WHAT IS HIP REPLACEMENT SURGERY?
Hip replacement surgery, also known as total hip arthroplasty, is surgery to replace a worn-out or damaged hip joint. The hip replacement surgeon replaces the old joint with an artificial joint (prosthesis).
One may be suggested for total hip replacement surgery after a hip fracture or for severe pain because of arthritis.
INDICATIONS
- Avascular necrosis of hip
- Osteoarthritis of Hip
- Hip arthritis following previous trauma/infection (Fracture neck of femur, Acetabular fractures)
- Rheumatoid arthritis with multiple joint involvement
WHAT THE HIP REPLACEMENT SURGERY ENTAILS
In a total hip replacement, the damaged bone and cartilage is removed and replaced with prosthetic components.
Hip replacement usually requires a stay in a hospital. Surgery and the procedure may vary depending on the condition and takes a few hours. The image above shows what exactly is done in this surgery.
(Left) – The individual components of a total hip replacement.
(Center) – The components merged into an implant.
(Right) – The implant as it fits into the hip.
BEARING SURFACES
There are 3 types of bearing surfaces available for artificial hip joint.
- Metal on Poly
- Ceramic on Poly
- Ceramic on Ceramic
Selection is done depending on:
- Age of the patient
- Bone quality
- Activity level and expectations of patient post-surgery
DUAL MOBILITY JOINT
Hip instability following total hip arthroplasty (THA) remains a major challenge and is one of the main causes of revision surgery. Dual mobility (DM) implants have been introduced to try to overcome this problem. Its special joint indicated for selected situations:
- Fracture neck of femur in old age
- Chances of Instability/Dislocations (Chronic alcoholics, Spasticity, Neuromuscular disorder)
- Revision Hip Replacement
BILATERAL HIP REPLACEMENT
Most common indication of hip replacement in India is Avascular Necrosis. Usually it happens in young patients and is bilateral.
So, in selected young patients with bilateral severe (Grade-4) AVN hip Bilateral THR is an option.
Unlike TKR its relatively rare and performed only in selected centres with clinical expertise.
RECOVERY TIME
The success of your surgery will depend in large measure on how well you follow your orthopaedic surgeon’s instructions regarding home care during the first few weeks after surgery. In almost all cases post surgery we allow weight bearing within 2 days of surgery. Initially 2 weeks patient may require to walk with walker/stick (external support). Usually patient starts walking without support at 4 weeks post surgery.
CASES OF PRIMARY HIP REPLACEMENT
Primary Total Hip Replacement - After neck of femur (NOF)
Primary Total Hip Replacement (In failed acetabular platting)
Primary Total Hip Replacement (In primary AVN)
CASES OF BILATERAL TOTAL HIP REPLACEMENT
Bilateral THR
Bilateral THR
LOOKING FOR A TOTAL/PRIMARY HIP REPLACEMENT SURGERY IN AHMEDABAD?
Dr. Rachit Sheth is a Consultant Orthopedic Surgeon in Ahmedabad, specializing in total knee replacement and hip replacement surgery including primary and revision surgery. He and his team of hip replacement surgeon in Ahmedabad, have been treating normal to complex cases with hip replacement surgeries with most success ratio.
For appointment or consulting for hip surgery in Ahmedabad, you can contact us.