Hip Joint Replacement

Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures.

A total hip replacement (total hip arthroplasty or THA) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head.

Symptoms of Hip Joint

How Do You Know If You Need a Hip Replacement?

  • You Have Chronic and Significant Pain
  • Your Hip Disability Makes Completing Routine Tasks Difficult
  • Hip Stiffness Limits Your Normal Range of Motion in the Joint
  • Conservative Treatments Do Not Adequately Relieve Hip Pain
  • Read More....

Causes & Effects

  • Bleeding AVN (Avascular Necrosis)
  • Blood clots
  • Blood vessel injury
  • Dislocation
  • Fractures
  • Infection
  • Leg-length inequality
  • Read More....

Hip Replacement Treatments of Dr. Raviprakash

There possible advantages of Hip replacement surgery include:

  • Reduced hip pain
  • Increased mobility and movement
  • Correction of deformity
  • Equalization of leg length (not guaranteed)
  • Increased leg strength
  • Improved quality of life
  • Ability to return to normal activities
  • Enables you to sleep without painv
1.Why Would Someone Need Total Hip Replacement?

Total hip replacement is often necessary after the cartilage between a patient’s femur and pelvis wears out. Severe arthritis often results from the lack of cartilage and leaves patients with severe achy pain and immobility. Typically, a hip replacement is not performed unless nonsurgical methods fail to relieve hip pain.

While the patient is under anesthesia, the hip is cut open and the arthritic bone in the socket of the joint is cleaned out. The surgeon also removes arthritic bone from the femoral head, then inserts an artificial femoral head down into the femur. The joint is then complete and the surgeon shaves arthritic bone from the knee cap before replacing it and closing the incision. For a more visual, detailed explanation, check out this animation.

Although patients are sore after surgery, most hip replacement patients report being completely pain-free after 3-4 weeks. Additionally, 95% of hip replacement patients reported having less pain one year after their surgery than before it, according to Total Knee Replacements.

At Ravi Orthopaedic Hospital, total hip replacements surgery are performed on an patient stay for just minimum time, and then are back in the comfort of their own home to recover. Patients who have their surgery done in a hospital typically stay for about 3 days.

Before you are discharged from care, you will need to accomplish several goals, such as:

Getting in and out of bed by yourself.

Having acceptable pain control.

Being able to eat, drink, and use the bathroom.

Walking with an assistive device (a cane, walker, or crutches) on a level surface and being able to climb up and down two or three stairs.

Being able to perform the prescribed home exercises.

Understanding any hip precautions you may have been given to prevent injury and ensure proper healing.

It is recommended that patients take 2-6 weeks off of work depending on their occupation. Patients who have a desk job can typically go back to work sooner than patients who have manual labor jobs or have to be on their feet often.

Patients should be able to move around the house after 4-6 weeks without experiencing pain or using walking aids. After that point, the amount of time that is necessary for a full recovery varies between patients. Some patients recover extremely quickly—within a month or two—while others require a full six months before returning to their pre-surgery levels of activity.

Initially, you will need the help of a close friend or loved one for everyday tasks such as getting dressed and showering. The length of time you will need assistance depends on the patient, but it is typically anywhere from several days to a few weeks.

Yes. Physical therapy is an essential part of your total hip replacement recovery process. Physical therapy begins the following day of your surgery and will take place over the course of several weeks. At first, you will do some simple exercises like contracting and relaxing your muscles in order to strengthen your hip. You will also learn new techniques for movements such as sitting, standing, and bending, in order to prevent any possible damage to your hip replacement. Typically patients are in physical therapy for 6-8 weeks and have sessions twice/week.

How Your New Hip Is Different:

You may feel some numbness in the skin around your incision. You also may feel some stiffness, particularly with excessive bending. These differences often diminish with time, and most patients find these are minor compared with the pain and limited function they experienced prior to surgery.

Your new hip may activate metal detectors required for security in airports and some buildings. Tell the security agent about your hip replacement if the alarm is activated.

Protecting Your Hip Replacement:
  • Participate in a regular light exercise program to maintain proper strength and mobility of your new hip.
  • Take special precautions to avoid falls and injuries. If you break a bone in your leg, you may require more surgery.
  • Make sure your dentist knows that you have a hip replacement. Talk with your orthopaedic surgeon about whether you need to take antibiotics prior to dental procedures.
  • See your orthopaedic surgeon periodically for routine follow-up examinations and x-rays, even if your hip replacement seems to be doing fine.