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.
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.
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.