The information given below will hopefully answer some of your questions about Total hip replacement surgery. I will discuss the pros and cons of surgery in great detail and answer any questions that you may have regarding your hip condition during the consultation.
If your hip has been damaged by arthritis, a fracture or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult. Your hip may be stiff and it may be hard to put on your shoes and socks. You may even feel uncomfortable while resting.
The hip is one of the body's largest weight-bearing joints. It consists of two main parts: a ball (femoral head) at the top of your thighbone (femur) that fits into a rounded socket (acetabulum) in your pelvis. Bands of tissue called ligaments (hip capsule) connect the ball to the socket and provide stability to the joint.
Animation of Total hip replacement surgery
I prefer to use anterior/anterolateral approach to perform all my hip replacements. This particular approach is now proven to result in lesser rates of dislocation and I can perform the surgery through a small incision of 10-12 cm only. A smaller incision results in lesser pain, quick recovery and early discharge from the hospital.
Common Causes of Hip Pain and Loss of Hip Mobility
The most common cause of chronic hip pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms of this disease.
Shortening of left leg due to Fracture and arthritis of hip joint
On ocassions Hip replacement surgery is needed after a fall leading to fracture of the hip joint. Acomplete or a partial replacement may be required as a result of the injury.
But usually Total hip replacement surgery is is indicated for arthritis of the hip, especially if medications, changes in your everyday activities, and the use of walking aids such as a cane are not helpful, you may want to consider hip replacement surgery. By replacing your diseased hip joint with an artificial joint, hip replacement surgery can relieve your pain, increase motion, and help you get back to enjoying normal, everyday activities. op of page
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An important factor in deciding whether to have hip replacement surgery is understanding what the procedure can and cannot do.
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Preparation for Surgery
You will most likely be admitted to the hospital on the day of your surgery. Prior to admission, a member of the anesthesia team will evaluate you. The most common types of anesthesia for hip replacement surgery are general anesthesia (which puts you to sleep throughout the procedure and uses a machine to help you breath) or spinal anesthesia (which allows you to breath on your own but anesthetizes your body from the waist down). The anesthesia team will discuss these choices with you and help you decide which type of anesthesia is best for you. The surgical procedure takes a few hours.
Types of Hip Replacement implants
Many different types of designs and materials are currently used in artificial hip joints. All of them consist of two basic components: the ball component (made of a highly polished strong metal or ceramic material) and the socket component (a durable cup made of plastic, ceramic or metal, which may have an outer metal shell).
Different implants are suitable for different situations and I will discuss with you, in great detail, the type of implant best suited for you.
Cemented Total hip Replacement
Special surgical cement may be used to fill the gap between the prosthesis and remaining natural bone to secure the artificial joint.
Uncemented Total hip replacement
An un-cemented prosthesis has also been developed and is used most often in younger, more active patients with strong bone. The prosthesis may be coated with textured metal or a special bone-like substance, which allows bone to grow into the prosthesis.
A combination of a cemented ball and a noncemented socket or vice versa may be used. This is called as a Hybrid Hip Replacement.
I do not perform Hip Resurfacing procedures due to high risk of complications and implant failure, 8-10 years after surgery. My preferred implants for young patients is an Uncemented/hybrid implant with a Large Ceramic head.
Special Implants are required in complex and difficult situations like severe bony destruction due to injury, in patients needing a repeat surgery due to failure of previous implants etc.
Xrays showing a Loose Cemented Hip Replacement Implants.
Treatment of Loose implants is by a revision Hip replacement Surgery. This is more complex than the first time surgery and usually involve using special implants. A long femur implant of Uncemented type was used in this patient.
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