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Arthritis is the most common cause for hip replacement surgery.
A degenerative joint disease found mostly in middle-aged and
older adults called Osteoarthritis, causes the collapse of
joint cartilage and adjacent bone in the hips. Rheumatoid
arthritis that leads to pain and stiffness, due to inflammation
of the synovial membrane that results in excessive synovial
fluid. Traumatic arthritisis due to injury, can cause damage
to the articular cartilage of the hip.
Preparations for the hip replacement surgery
Your physician may perform a complete physical examination,
including x-rays to make sure that you are in good health
before undergoing surgery in addition to a complete medical
history.
Procedure to replace with an artificial hip
Usually surgery to replace a hip lasts for a few hours and
it uses either cemented prostheses or uncemented prostheses
as they are the two most common types of prosthesis available
A hip prosthesis is made up of metal and plastic. Surgical
cement is used to attach to the bone in case of cemented prosthesis
where as in uncemented prosthesis bone is attached with a
fine mesh of holes on the surface, in order for the bone to
grow into the mesh and attach naturally to the prosthesis.
Surgery is usually carried out under general anesthesia or
with spinal anesthesia.
Precautions after surgery:
Several days in hospital stay is required by this kind of
surgery. The patient begins to regain mobility with the help
of physical therapy exercise. Patient is also relieved from
pain and made comfortable with the help of medication
The incision will have stitches or staples that will be removed
after a few weeks.
Certain modifications need to be made at home for speedy recovery.
These modifications include the following:
Appropriate handrails along all stairs along with safety handrails
in the shower or bath
Raised toilet seat
Shower bench or chair as required for safety along with long-handled
sponge and shower hose
Firm pillows to raise the hips above the knees when sitting
Stable chair with firm seat cushion and firm back with two
arms, which will allow your knees to be positioned lower than
your hips.
Risks associated with hip replacement:
Formation of blood clots in leg veins due to injury to the
veins during surgery or from decreased blood flow. Compression
devices, such as elastic stockings, and exercise to increase
blood flow through the veins thus providing a good relief
Risk of infection is very highr at the site of incision and
in the deeper tissue near the new hip joint.
Breakage of the prosthesis is a rare possibility as it takes
several years to disintegrate.. .
Loosening and stiffening of your hip joint which may cause
pain and stiffness in your hip and may make it difficult to
move.
The worst possibility could be change in length of your leg
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