Total Hip Replacement

Total Hip Replacement

Total hip replacement is a surgical procedure undertaken to deal with the following:

  1. Dislocated hip: When there is any sort of injury that happens to the hip, it mostly happens in the hip joints. Due to this dislocation, the ball shaped head of the femur is separated from the cup shared Acetabulum set in the pelvis. This can happen in different degrees and happens in more woman than man. This condition can be both accidental and congenital
  2. Hip arthritis: It is a progressive disorder of the hip that can happen to anyone. However, the most common victims of his disorder tend to be the older individuals. In this condition, the joints become inflamed and it can cause stiffness, pain and at most times, it is a combination of both. Their types of hip arthritis are as follows:
  • Osteothritis
  • Rheumatoid Arthritis
  • Anykoluysing Spondylitis
  • Systemic lupus Erythematous
  • Psoriatic Arthritis.

While hip replacement is a suitable course of action of both the conditions, it is mostly considered an option for Hip arthritis. Other forms of treatment for hip arthritis include the following:

  1. Conservative medication Physiotherapy
  2. Surgical joint preservation.
  3. Total hip replacement

What is the procedure of total hip replacement?

In total hip replacement, the hip joint is replaced by a prosthetic implant. There are two types of hip replacement surgeries:

  1. Total
  2. Partial

This form of surgical procedure is conducted in order to deal with the symptoms of arthritis that include pain and stiffness. When we talk about a total hip replacement, we are talking about replacing both the Acetabulum and the femoral head while hemiathroplasty is sued to replace the head of the femur. This form of treatment is one of the most common forms of orthopaedics operation.

The procedure for this form of surgery involves the following:

  1. Firstly, there replacement of the damaged femoral head is done. It is then replaced with a stem. This stem is placed into the hollow femoral stem. There are two ways to do that:
    • Cementation
    • Press fitting.
  2. Now, the orthopaedic takes note of the upper mark of the stem. Here, either a ceramic or a metal ball is used to replace this part after the removal of the damaged femoral head.
  3. Now, the doctors move on to the Acetabulum. It is removed and is replaced by a metal socket. While it can either be cement of screw, at times both of them are used in the process.
  4. Now, in order to maintain the smooth movement, a plastic, a metallic or a ceramic spacer is inserted between the new ball implant and the socket.

What are the benefits of hip replacement?

Before patient move on the hip replacement, they might have tried a lot of medications like analgesics, weight loss regimen treatments, anti inflammatory medications, physiotherapies or a walking aid. However, hip replacement tends to provide a more robust and complete form of treatment. 

Furthermore, the decision of doing this form of surgery has to be made with the consent of the patients.

The benefits of hip replacement surgery are the following:

  1. It reduces the pain the hip
  2. It can improve the mobility and the movement in the body.
  3. It can also correct any form of deformity that the hip might have.
  4. It can increase the strength of the length.
  5. It maintains the symmetry of the body.
  6. It can also make sure that the way that you are moving is also improved.
  7. Once you have had hip replacement, you would be able to get to your regular activities after therapy.
  8. The pain with arthritis tends to be chronic and you are going to feel it even during pain. To that end, this form of treatment can provide you with the relief that you need.

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Dr. Ramneek Mahajan

Director (Orthopaedics & Joint Replacement) & Head of Unit-1

Dr. Ramneek Mahajan has over 15 years experience handling Orthopedics & Joint Replacement cases. Dr. Mahajan has to his credit approximately 2500 Joint Replacements and more than 10000 other Orthopedic & Spine surgeries. His interest lie in Primary, Revision Joint Replacement & Arthroscopy.