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Hip Replacement Surgery

Hip replacement surgery is a procedure in which a doctor surgically removes a painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic components. It usually is done when all other treatment options have failed to provide adequate pain relief. The procedure should relieve a painful hip joint, making walking easier.

Types of Hip replacement surgery

The hip joint is a ball-and-socket joint. The baFree Articlell is part of the femur (thigh bone) and the socket is part of the hip bone/pelvic bone. The type of hip replacement surgery performed varies with each individual’s physical condition. The 2 types of hip replacement surgeries are: Total hip Arthroplasty - With total hip arthroplasty, the ball and the socket are both replaced with artificial parts. Total hip arthroplasty is performed to treat conditions, including osteoarthritis, rheumatoid arthritis.

  • 1.Traumatic arthritis
  • 2.Ankylosing spondylitis
  • 3.Avascular necrosis,certain hip fractures
  • 4.Benign and malignant tumors

Hemiarthroplasty - With hemiarthroplasty, or partial hip replacement, only the ball is replaced. Hemiarthroplasty is performed when there is damage only to the femoral portion of the hip joint. This is mostly performed in patients who are elderly and frail, and for fractures involving the ball or the neck of the femur (thigh bone).

Hip Replacement Surgery Procedure

Hip replacement surgery can be performed traditionally or by using what is considered a minimally-invasive technique. The main difference between the two procedures is the size of the incision.

During standard hip replacement surgery, you are given general anesthesia to relax your muscles and put you into a temporary deep sleep. This will prevent you from feeling any pain during the surgery or have any awareness of the procedure. A spinal anesthetic may be given to help prevent pain as an alternative.

The doctor will then make a cut along the side of the hip and move the muscles connected to the top of the thighbone to expose the hip joint. Next, the ball portion of the joint is removed by cutting the thighbone with a saw. Then an artificial joint is attached to the thighbone using either cement or a special material that allows the remaining bone to attach to the new joint.

The doctor then prepares the surface of the hipbone -- removing any damaged cartilage -- and attaches the replacement socket part to the hipbone. The new ball part of the thighbone is then inserted into the socket part of the hip. A drain may be put in to help drain any fluid. The doctor then reattaches the muscles and closes the incision.

While most hip replacement surgeries today are performed using the standard technique (one 8 to 10 inch cut along the side of the hip), in recent years, some doctors have been using a minimally-invasive technique. In the minimally-invasive approach, doctors make one to two cuts from 2 to 5 inches long. The same procedure is performed through these small cuts as with standard hip replacement surgery.

The small cuts are thought to lessen blood loss, ease pain following surgery, shorten hospital stays, reduce scar appearance, and speed healing.

Recovery After Hip Replacement Surgery

After total hip replacement surgery, you will experience stiffness in the hip and leg, and muscle weakness. Post-surgical pain is expected for an average of 4 to 6 weeks. However, some patients may experience pain for up to 12 weeks, or even longer.

Pain is managed primarily with medication. Your physical therapist may also recommend ice packs to help reduce discomfort.

It may be difficult to put weight on your leg when walking after surgery. Depending on your particular case/surgical procedure, you will be asked to limit the amount of weight you put on the surgical leg. It may be as little as a toe touch, or as much weight bearing as you can tolerate. Your physical therapist will teach you how to correctly put weight on the affected leg, and will recommend an assistive device, such as crutches or a walker to minimize discomfort as you work to restore your physical function

What Can I Do at Home After Hip Replacement Surgery?

There are a few simple measures that you can take to make life easier when you return home after hip replacement surgery, including:

  • 1.Keep stair climbing to a minimum. Make the necessary arrangements so that you will only have to go up and down the steps once or twice a day.
  • 2.Sit in a firm, straight-back chair. Recliners should not be used.
  • 3.To help avoid falls, remove all throw rugs and keep floors and rooms clutter free.
  • 4.Use an elevated toilet seat. This will help keep you from bending too far at the hips.
  • 5.Keep enthusiastic pets away until you have healed completely.

There are a few simple measures that you can take to make life easier when you return home after hip replacement surgery, including:

Hip Replacement Rehabilitation

Hip replacement surgery is usually very successful, but the success of the procedure is partly due to the rehabilitation period that follows the surgery. For patients to expect a good result from hip replacement surgery, they must be an active rehab participant.

Rehabilitation after hip replacement begins immediately. Patients will work with a physical therapist as soon as the surgical procedure has been performed. The emphasis in the early stages of rehab is to maintain motion of the hip replacement and to ensure that the patient can walk safely. A physical therapist can teach you important skills that help you move around, climbs stairs, getting in and out of the car, without risk to be replaced if joint or causing significant pain.

As rehabilitation moves along to later phases, your therapist will help restore normal gait mechanics, strength of the lower extremities, and mobility of your new hip joint. By participating in an active therapeutic recovery, bilateral kidney resume your presurgical level of activity, you may even be able to surpass that level of activity.