Hip Replacement
What is total hip replacement?
It’s a surgical procedure that involves the correction of the damaged cartilage or bone in the hip joint, by means of replacing it with an artificial material. It involves removal of the damaged ball from the socket and replacing it into the femur bone.
The reason for Hip replacement
Hip replacement is for those people who feel great pain in their hips even after going through different treatment. Those who have osteoarthritis in their hip joint may consider the replacement of their hips. Severe pain in the hips, deformity of the hip joint or injured hips in accidents or those who are suffering from hip arthritis could consider hip replacement. Tumors in the hip or damage of the hip bones due to insufficient flow of blood may result in the replacement of the hip.
Who may benefit from replacement?
Total hip replacement provides the patients with relief from these painful experiences, and bestows them with quality solutions in their daily walks of life.
Who are the Candidates for Replacement?
Patients suffering from:
What are Different Types of THR?
Prosthetic devices required for the replacement are varied. The basic difference lies, whether the cement or cement-less fitting will be done on the hips. Advantage of the cemented fitting is that the patient is able to recover fast and return to his or her normal life. Moreover, the advantage of the cement-less fitting is that the patient will be able sustain a prolonged relief, further in case of cement-less fitting revision is much easier than cemented one. However, in the cement-less fitting the patient is required to limit his or her activities for about 3-4 months. Cemented fitting is best suited for the elderly patients as they have less chances of developing bone growth from the cement-less fitting.
Pre-Operative Planning:
Surgical Approaches:
On Admission:
Admission is taken on the day of the surgery. Before admission anesthetic specialist will examine you. The anesthesia used will put you to sleep and breathing will regulated by means of a breather, or spinal anesthesia might be applied to anesthetize the body down the waist. The overall surgical procedure takes a couple hours.
Steps of Hip Replacement:
Post-Surgery:
Precautions:
Physical Therapist Will Help With:
Discharge:
After complete assessment by the orthopedic and physiotherapist team and based on the progress made, discharge will provided to the patients.
Benefit of Hip Resurfacing
Risk and Complications:
It’s a surgical procedure that involves the correction of the damaged cartilage or bone in the hip joint, by means of replacing it with an artificial material. It involves removal of the damaged ball from the socket and replacing it into the femur bone.
The reason for Hip replacement
Hip replacement is for those people who feel great pain in their hips even after going through different treatment. Those who have osteoarthritis in their hip joint may consider the replacement of their hips. Severe pain in the hips, deformity of the hip joint or injured hips in accidents or those who are suffering from hip arthritis could consider hip replacement. Tumors in the hip or damage of the hip bones due to insufficient flow of blood may result in the replacement of the hip.
Who may benefit from replacement?
- Hip pain limiting everyday activity
- Hip pain continues while resting either day or night
- Little or no relief from anti-inflammatory drugs.
- Stiffness in the hip limits the ability to move the leg.
- Unpleasant side effects from medications.
- Other Treatments like physical therapy or the use of gait aids such as cane do not relieve hip pain.
Total hip replacement provides the patients with relief from these painful experiences, and bestows them with quality solutions in their daily walks of life.
Who are the Candidates for Replacement?
Patients suffering from:
- Rheumatoid arthritis
- Juvenile rheumatoid arthritis
- Traumatic arthritis
- Protrusioacetabuli
- Osteonecrosis
- Malignant or benign bone tumors
- Hip fractures
- Ankylosing spondolytis
- Pagets disease, will certainly benefit from the replacement surgery.
What are Different Types of THR?
Prosthetic devices required for the replacement are varied. The basic difference lies, whether the cement or cement-less fitting will be done on the hips. Advantage of the cemented fitting is that the patient is able to recover fast and return to his or her normal life. Moreover, the advantage of the cement-less fitting is that the patient will be able sustain a prolonged relief, further in case of cement-less fitting revision is much easier than cemented one. However, in the cement-less fitting the patient is required to limit his or her activities for about 3-4 months. Cemented fitting is best suited for the elderly patients as they have less chances of developing bone growth from the cement-less fitting.
Pre-Operative Planning:
- Cardiology, Dental, Gastrointestinal and Urological examination.
- Transfusion considerations-hemoglobin less than 11 gm./ dl indicates need for transfusion.
- Autologous blood - 2 units
- Erythropoietin
- Vascular status
- Any infection if present surgery is delayed
- Hip flexion contracture
- Hip extension weakness
- Obesity
- Radiology
- Preop acetabular and femur evaluation
- Limb length measurement
Surgical Approaches:
- Anterior Approach
- Anterolateral Approach
- Posterolateral Approach
On Admission:
Admission is taken on the day of the surgery. Before admission anesthetic specialist will examine you. The anesthesia used will put you to sleep and breathing will regulated by means of a breather, or spinal anesthesia might be applied to anesthetize the body down the waist. The overall surgical procedure takes a couple hours.
Steps of Hip Replacement:
- Incisions
- Reaming of acetabulum
- Removal of femur head
- Acetabular component insertion
- Reaming of femur
- Insertion of femoral component
- Insertion of ball
Post-Surgery:
- Bed rest till the evening or day after surgery.
- Deep breathing and coughing forbidden to prevent congestion in the lungs.
- Elastic stockings, DVT pumps and anticoagulants to prevent blood clots.
- Fluids and soft diet after recovery from anesthesia followed by solid food.
- Pain medications.
- Dressing.
Precautions:
- Positioning - avoid adduction and internal rotation.
- Bring leg towards the chest prohibited.
- Pillow between the legs.
Physical Therapist Will Help With:
- Getting out of bed.
- Transferring to a chair.
- Strengthening and stretching.
- Functional rehabilitation.
- Walking and climbing stairs.
Discharge:
After complete assessment by the orthopedic and physiotherapist team and based on the progress made, discharge will provided to the patients.
Benefit of Hip Resurfacing
- The ball used in the surgery is equivalent to the ball of the socket in the hip resurfacing surgery.
- The durability is increased as the wearing out is lowered down due to the advanced and strong equipments introduced in the hip.
- The functions are improved you could recovered quickly.
- Patients can sit, squat and even participate in sports activities.
- Allows the movements of your hip in a normal way.
- The length of the leg is not changed.
- The risk of minor fractures of femur along with un-cemented implantation of the stem is abolished.
- The Larger size of "ball" implanted decreases the risk of dislocation considerably.
- With the proper THR, some of the patients experience a pain in the thigh as the bone need to respond to the natural loading of the nervous tension.
- The use of metal in the surgery would normally reduce the rate of wear and tear of the ball.
Risk and Complications:
- Nerve Palsey.
- Dislocation.
- Chronic pain.
- Osteolysis.
