TOTAL HIP ARTHROPLASTY
ABOUT TOTAL HIP REPLACEMENT
Indications: Hip replacement surgery is typically considered when conservative treatments like medications, physical therapy, and lifestyle modifications no longer provide sufficient relief for the following conditions:
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- Osteoarthritis: Degenerative wear and tear of the hip joint.
- Rheumatoid arthritis: An autoimmune condition affecting the hip joint.
- Post-traumatic arthritis: Resulting from a severe hip injury.
- Other conditions like avascular necrosis or hip deformities.
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Types of Hip Replacement:
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- Total Hip Replacement (THR): This is the most common type, involving the replacement of both the hip’s ball-and-socket joint with artificial components.
- Partial Hip Replacement (Hemi-arthroplasty): In this procedure, only one part of the hip joint is replaced, typically the femoral head.
Surgical Procedure: Hip replacement surgery is typically performed under general or regional anesthesia. The procedure involves several key steps:
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- Incision: An incision is made to access the hip joint, usually along the side or front of the hip.
- Hip Joint Exposure: Muscles and soft tissues are carefully moved aside to access the hip joint.
- Reshaping Bones: The damaged portions of the hip joint, including the femoral head and acetabulum (socket), are removed.
- Implants: Artificial components, typically made of metal, plastic, or ceramic, are inserted. The femoral component replaces the femoral head, and the acetabular component replaces the socket.
- Stabilization: The surgeon ensures proper alignment and stability of the artificial hip joint components.
- Closure: The incision is closed with sutures or staples.
Modern Advancements: Modern hip replacement surgery has benefited from various advancements:
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- Minimally Invasive Techniques: Smaller incisions and specialized instruments reduce scarring, pain, and recovery time.
- Anterior Approach: This technique involves accessing the hip joint from the front, potentially resulting in faster recovery and reduced muscle damage.
- Ceramic and Highly Cross-Linked Polyethylene Implants: These materials offer improved wear resistance and durability.
- Patient-Specific Implants: Some surgeries use customized implants based on a patient’s specific anatomy for better fit and function.
- Enhanced Pain Management: Techniques like regional anesthesia and multimodal pain control minimize post-operative discomfort.
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Recovery and Rehabilitation:
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- After surgery, patients undergo physical therapy to regain strength, flexibility, and mobility.
- You will refer to your post-op protocol from your surgeon but weight-bearing on the operated leg is usually allowed within a day, with a gradual return to normal activities over several weeks.
- Full recovery may take several months, with ongoing improvements in function.
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Benefits of Hip Replacement Surgery: Hip replacement surgery offers several benefits, including:
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- Relief from chronic hip pain.
- Improved hip joint function and mobility.
- Enhanced quality of life, allowing individuals to engage in daily activities and hobbies.
- Long-lasting results, with many hip replacements lasting 20 years or more.
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Hip replacement surgery is a highly effective procedure used to alleviate chronic hip pain and restore function in individuals with severe hip joint problems. Modern advancements, including minimally invasive techniques and patient-specific implants, have improved outcomes and reduced recovery times. With proper rehabilitation and care, hip replacement surgery can provide long-lasting relief and significantly enhance the quality of life for individuals with debilitating hip conditions.