What is Total Hip Replacement?
A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials. Total hip joint replacement involves surgical removal of the diseased ball and socket and replacing them with a metal ball and stem inserted into the femur bone and an artificial plastic cup socket.
Why is it done?
Patients with damaged hip joint either due to Osteoarthritis, Trauma, Congenital abnormality of the hip, Asceptic Necrosis, Rheumatoid Arthritis etc. The progressively intense chronic pain together with impairment of daily function including walking, climbing stairs, and even arising from a sitting position, eventually become reasons to consider a total hip replacement.
Hip replacement may also be used as a method of treating certain hip fractures.
What is done during the surgery?
Once you are anesthetized, the surgeon will remove the damaged parts of the hip joint and replace them with the prosthesis. The hip prosthesis is made up of a stem that goes into the femur (thighbone), the ball (head joint) that fits into the stem, and a cup that is inserted into the socket of the hip joint. The stem and cup are made of metal. The ball may be made of metal or ceramic. The cup has a liner that may be made of plastic or ceramic. The two most common types of artificial hip prostheses used are cemented prostheses and uncemented prostheses. A cemented prosthesis attaches to the bone with surgical cement. An uncemented prosthesis attaches to the bone with a porous surface onto which the bone grows to attach to the prosthesis. Sometimes, a combination of the two types is used to replace a hip.
At Aarvy Hospital in Gurgaon, we have the best orthopaedic surgeon who performs the surgery.
After the surgery
At Aarvy Hospital in Gurgaon we discharge the patient depending on your body’s post-operative recovery.
After the surgery which generally lasts for two to four hours, both lower limbs will be observed for adequate sensation and circulation. Besides starting Pain Killers and Antibiotics, compression stockings are applied to prevent blood clotting in the lower limbs. Physical Therapy will begin in 48 hrs. The therapist will help the patient in walking and reinstating the movement of the knee. The knee will be in an immoboliser which will be removed after the doctor deems it fit to be done. Patients will start walking using a walker and crutches. Eventually, patients will learn to walk up and down stairs and grades. Patients are given home exercise programs to strengthen the muscles around the buttock and thigh.