result in limited movement and pain around the hip area. That can be caused due to falling and are commonly visible in elderly persons.
  • • Tendinitis: The tendinitis can be caused due to overstretching of the tendons in between the bones and muscles.
  • • Muscle strain:The supporting muscles in the hips get inflamed from overwork, therefore it hampers normal work of hips and even causes pain.
  • • Hip Labral Tear: The hip liberal tear is caused to the labrum that covers the acetabulum.
  • • Osteonecrosis: Due to the shortage of blood supply, the healthy cells that maintain your hip bone renewal are hindered that can cause your bone to die and can even break over time.

Candidates:

The hip replacement surgery is performed to restore the hip’s movement and functionality caused, due to severe pain in your hip areas.

Hence, the surgery is based on an individual's pain and disability level, rather than age and weight of the person.

Normally, the majority of patients confronting total hip replacement surgery are from 50 to 80 years. Our expert orthopedic surgeons conducted several hip-related tests before performing this surgery.

From an ederly candidate suffering from degenerative arthritis to youth with juvenile arthritis can be the eligible candidate for this surgery.

Evaluation:

Several tests that are performed before undergoing hip replacement surgery. They are:

  • • Medical Checks: Our surgeon will perform general checks related to your health and would also obtain the information about the pain in your hips causes and its effects on your normal activities.
  • • MRI Scans: The MRI scans provide the effective detection of the affected cartilage and bones with a 3-D image of the affected hips areas.
  • • Physical tests: The surgeon will conduct a physical examination of your hips to know more about the affected areas, motion, and flexibility.

During Surgery Procedure:

The step by step overview of the total hip replacement procedure are:

  • • The damaged bone and the cartilage are identified and are marked after conducting the initial tests including heart rate, blood pressure, oxygenation level, and body temperature.
  • • The patient is generally given anesthesia that will bring down the pain and comfortless that can arise during the surgery surrounding the hip areas.
  • • The surgeon will create a 10 to 12-inch incision, on the lower side of the hip, wherein the femoral stem is placed in the center of the femur and the damaged femoral head is removed.
  • • The damaged femoral head is replaced by the implant metal or ceramic sphere, that is placed on the upper end of the femoral stem.
  • • The metal sockets are attached with screws and cement on the facet of the acetabulum replacing damaged cartilage.
  • • Additionally, a spacer can be inlaid in between the implant sphere and a metal socket for the smooth functioning of hips.

After Hip Replacement:

After your hip replacement surgery, you can resume your daily activities, but it might take some time to heal your hip completely. Our orthopedic surgeon at Axis Orthopedic Hospital will provide you the list of activities that you can perform with your new hips based on individual patient’s healing capability.

Some of the common Do’s after the surgery may include:

  • • Perform regular hip exercises as suggested by our physiotherapist, if pain occurs perform them on intervals.
  • • If you are performing stretch related activity do use a footstool.
  • • Do keep the legs towards the front while you stand and sit.
  • • Use the ice on the hips as suggested by our physiotherapist to reduce pain and swelling.
  • • For the smooth motion of your hips do massage them with heating pads for at least 20 to 25 minutes.

The Dont’s after the surgery:

  • • Don’t stretch your knee beyond the hips.
  • • Avoid crossing your legs from the knees for about 6 to 8 weeks.
  • • Don’t tilt directly while you were to sit-down.
  • • Don’t kneel and bend down to pick something
  • • Don’t outstretch while bending down.

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