Hip arthroplasty

Joint replacement or hip replacement

Definition: This surgery is performed to replace all or part of the hip joint with an articulating device (prosthesis).

Alternative Names: Hip arthroplasty (total hip replacement)

Know More about Hip Replacement Implants

Hip Arthroplasty - A surgical process for joint replacement components with implants. The reasons for which you may need to perform such an operation are:

• Rheumatoid arthritis - A chronic inflammatory disorder affecting many joints. 
• Fracture of the femoral neck, as well as their consequences (post-traumatic arthrosis and false joints);
• Hip dysplasia - enlargement of an organ or tissue by the proliferation of cells.
• Coxarthrosis (primary and secondary coxarthrosis);
• Avascular necrosis (aseptic necrosis of the head) - the death of bone tissue due to a lack of blood supply. 

Modern Hip are complex technical products. Cementless fixation prosthesis consists of a head, legs, and the cup and liner. Cemented endoprosthesis consists of the same elements as the cementless, acetabular component is not only divided into the cup and liner, and is solid. Each element has its own size range which one selected by the surgeon during surgery according to your need.

Hip prosthesis differs in the type of fixing to:

• implants fixation;
• cemented prosthesis;
• hybrid fixation of the prosthesis

Depending on the joint are replaced with all the elements or not distinguish pervasive prostheses and pole.

The hip replacement node friction endoprosthesis is that the interaction between than in the artificial hip joint. The quality and type of materials that are used in friction units determine the service life of the implant.

The endoprosthesis of the hip joint by type of friction pairs can be divided into:

• metal-metal;
• metal-polyethylene;
• Ceramic-ceramic;
• ceramic-polyethylene.

Hip replacement surgery

After you receive anesthesia, the surgeon will make a surgical incision to open the hip joint. This incision is often made on the buttocks. Then the surgeon:

• It will cut and remove the femoral head.
• Clean out your hip socket and remove the remaining cartilage and damaged or arthritic bone.
• Put the new hip socket in place, a coating is placed on the new acetabulum.
• You insert the metal stem in the femur.
• It placed the ball right size for the new joint.
• It will ensure all new parts in place, sometimes with a special cement.
• Repair the muscles and tendons around the new joint.
• Close the surgical incision.
• This surgery takes approximately 1 to 3 hours.

After Hip Replacement Surgery

Rehabilitation

The ability to carry out the movement in the bed are allowed after the first day after surgery. It is allowed to sit down in bed, doing breathing exercises, and perform simple exercises for the muscles. Moving on their feet with the help of an instructor is possible from the third day after surgery, walking is carried out with the help of crutches. Sutures are removed in 10-12 days after surgery.

Returning home after a hip replacement

Extract home is usually done after 10-12 days. Returning, it is worth to continue rehabilitation activities nature, observing all the necessary recommendations. If necessary, it is possible to continue the restoration of the center under the guidance of doctor-traumatologist.

At home, you must follow a few rules, reducing the risk of various complications:

• When you sit, your knees should be below the level of the hips, this puts a pillow on a chair;
• Do not cross your legs or sitting or lying down;
• Do not lean forward, always stand up straight with your back flat;
• sit down on a chair, feet slightly apart.
• Follow your doctor recommended mode of transportation on crutches;
• Going up and down the stairs, follow the railing;
• Wear shoes with non-slip soles and low heels;
• When you visit, your doctor be sure to say that you have an artificial joint;
• Do not hesitate to ask your surgeon if you have any pain at the site of surgery or increased overall body temperature.
• Of course, most of these recommendations are not lifelong but act only for 6-8 months after surgery.

Please Remember

• Do not forget that the prosthesis is not eternal. Like any other machinery, tend to wear it. The term of service of the prosthesis can be up to 15 years.
• The rate of wear of the prosthesis is largely determined by the operating conditions of the patient. Do not lift weights and to engage in active sports.
• Not recommended exercises in sports such as tennis, skiing, etc. Swimming and walking are permitted. It is important not to forget to monitor their own weight.