Hip Joint Replacement Surgery

Know Your Hip Joint Replacement

Types of Hip Joint Replacement

Benefits of Hip Joint Replacement

Frequently Asked Questions

Know Your Hip Joint

The hip joint (see the image below) is a ball-and-socket synovial joint: the ball is the femoral head, and the socket is the acetabulum. The hip joint is the articulation of the pelvis with the femur, which connects the axial skeleton with the lower extremity. The 2 hip bones form the bony pelvis, along with the sacrum and the coccyx, and are united anteriorly by the pubic symphysis.

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Types of Hip Joint Replacement

Hip joint replacement is a surgical procedure that involves replacing a damaged or diseased hip joint with an artificial implant. It is typically performed to relieve severe hip pain and improve function in individuals with conditions like arthritis or fractures. The surgery aims to reduce pain, increase mobility, restore joint function, and enhance the overall quality of life for the patient.

Hemi replacement arthroplasty (HRA)

This surgery is performed in cases of fracture of the neck of the femur, where only the femoral stem is introduced to replace the head of the femur.

Primary total hip replacement (THR)

This surgery is performed in cases of advanced arthritis of the hip joint, where both the femoral and acetabular sides are replaced with the help of femoral stem, head and acetabular cup.

Complex Primary THR

This surgery is performed in cases of very severe bony or soft tissue deficiencies, and it would require special augments like cage, mesh, augment on acetabular side and long stem, cables, loops on femoral side.

Revision THR

This surgery is performed when the primary surgery fails because of any reason, and requires revision implants.

Bilateral THR

Here, both the hip joints are replaced at a same stage, under a single anesthesia. This is needed in special situation and is carried out only after due medical clearance.

Cemented THR

This is the surgery wherein the implants are fixed with the help of bone cement.

Uncemented THR

In this surgery, the implants are fixed without the bone cement. These are special types of implants that engages with the native bone. The special coating over the implant helps in this process of bony integration

Dual mobility THR

This is the latest in the development of THR. In such surgery, special design of implant is used, which allows greater range of motion without the risk of dislocation.

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Benefits of Hip Joint Replacement

Hip joint replacement is a surgical procedure that involves replacing a damaged or diseased hip joint with an artificial implant. It is typically performed to relieve severe hip pain and improve function in individuals with conditions like arthritis or fractures. The surgery aims to reduce pain, increase mobility, restore joint function, and enhance the overall quality of life for the patient.

Increased Independence

With improved mobility and reduced pain, individuals who undergo hip joint replacement surgery often regain independence in performing daily activities.

Pain Relief

If you are suffering from chronic pain in Hip joint then hip joint replacement surgery can be effective in providing relief in chronic hip joint pain that is not alleviated by other treatments.

Improved Mobility

By replacing a damaged hip joint with an artificial implant, hip joint replacement can enhance mobility and increase range of motion, enabling individuals to move more freely.

Better Mental Health & Sleep

Relief from chronic hip pain can have positive impact which can help in improved sleep patterns after hip joint replacement surgery due to reduced discomfort during the night.

Frequently Asked Questions

We are specialise in primary & complex primary robotic total hip replacement and revision hip replacements.

THR is the surgery that is done for the advanced stage arthritis of the hip joint, wherein both – the acetabular cup and femoral head gets degenerated, and is hence replaced.

HRA is the surgery that is done when only head of the femur is affected. The commonest condition of this surgery is for fracture of the neck of femur. In this surgery, the head is replaced by an implant which sits in the femoral stem.

Hip replacement is needed when person has severe pain, instability, deformity and / or stiffness, affecting the activities of daily life.

It is usually performed under spinal anesthesia. A qualified anesthetist decides the most appropriate anesthesia for the said patient.

The actual surgery time is around 30 minutes. But, with pre-operative and post-operative procedures which are required along with the surgery, it can approximately take about 2 hours.

The overall recovery of the patient is multi-factorial. It varies from person to person. But, the rough road map is like, the patient is made to walk with the help of walker and brace just after few hours of surgery, and is encouraged to walk so for about 3 weeks. Independence in activities of daily life can be expected between 6 to 8 weeks. Strenuous activities may be prevented for 4 to 6 months. The complete recovery can often take 12 to 14 months.

Freedom from pain, greatly improved quality of life and independence can be rated as the main advantages of surgery.

As for any surgery, this surgery too has complications. Infection, DVT, neuro vascular damage, soft tissue damage, fracture, leg length discrepancy, dislocation, persistent unexplained pain are the major complications of others, that can happen.

Modern day implants with advanced technologies and research especially in the development of bearing surface & polyethylene, imparts an approximate life of 25 plus years. However, it cannot be guaranteed & there are so many factors which decided the fate of the implant.

In a standard surgery, the stitches are removed after 20 days of surgery.

Proper hygiene, hip precautions, good nutrition, hydration, physiotherapy and regular medications are important post operative advices for successful result.

Age is just the number. Patient’s mental and emotional age is more important than physical age.

If the patient is medically fit, and if the primary condition warrants bilateral hip replacement surgery at same stage; then both the knees can be replaced at a single stage under single anesthesia & hospitalization.

Modern day implant with advanced technology allows individual to sit cross legged, squat and kneel.

All these activities are absolutely possible after surgery, if the patient was doing them very comfortably even before the surgery. However, these activities should be initiated after the surgeon’s approval & that may vary from person to person.

Physiotherapy plays an integral part for the success of this surgery. It helps build the muscle strength, thereby easing the road to recovery. It also helps to a greater extent in preventing certain complication like arthrofibrosis. Well done physiotherapy under the guidance of a qualified physiotherapist for a stipulated time offers great outcome.

Today, this surgery is being offered under various state and central government yojnas. It is definitely of a huge help to that strata of the society who cannot afford such expensive surgery. Since that there is a huge difference, starting from the implants to medications, disposables, ancillary items required for such surgery; this comparison is just not possible. It can be safely noted that, this surgery is a blessing to all those who otherwise will need to live a crippled life. It has to be an individual call as there are advantages and disadvantages of getting it done under free yojna.

If the primary surgery fails for any reason, revision surgery is absolutely possible. Today, with the basket of revision implants, the end result even after revision surgery is pretty satisfactory.

Dislocation after a total hip replacement is a common complication. It can be prevented by maintaining proper hip precautions. With advent of dual mobility concept, the rate of dislocation is drastically reduced.

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