Hip arthroplasty is another name of the hip replacement surgery and the procedure involves the removed and the replacement of the hip to a healthy hip by the artificial joint and the name of this is the prosthesis and the procedure includes a ball component, made of metal or ceramic and a socket which has an insert or liner made of plastic, ceramic or metal. This procedure is called the biocompatible means they are designed to accept by your body and they are to resist, corrosion and the degradation and wear.
The surgery is specially designed for the patients who are dealing with the problem of the damages or any of the injuries with this surgery the level of pain will relief and restore range of the functions and he motion of the human body.
Cemented and the porous are the two type of the fixation philosophies and both the procedure is beneficial for the hip replacement and according to the need of the patient the physician choose the best option.
Two Types of Hip Fixation
There are two main types of fixation philosophies-cemented and porous. Both can be effective in the replacement of hip joints.` The physician (and the patient) will choose the best solution that is specific to the patient's needs.
Cemented Hip Implants :-
The implantation is specially designed as the bone cement and this injected into the prepared femoral canal and after it the surgeon position the implantation with the canal and try to hold it in the desired position.
Porous Hip Implants :-
- This procedure is done without any use of the bone cement means the implantation is designed to be inserted into the prepared femoral canal even the porous surfaces grow in it actually this bone ingrowth provides fixation to hold the implant in the specific location.
What to Bring to the Hospital ?
The preparation list is given below if you are planning to have the surgery so the patient should have this information for the surgery.
- Firstly you should have the car and that should be left can after the surgery and the room be assigned during the surgery or the recovery basically the personal belonging can enter in your room. In the list of the personal grooming pack like the toothbrush, toothpaste, hairbrush, eyeglasses/contacts, comb, deodorant, shaving cream/electric razor, shampoo, lotion, undergarments, and a robe.
- Have the slippers or the rubber-soled shoes for walking in the hallways and have the loose fitting clothing?
- Even the patient should have the medication that you are currently consuming and remember one thing as well that after the surgery get the medication from the hospital staff as well with including the include the name, strength, and how often you take the medications.
- If you use the breathing exercise so have this in the hospital as well because the patient needs it just after the surgery and don’t bring the credit card, jewelry, newspapers and other belongings.
During the Surgery of Hip Treatment:
First the patient will take into the operation room and give anesthesia and after the effect of it, the skin around the upper thigh is scrubbed because of the antiseptic liquid and after it the incision of appropriate size is made over the hip joint.
Inserting the Implant
the socket portion of the implantation is attached either by using a special kind of epoxy cement of bones or by pressing the implant into the socket so it fits very tightly in the place of the friction most of the implantation has the special surfaces with pores and allow the bone to grow into them even hold the implant in the right place and the placement is totally depended on the condition of the patient’s bone because on the premises of it the patient will screw to help and hold the implantation in the right place.
Whenever the portion of the shell of the socket implant in the right place so the plastic liner is locked into the same place inside the shell.
Replacing the Ball Portion of the Joint
The long metal stem means during the implantation that replaces the ball and fit down into the femur and the ball stands on the stem of the top.
Clearing and Shaping the Canal
The bone of the upper leg is soft and porous bone tissue around the center and this part is called cancellous bone it surrounds the canal basically contains the blood fatty tissues and the vessels and many more.
For the cleaning special instruments are used and after it the mold and fit it inside the walls of the canal basically the use of it to fit the shape of the implant stem.
Closing the Wound
When all the implants are in place, the surgeon places the new ball that is now part of the upper leg bone into the new socket that is secure within the pelvic bone. If necessary, the surgeon may adjust the ligaments that surround the hip to achieve the best possible hip function.
When the ligaments are properly adjusted, the surgeon sews the layers of tissue back into their proper position. A plastic tube may be inserted into the wound to allow liquids to drain from the site during the first few hours after surgery. After the tube is inserted, the edges of the skin are sewn together, and a sterile bandage is applied to the hip. Finally, the patient is taken to the recovery room.
The Following are the Types of Hip Surgeries performed at We Care India partner Hospitals :
Frequently Asked Hip Replacement Questions
The page is the description of the hip replacement and the main idea of this page is the questions that the patient should ask the doctor and the page will not provide the complete information and for information, the patient can check with the surgeon’s office and the other patient education material. Read More....
What causes hip pain?
What is a hip replacement?
In a total hip replacement surgery, the painful parts of the damaged hip are replaced with artificial hip parts called a prosthesis, a device that substitutes or supplements a joint. The prosthesis consists of steel components: a socket, ball, and stem. The outer shell of the socket is usually made of metal and the inner shell consists of plastic, or the entire socket may be plastic. When the metal ball is joined with the socket, the new hip can allow for smooth, nearly frictionless movement.
How do I know if I need a hip replacement?
The main sign or the indication that you need a hip replacement surgery is when the patient face difficulty walking or performing day to day activity so it means that your body is demanding the hip replacement surgery.
Most of the time doctor doesn’t allow or suggest the hip replacement for as much as possible because of the less invasive treatments and if any of the patient is dealing with the problem of the joint pain disease so, in that case, hip replacement is the best option to relief from the pain and after the surgery the patient can easily return to the normal life.
How do I prepare for hip replacement surgery?
After the discussion if you and your doctor decided to have a hip replacement surgery is the perfect choice for your condition so on the basis of it a date to you for the surgery before the surgery some of the examination will take by your physician and this procedure will help for the other health problems for example high blood pressure basically the doctor identified it and treated it before the surgery.
You doctor may suggest that you lose weight and initiate an exercise program. If you smoke, be sure to speak with your doctor about it, as smoking can dangerously increase surgical risks and slow down the healing process.
You should also finish any dental work that may be underway to prevent germs in your mouth from entering the bloodstream and infecting the joint. It is likely that you will need blood during hip surgery, and your surgeon may place an order with the blood bank in case a transfusion is needed. If you prefer, or if your surgeon feels it is needed, you may want to donate your own blood ahead of time to reduce the risk of your body reacting to the blood transfusion. Read the Surgery Calendar for more information on how to prepare for surgery.
How long does the surgery take? What is the recovery time?
In the weeks immediately following surgery, you may need walking aids such as a cane or crutches. Within a few months, however, you should be able to return to normal activities.
For more information, please read, Your Hip Surgery and After Hip Surgery.
How is the implant affixed in the body?
- Bone Cement : - A special type of bone acrylic cement may be used to secure some or all of the implant components to the bone. If used, the bone cement takes about 15 minute to set.
- Press-Fit : - In other cases, the implants may be “press-fit” into the bone. Press-fit components may have a special porous coating that allows tissue to grow up to it for fixation.
- Combination : - In some cases, your surgeon may choose a combination of cement and press-fit attachment, depending upon the implant components and condition of the pelvic and thigh bone.
The use of press fit component is depending on the many factors with including the patient condition, manufacture’s intended and the use of the product.
What can I expect after surgery?
After the surgery when you come back at the hospital room so the next thing that will take place as the rehabilitation program basically the activity of the new hip and regain your range of motion and at the time or on the day of the surgery you will on the edge of the bed and the dangle your feet and you will learn how to protect or concern the day to day daily activity with the new hip.
Within the 24 hours after the operation the next thing that will hit in your mind how to walk or performed the day to day life and with a occupational therapist will also how to perform daily tasks at home with new hip basically the staff will teach you how to go to the bathroom, how to dress yourself, how to sit or stand, how to pick up objects and many others.
After two or three days after the surgery, the patient will discharge but the rehabilitation facility and the therapy will continue but when you come back to your home so you need to continue taking your regular medication and continue exercising as directed by doctor or surgeon. Walking and the other practical exercises are the best and fastest way to have the complete recovery.
How long will a joint replacement last?
Longevity of the prosthetic hip varies from patient to patient. It depends on many factors, such as a patient's physical condition, activity level, and weight, as well as the accuracy of implant placement during surgery. It is useful to keep in mind that prosthetic joints are not as strong or durable as a natural, healthy joint, and there is no guarantee that a prosthetic joint will last the rest of a patient's life.
As with car tires or brake pads, the rate of wear depends partly on how the hip joint is used. Activities that place a lot of stress on the joint implants, as may be the case with heavier and more active patients, may reduce the service life of the prosthesis. Implant loosening and wear on the plastic portions of the implant can lead to the necessity for revision surgery to replace the worn components, or all of the components. Your doctor will be in the best position to discuss these issues with you, taking into account your particular clinical circumstances, the type of implants used, and your post-surgical lifestyle.
Talk with your doctor about the following points, and how they might affect the longevity and success of your hip replacement : -
- Avoiding repetitive heavy lifting
- Avoiding excessive stair climbing
- Maintaining appropriate weight
- Staying healthy and active
- Avoiding "impact loading" sports such as jogging, downhill skiing and high impact aerobics
- Consulting your surgeon before beginning any new sport or activity
- Thinking before you move
- Avoiding any physical activities involving quick stop-start motion, twisting or impact stresses
- Avoiding excessive bending when weight bearing, like climbing steep stairs
- Not lifting or pushing heavy objects
- Not kneeling
- Avoiding low seating surfaces and chairs.
Will an implant set off a metal detector?
Patients have reported mixed experiences at airports: some detectors go off and some don't.
You may be provided with a special card to keep in your wallet explaining that you have a hip implant.
Are there any complications?
Some common complications specific to hip replacement surgery include loosening or dislocation of the implant and a slight difference in leg length.
Your healthcare team will discuss these possible complications with you and the precautions taken against them.
How old is the average patient?
In the U.S., the average joint replacement patient is around 65-70 years old, however patients of all ages have received hip implants.
Will a hip implant last a lifetime?
The longevity of a prosthetic hip (how long it will last) varies from patient to patient. It depends on many factors, such as a patient's physical condition and activity level, body weight and the surgical technique. A prosthetic joint is not as strong or durable as a natural, healthy joint, and there is no guarantee that a prosthetic joint will last the rest of a patient's life. All prosthetic hips may need to be revised (replaced) at some point.
What activities can I do or not do after receiving a hip implant?
Typically, patients are advised to avoid high impact sports such as jogging, basketball, racquetball, gymnastics, etc.
Safer activities may include walking, golf, swimming, and bicycling.
Your doctor will advise you on safe activities for your particular condition.
What about sex?
Most of the time the doctor allow the patient to have any of the sexual activity when they feel comfortable Within the couple of the months the with the following surgery the patient is allowed to take it easy and modify their positioning to keep and have the pressure off to the joint when the healing procedure is taking place. But remember one thing and that is always one thing keep in the mind and that is whatever the condition and the particular condition always concern to your surgeon or the doctor.
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