Hip replacement surgery involves replacing the hip joint of the patient with a prosthesis. There are two main types of surgery:
● Total hip replacement
● Partial hip replacement
Even if they have the same procedure, they are performed to treat different conditions.
Total hip replacement generally is used for the treatment of bone diseases such as rheumatoid arthritis or osteoarthritis. Total hip replacement surgery is performed because these two diseases have the risk of affecting the hip socket (acetabulum) and femur.
In addition; hip replacement surgery is performed for the treatment of patients with a broken femur. In this surgery, the head of the femur is replaced with a prosthetic implant.
Hip replacement surgery, which is the most common orthopedic surgery of today, is a solution for patients with hip fractures and arthritis pain. In 2014, 332,000 people had this operation in the USA alone.
Hip replacement surgery is recommended if one or more of the following options are available:
● Rheumatoid arthritis
● Avascular necrosis
● Hip fractures
● Certain bone tumors
● Traumatic arthritis
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Hip Replacement (33 Clinics)
You cannot be a candidate for hip replacement surgery if you have at least one of the following conditions:
● Poor health
● Very high risk of infection
● Muscle weakness
● Parkinson’s disease
● Serious weight problems
Patients should stay away from omega-3 food supplements or capsules, herbal or green teas, anti-inflammatory drugs, and aspirins or any kindof blood thinners 15 days before the surgery.
The operation is performed under general anesthesia, and the incision is made to reach damaged joints. Then the surgeon starts to remove the forum head and continues to engrave the acetabulum (hip socket). When these parts of the hip are removed, and the femur is ready for the implant, the surgeon will start to place the implant, the femoral stem firmly adheres to the patient's femur. The surgeon verifies the patient's range of motion when the patient is implanted. When the desired result is obtained, the surgeon closes the incision, and the healing process can begin.
Partial and total hip replacement surgeries are similar but to some extent. The only difference is that the acetabulum is not engraved and there is no replacement with a prosthesis. During this operation, only the femoral head is replaced.
After surgery, the patient should stay in the hospital for 4 days. The patient can stand, walk, or sit within one to two days. The average healing time of hip replacement surgery is 4 to 5 months.
From the first day after the operation, the patient is required to receive physical therapy. For the operation to be successful, continuous exercise and consultation with the therapist are necessary. During the healing process, sports such as tennis, running, and basketball should be avoided.
Complications of a hip replacement can include:
● Hip dislocation
● Hip loosening
● Periprosthetic fracture
It should be noted that hip replacement problems are rarely observed, and complications are few.
The patients may experience some pain in the operating place after a few days from surgery. Also, patients may have nausea due to anesthesia, bruising, and some bleeding.
The success rate of replacement procedures is around 90 and 95%, 10 years after the surgery.
Yes, a minimally invasive technique is called hip resurfacing. Eligibility for this procedure depends on the patient’s type of injury.
How long does the prosthesis last?
There is a 90 to 95% success rate 10 years after the surgery, but some hip replacements can last up to 30 years.
What are the main types of hip replacements?
There are three main types of hip replacements, each having advantages and disadvantages:
● Metal on plastic
● Ceramic on plastic
● Metal on metal.
The material choice is usually made with the help of your surgeon.