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Hip Replacement

Hip Replacement

Total Joint Replacement Surgery at Medica

Hip Replacement Surgery or Total Hip Arthroplasty, is a procedure in which the damaged sections of the hip joint are removed and replaced with parts that are constructed with metal, ceramic and very hard plastic.This artificial joint is called prosthesis. The prosthesis improves function and helps reduce pain.Hip Replacement Surgery is done only when the pain interferes with daily activities and the more conservative treatment procedures haven’t helped or are no longer effective. Arthritis is the most common reason that requires this treatment procedure.

Medica has a team of highly skilled orthopedics and orthopedic surgeons who are trained in their respective fields of expertise. Our dedicated team of doctors endeavor to provide you with world-class treatment.


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What is Hip Pain?

Hip pain might have a variety of causes that aren’t related to a disease. Trauma, prolonged lying on one’s side, overuse, muscle stiffness, sitting in an awkward position, and sprains or strains are all examples. Or generally hip pain and discomfort are caused by rheumatoid arthritis, ankylosing spondylitis,inflammatory arthritis and systemic lupus erythematosus.

Why is Hip Replacement Surgery needed?

Some conditions which lead to the damage of the Hip joints requiring replacement Surgery are:

  • Osteoarthritis: Commonly known as wear-and-tear arthritis, osteoarthritis damages the cartilage that covers the ends of bones and helps joints move smoothly.
  • Rheumatoid Arthritis: An overactive immune system may lead to rheumatoid arthritis that can cause inflammation. This can erode cartilage and sometimes the underlying bone, resulting in damaged and deformed joints
  • Osteonecrosis: This happens when there is not enough blood supply to the hip joint ball, which may lead to its deformity or collapse

Hip Pain requiring Replacement Surgery are:

  • Persisting Hip pain with no relief even after taking medicine.
  • Worsens while walking.
  • Disrupts your sleep.
  • Affects the ability to go up or down the stairs.
  • Experiencing excruciating pain while standing up from a seated position.

The first successful total-hip replacement was done in 1938

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What is the Procedure?

Hip replacement surgery can be done traditionally or by minimally-invasive technique. The difference between the two techniques is the size of the incision where the traditional technique requires a cut of 8 to 10 inch along the side of the hip whereas in the invasive approach, doctors make one to two cuts from 2 to 5 inches long. The minimally invasive technique is more prevalent today as there is less blood loss, less pain, short hospital stay, small scar, and quick recovery.

However, it is very important for the surgeon following this technique to be highly skilled or the results may be worse than with standard hip replacement surgery.

What are the Different Types of Hip Replacement Surgery?

Patients can opt for three different hip replacement surgeries based on their needs. These are total hip replacement, partial hip replacement, and hip resurfacing:

Total Hip Replacement: Total hip replacement is the most common surgery practice which is also known as total hip arthroplasty. This surgery involves damaged or worn-out hip sections replaced by artificial implants. The surgeon replaces the socket with a durable and hard plastic cup. This plastic cup can include a titanium-based metal shell or can be without it. The process further involves separating the femoral head and replacing it with the ball. This ball is made from either metal alloy or ceramic. This new ball attached with a metal stem is inserted at the top of the femur.

Partial Hip Replacement: Partial hip replacement is generally suited for specific activity levels and age groups. It is also known as hemiarthroplasty. It includes replacing a part of the femoral head rather than replacing both sides as in total hip replacement surgery. It is more common among older patients with a fractured hip or hip dislocation.

Hip Resurfacing: It is often considered as an alternative to partial or total hip replacement. The process involves placing a hollow and mushroom-shaped cap over the femur head. Hip resurfacing is a surgical alternative to total hip replacement. The procedure comprises placing a cap, which is hollow and shaped like a mushroom, over the head of the femur. It is more common among active and younger patients.

How do you Know if you need a Hip Replacement?

You and your surgeon would be considering hip replacement surgery in the following cases:

  • Hip pain bypassing medication or other physical therapies. These interfere with work, sleep, and everyday activities.
  • Stiffness of the hip that restricts motion, creating difficulty walking.
  • Suffering from conditions such as osteoarthritis or rheumatoid arthritis.

Some common complications post a Hip Replacement Surgery are:

  • Infection and bleeding
  • Your legs may not be of equal length post the surgery
  • Crossing your legs or sitting too low may cause the joint to be dislocated
  • Clots may form as loose pieces of fat may enter the bloodstream and get into the lungs which can cause very serious breathing trouble
  • Nerves may be injured or swollen which can cause numbness
  • The replaced parts may become loose, break, or become infected

One must always keep a lookout for these signs post operation to avoid any sort of complication that may hinder your recovery.

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Post-Operative Physical Therapy

After the surgery, a physical therapist may help you with some exercises that you can do in the hospital and at home for a speedy recovery. Activity and exercise must be a regular part of your daily regime to regain the use of your joints and muscles. Your physical therapists will recommend exercise to help you build your strength and learn how to use a walker, a cane or crutch. Gradually you will be able to put more weight on your leg and be able to walk without assistance.

With the experience of thousands of joint-replacement and minimally-invasive procedures, the focus of Medica Orthopaedic Team that is experienced in super speciality orthopedics, will be to provide an amalgamation of skill, dedication and world-class services at an affordable cost to our society.


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Total hip replacement surgery is usually very safe. But, surgeries are not free from risks. The most common risk is infection. Some other risks include:

It is advisable to know about the surgery infection rate for total hip replacement at the facility or hospital where the surgery is to be done.

  • Blood clots in the leg veins after the surgical process. Blood-thinning medications are prescribed here.
  • Infections at the area of incision or deeper tissues near the new hip can occur.
  • Majority of the infections can be treated with the right antibiotics. But, major infections across the prosthesis might need surgical procedures. This will be for the replacement of the prosthesis.
  • During surgery, a healthy part of the hip joint might dislocate or fracture. These fractures are very small and heal by themselves.
  • Bigger fractures need stabilization through screws, wires, metal plates, and bone grafts.
  • In case of hip dislocation, braces are fit for keeping the new hip in an appropriate position.
  • Difficulties due to changes in the leg length resulting from muscle contracture.

Physical therapy such as progressive stretching and strengthening can help these differences disappear after a few months.

Follow specific steps for improving surgery results. Some of these steps are:

  • Follow the guidance and instructions provided by the medical team, orthopedic surgeon, and rehabilitation therapist
  • Provide information on your current medications and medical history.
  • The physical therapist examines the ongoing condition of the hip. These include a range of movement in the joint and the strength of adjacent muscles.
  • X-rays and blood tests can include maintaining precautions.
  • You must be proactive during the preoperative evaluation. Ask questions about the procedure. Include questions on medications to continue or to avoid a week before the surgical procedure. Avoid dental work and teeth cleaning at least two weeks before surgery.

Post-Surgery points to follow after hip replacement surgery:

  • Patients generally stay for 24 to 48 hours after the surgical procedure.
  • You can also opt for same-day surgery procedures. They have the option of returning home after the outpatient procedure.
  • The time required for returning to work after hip replacement surgery can vary. It can be anywhere between 1-14 weeks.
  • The timeline depends on the type of surgical procedure, age of the patient, and hip severity among others.

Apart from selecting the right hip replacement surgery, it is advisable to follow certain precautions such as:

  • Ensure that the selected hip replacement surgeon understands their problems.
  • Research the experience, credentials, and reputation of the orthopedic surgeon is essential.
  • Research the facility or hospital where the operation will take place.
  • This will help in identifying the behavior and skills of the supporting staff and the management.
  • Hip replacement surgeries have a high success rate, with the majority of patients recovering and getting relief soon. The mobility improves and the patient enjoys a better life quality post-surgery.

Hip replacement surgery is a quick and painless surgical procedure. Total hip replacement surgeries take around one & a half hours. Patients remain in the hospital for two or three days. Post-surgery they can go home. Hip replacement is major surgery. But, the process is rather painless with low risks.

Patients can expect discomfort within the hip region. They can also feel pain in the groin and thigh areas. These are normal as the body is adjusting to the changes made to the joints. Knee and thigh pain can occur with changes within the length of the leg.

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