Total Hip Replacement

Joint Replacement Surgery is an intricate procedure often performed for severe joint pain that fails to react to more customary and conservative methods. Replacement surgeries are usually done for the hip, shoulder or knee. In a total joint replacement, the worn-out joint is removed and substituted with a metal, plastic or ceramic device, which is referred to as a prosthesis.

The prosthesis is designed in a way to replicate the movement and functions of a normal, healthy joint. These artificial joints move just similar to regular joints, and they are made of sturdy metal and plastic to fit and work together smoothly. The length and duration of the relief often depend on the individual and case to case basis, but replacement joints usually last for more than a decade.

Hip Replacement

The hip is one of the largest joints of the human body. The joint involves a ball-and-socket. The socket is made up of the acetabulum, which forms part of the large bone of the pelvis. The ball is the femoral head, and it forms the upper end of the femur, which is the thighbone.

The ball and socket bone surfaces are covered with articular cartilage. Articular cartilage is a smooth tissue, and it provides cushions to the ends of the bones and helps them to move and function easily.

A thin tissue surrounds the hip joint referred to the synovial membrane. In a healthy and fully functional hip, this membrane creates a small quantity of fluid that lubricates the cartilage. The lubricant, in turn, eradicates almost all friction when a hip moves.

Ligaments (the hip capsule), which are bands of tissue, join the ball to the socket and gives stability to the joint.

Total hip replacement surgery is often a preferred choice after the fracture of the hip or for too much pain due to arthritis.

Manipal hospital is the best orthopedic surgery hospital in Whitefield, Bangalore having best hip replacement surgeon in Whitefield, Bangalore.

Common Causes of Hip Pain

The most common cause of severe hip pain and disability is arthritis. There are several types of arthritis which affect the hip joint. Some of these include Osteoarthritis, rheumatoid arthritis, and traumatic arthritis.

  • Osteoarthritis: This is a “wear and tear” type of arthritis and is often age-related. It more commonly occurs in people who are more than 50 years of age and older and in people with a history of arthritis running in the family. The cartilage support of the bones of the hip wears away. The bones then start rubbing against each other, and it leads to severe hip pain and stiffness. Osteoarthritis is also caused or aggravated by irregularities in how the hip developed during childhood.

  • Rheumatoid Arthritis: This is an autoimmune disease in which the synovial membrane becomes inflamed and thickened. This chronic inflammation can damage the cartilage, leading to pain and stiffness. Rheumatoid arthritis is the most common type of a group of disorders termed “inflammatory arthritis.”

  • Post-traumatic Arthritis: This often follows a critical hip injury or fracture. The cartilage becomes damaged and leads to hip pain and stiffness over time.

  • Avascular Necrosis: Hip injury, such as a dislocation or fracture, impairs the blood supply to the femoral head. This is called avascular necrosis (also popularly referred to as “osteonecrosis”). The lack of blood causes the surface of the bone to crumple and results in arthritis. Some diseases can also cause avascular necrosis.

  • Childhood Hip Disease: Some infants and children develop hip problems. Even though the issues are effectively treated during childhood, they may still sometimes cause arthritis later on in life. This happens because the hip fails to grow normally, and the joint surfaces get affected.

In hip osteoarthritis, the smooth articular cartilage wears away and becomes frayed and rough.

In a total hip replacement (also known as total hip arthroplasty), the worn-out bone and cartilage are removed and replaced with prosthetic components.

What Happens During Hip Replacement Surgery?

  • The worn-out femoral head is done away with and is replaced with a metal stem which is put into the hollow centre of the femur. The femoral stem is then either fixed or “press-fit” into the bone.

  • A metal or ceramic ball is kept on the stem’s upper part. This ball replaces the worn-out femoral head that was removed.

  • The worn-out cartilage surface of the socket (acetabulum) is removed and replaced with a metal socket. Many times, screws or cement are taken help of to hold the socket in place.

  • A metal, plastic or ceramic spacer is put in between the new ball and the socket to enable for a smooth gliding surface.

  • The incision is sealed with stitches or surgical staples.

Post-surgery Recovery & Care

Time taken for total hip replacement surgery is about one and a half hours. Most patients also often stay in the hospital for one or two days after the procedure. Once the patient is home, it is vital to keep the area of the surgery clean and dry. It is also essential to religiously follow all the instructions of the doctor provided at the time of discharge.

What Are The Risks of Hip Replacement Surgery?

All surgeries have complications. Some likely complications may include:

  • Bleeding

  • Infection

  • Blood clots in the legs or lungs

  • Dislocation

  • Need for revision or additional hip surgery

  • Nerve injury that causes weakness, numbness, or both

Total Hip Replacement Surgery at Manipal Hospital Whitefield, Bangalore

Manipal Hospital is the best total hip replacement surgery Hospital Whitefield, Bangalore, we are renowned as a care provider with one of the lowest rates of complications and infection for hip replacement surgery. Our expert team of surgeons routinely performs hip replacement surgeries. The team comprises of clinicians who solely focus on health problems of the bones, joints and soft tissues like muscles.

We are also known for the very high success rate for hip replacement surgery in the city of Bengaluru and the entire state of Karnataka. We take care of our patients even after post-discharge and arrange for continuation of support until one regain muscle strength and a good range of motion. Numerous patients increased their quality of life after their hip replacement surgery at Manipal Whitefield Hospital.

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