HIP JOINT REPLACEMENT
It is the largest ball-and-socket joint. The socket is formed by the acetabulum of the pelvis bone. The ball is the femoral head, which is the upper end of the thigh bone.
A smooth tissue called articular cartilage, lines the surfaces of the joint hence enabling them to move smoothly & easily. Synovial membrane surrounds the hip joint, which secretes synovial fluid that lubricates the joint. Ligaments & capsule connects the ball to the socket and provide stability to the joint.
Causes of Hip pain:
- Osteoarthritis
- Rheumatoid arthritis
- Post traumatic arthritis
- Avascular necrosis
- Congenital Hip dislocation
Total Hip Replacement
The damaged bone and cartilage is removed and replaced with prosthetic components.
Pre op Evaluation:
- Clinical examination
- X rays of the hip joint
- Blood investigations
- CUE
- Chest x ray
- ECG
- 2D echo
- Physician and cardiologist opinion
- Anaesthetic check up
On the day of surgery:
- Surgery takes around 1 ½ to 2 hours for hip replacement.
- Patients are kept in ICU overnight if warranted
Hip Replacement Procedure:
- The damaged femoral head is removed and replaced with a metal stem. The femoral stem is either cemented or uncemented into the bone.
- A metal or ceramic ball is placed on the upper part of the stem.
- The damaged cartilage surface of the socket (acetabulum) is removed and replaced with a metal socket that is secured with screws or cement.
- A plastic, ceramic, or metal spacer is inserted between the new ball and the socket to allow for a smooth gliding surface.
Postoperative period:
- Patient is made to walk with help of walker by the physiotherapist
- Strengthening exercises are taught during the hospital stay
- Hospitalization is for 3-4 days
- It will take 4-6 weeks on an average to get back to normal and walk independently with walker depending on individuals.
Complications:
Intraoperative:
- Damage to neurovascular structures
- Fractures
Post operative:
- Thromboembolism
- Infection
- Dislocation of hip
- Leg length discrepancy
Late complications:
- Infection
- Aseptic loosening
- Periprosthetic fracture
Patient Testimonials:
- I’m very glad to share my experience with Dr.Naveen Reddy Ortho. I underwent Total Hip Replacement (THR) surgery by Dr.Naveen Reddy Ortho. He is the best hip replacement surgeon in Hyderabad.I’m very happy after surgery. There has been no pain after surgery and the leg length has been corrected accurately.
Dr.Naveen Reddy’s good attitude and caring behaviour itself will give you half relief. My family is very thankful to Dr.Naveen Reddy. The hospital staff had provided me the best medical services. The extreme care is taken by the doctor. In my view Dr.Naveen Reddy Ortho is the best place for hip replacement surgery in Hyderabad. — Megha
- I was treated by Dr. Naveen Reddy Ortho for my back pain. I am very happy as my pain has disappeared after undergoing physiotherapy and with minimum medicines prescribed by the doctor. Now day’s doctors used to write lot of medicines for small complaints, but this doctor will suggests us to do exercises. I am very happy. Best Orthopedic Doctor in Hyderabad. — Vinay
HIP REPLACEMENT VIDEOS:
Total Hip Replacement
