Hip Replacement

Total Hip Replacement

Hip replacement has become necessary for your arthritic hip: this is one of the most effective operations known and should give you many years of freedom from pain.

Once you have arthritis which has not responded to conservative treatment,you may well be a candidate for total hip replacement surgery.

Indications

THR is indicated for arthritis of the hip that has failed to respond to conservative (non-operative) treatment.

You should consider a THR when you have

  • Arthritis confirmed on X-ray
  • Pain not responding to analgesics or anti-inflammatories
  • Limitations of activities of daily living including your leisure activities, sport or work
  • Pain keeping you awake at night
  • Stiffness in the hip making mobility difficult

Benefits

Prior to surgery you will usually have tried some simple treatments such as simple analgesics, weight loss, anti-inflammatory medications, modification of your activities, walking sticks, physiotherapy.

The decision to proceed with THR surgery is a cooperative one between you, your surgeon, family and your local doctor. Benefits of surgery include

  • Reduced hip pain
  • Increased mobility and movement
  • Correction of deformity
  • Equalization of leg length (not guaranteed)
  • Increased leg strength
  • Improved quality of life, ability to return to normal activities
  • Enables you to sleep without pain

Hemiarthroplasty of hip

Hip hemiarthroplasty is a procedure used to treat hip fractures that is like a total hip replacement but only part of the hip is replaced. While this procedure is used to treat hip fractures, it is also used to treat hip arthritis. The recovery process is very similar to that of a total hip replacement. You will have to go through physical therapy to regain both strength and flexibility in the hip. If the operation is successful and there are no complications, you should enjoy a long, healthy use of your new hip.

Procedures

During a hip hemiarthroplasty, the head of the damaged thighbone (femur) is replaced with an implant that stabilizes the femur while restoring function to the hip. When the head of the femur is removed, the inside of the femur is hollowed out, and a metal stem is placed snugly inside the femur. Unlike a total hip replacement, only the ball or head of the femur is replaced. In a total hip replacement, both the ball of the femur and the entire hip socket are replaced.

This procedure is done either under general anesthesia, meaning you will be asleep, or with a regional anesthetic, which means your legs will be numb, but you will be awake.

Diagnosis

If you have fractured your hip or have serious hip arthritis, a complete hip replacement may be necessary to restore function to your hip. If the femoral head is broken, but the acetabulum is intact, you may be a good candidate for a hemiarthroplasty.

Petients Says