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Hip Surgery Replacement

Hip Surgery Replacement

In recent decades, hip replacement surgeries have become more and more popular, with over 300,000 performed each year in the United States. Many times, when a person has worn out cartilage or bone damage in the hip joint, doctors will recommend total hip replacement surgery. The result is usually increased mobility and less pain for the patient.

This surgery can be complicated, and it requires some serious recovery time. It is not recommended for people with weak bones or poor general health. Sometimes doctors will recommend physical therapy instead of surgery. Still, if that doesn't solve the problem, they may suggest surgery.

What is hip replacement surgery?

Your hips are large ball-and-socket joints that support most of your body's weight. The rounded head of the thigh bone (femur) fits into the cup-shaped socket (acetabulum) in the pelvis. Over time, the cartilage (smooth covering on ends of bones) that protects and cushions these bones can deteriorate. This breakdown can result in pain and discomfort or might limit your ability to move around easily.

Hip replacement surgery involves replacing a damaged, worn, or diseased hip joint with an artificial joint called a prosthesis. Hip replacement surgery is a major operation, and it's rarely performed until all other treatments have been tried.

If nonsurgical treatments such as medication, physical therapy, and using walking aids don't relieve your hip pain, you may consider total hip replacement surgery to replace both the ball and socket with artificial parts. The goals of hip replacement surgery are to relieve pain and restore function. Hip replacement surgery may also be performed for hip fractures, rheumatoid arthritis, avascular necrosis (bone death caused by poor blood supply), and certain types of benign (non-cancerous) bone tumors. To learn more about hip replacement surgery, get in touch with Dr. Scott L. Russinoff, MD Knee & Hip Replacement Specialist.

Symptoms You Need Hip Replacement Surgery

Hip Surgery Replacement

You may be a candidate for a hip replacement if you have any of the following symptoms:

  • You have a fracture that does not heal.
  • You have severe arthritis.
  • Chronic hip pain that interferes with normal daily activities and sleeps.
  • Pain in your leg that radiates down to your foot and toes.
  • Hip pain that causes you to limp while walking or walk with a cane or crutch.
  • Hip pain that is not relieved by rest, medication, physical therapy, or steroid injections.
  • Stiffness in the hip joint.
  • Inability to perform basic activities of daily living (ADLs) such as showering, dressing, cooking, cleaning, and even sleeping due to lack of mobility caused by pain.

Reasons to Have a Hip Surgery Replacement

For many people, a total hip replacement is a life-changing procedure. It can relieve pain, improve mobility, and increase the range of motion in your hip. Here are some common reasons why a person would need total hip replacement surgery:

Arthritis
The two most common types of arthritis that affect the hip joint are osteoarthritis and rheumatoid arthritis. Osteoarthritis occurs when the protective cartilage that cushions the ends of your bones wears down over time. Rheumatoid arthritis is an autoimmune disease that occurs when your immune system attacks the lining of your joints (synovium). Here’s more about these two types of arthritis:

  • Osteoarthritis is the most common reason for hip replacement surgery. Arthritis causes long-lasting pain and swelling in the cartilage that cushions the ball-and-socket joint in your hip. It can also make it difficult to move or lift things. The severity of arthritis can vary from person to person. Some people have no symptoms, while others have so much pain and stiffness that it interferes with their daily activities.
  • Rheumatoid arthritis is another type of arthritis that can cause serious damage to your joints. It happens when your immune system attacks the lining of your joints and causes inflammation in other parts of your body as well.

Avascular necrosis
Avascular necrosis occurs when the blood supply to the femoral head does not reach it properly, and the bone starts dying. In a normal functioning hip joint, this would not happen because the blood would provide it with what it needs in order to remain healthy. Without blood, the bone starves and will eventually die.

Once this happens, there is nothing that can be done to save your bones, and they must be replaced with artificial ones. The surgery is called total hip arthroplasty. It involves removing your old bones and replacing them with artificial ones made out of ceramic or steel materials.

Hip fractures due to Injury
Hip fractures often cause pain, discomfort, immobility, and other problems. A broken or dislocated hip is usually caused by blunt force trauma to the area — like falling off a ladder, crashing a bicycle, or getting into a car accident. These types of injuries may require a total hip replacement if there's severe damage to the bone or cartilage (tissue that cushions bones) inside your hips.

The function of the hip joint is to support the weight of your body when you are standing, walking, and running. It also helps you bend and rotate your leg. When you fall, if there is not enough strength in your bones to withstand the impact, your bones may fracture. This is especially likely if you have weakened bones due to osteoporosis or other diseases or conditions that decrease bone strength. Most people with hip fractures are older adults with osteoporosis, which weakens bones.

What To Expect in a Hip Replacement Surgery

Before going for a hip surgery replacement, it is important to know that the patient will spend at least a month in the hospital. It usually takes about 6 months for the patient to walk again.

Patients are either given general anesthesia or local anesthesia before the procedure. General anesthesia puts the patient to sleep while local anesthesia only numbs the area where the incision is made.

During hip surgery replacement, damaged cartilage and bone are removed from the hip joint and replaced with artificial parts. These parts could be metal or ceramic, which are durable and strong materials that can last long without wearing out or getting damaged. These artificial parts are attached to the bone using surgical cement or bone screws. Hip surgery replacement can help patients with severe pain caused by arthritis and other conditions. This type of surgery can also be recommended for patients who have difficulty doing everyday activities like walking, climbing stairs, getting up from a chair, or lying down on a bed due to hip pain.

After hip surgery replacement, patients are advised to exercise regularly as part of their rehabilitation program to gain back strength and movement in their legs. However, people who have undergone this procedure should avoid exercises that require them to twist their hips or bend forward too much because it may dislodge the artificial parts.


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