Management Team

Hip Replacement

Overview

Hip replacement or hip arthroplasty is a surgical method in which an artificial joint is inserted as a replacement for a damaged or diseased hip joint. Such artificial joints are usually made of materials like metal, polyethylene, or ceramics. The procedure is carried out in order to relieve pain, restore functionality, and ultimately improve the quality of life for patients.

Hip replacement surgeries are usually indicated for conditions like:

  • Severe osteoarthritis (OA): a common condition involving cartilage breakdown and pain.
  • Rheumatoid arthritis (RA): a type of autoimmune condition that causes hip joint inflammation and damage.
  • Post-traumatic arthritis: this occurs due to a hip injury or fracture.
  • Avascular necrosis: reduced blood flow to the hip bone resulting in bone death and joint damage.

Non-surgical treatment methods include:

  • Physical therapy: The mobility and strength of the supporting muscles can be enhanced using targeted exercises.
  • Medications: Pain-relieving and anti-inflammatory drugs may be recommended to alleviate symptoms.
  • Weight management: Helps reduce strain on the joints.
  • Injections: Corticosteroids or hyaluronic acid to relieve pain and inflammation.

Preoperative Preparation:

  • Evaluation: Comprehensive assessment of overall health.
  • Anaesthesia Planning: Determining the most suitable anaesthesia approach.
  • Rehabilitation Planning: Preparing for post-surgery rehabilitation.

Surgical Procedure:

  • The surgeon removes damaged portions of the hip joint, replacing them with an artificial implant.
  • Typically performed under general or regional anaesthesia, this procedure takes about 1–2 hours.

Postoperative Care:

  • Rehabilitation: Physical therapy begins right after surgery to restore strength, mobility, and function.
  • Pain Management: Medications and techniques to control post-operative pain and swelling.
  • Lifestyle Adjustments: Activity recommendations, use of assistive devices, and joint care guidance to support faster recovery and prevent complications.

Long-Term Management:

  • Regular Follow-Ups: Routine check-ups with the orthopaedic surgeon to monitor the hip implant and joint health.
  • Physical Therapy: Ongoing therapy to maintain flexibility and muscle strength, aiding long-term recovery.

  • Infection  
  • Blood clots  
  • Tissue or nerve damage  
  • Fractures in the surrounding bone
  • Loosening and/or dislocation of the implant
  • Alterations in leg length

Generally, hip replacement surgeries are associated with excellent patient outcomes. They greatly enhance the quality of life of most patients, markedly decreasing hip pain and enhancing hip mobility. Successful outcomes rely on thorough preoperative planning, surgical expertise, adherence to rehab protocols, and ongoing joint care. Often, complete recovery requires 3–4 months; of course, this duration varies from patient to patient. Surgeons recommend that patients avoid high-impact activities (jumping or running); nevertheless, low-impact activities, such as walking, swimming, and driving, are advised as forms of physical therapy. Usually, hip replacements can last for several years.

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