What is Total Hip Replacement (Hip Arthroplasty)? A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials.
Why do you need a hip replacement? The aims of hip replacement are pain relief and improvement in hip function. Hip replacement is usually considered only after other therapies, such as pain medications and physical therapy, have failed.
What conditions are commonly treated with hip replacement? Total hip replacement is commonly used to treat:
Joint failure caused by osteoarthritis.
Rheumatoid arthritis
Traumatic arthritis
Hip fractures
Avascular necrosis
Benign and malignant bone tumors And other less common conditions
How long will the new hip last? The new hip joint is expected to last over ten years in 90% of patients. The chance of hip replacement lasting 20 years or more is 80%. What are the other types of hip replacement?
Partial hip replacement The hip is a ball and socket joint. Through disease or wear and tear, it can become damaged. If only part of the joint is damaged, a partial hip replacement may be an option. In a partial hip replacement surgery, the hip socket is usually left intact. The head of the femur bone is replaced with an artificial component similar to that used in a total hip replacement. Sometimes a device is fitted over the bone which means the top of the femur does not have to be cut.
Minimally invasive hip replacement Minimally invasive hip replacement allows the surgeon to perform the hip replacement through one or two small incisions. Compared with the traditional hip replacement surgery, this technique may reduce the pain and speed up the recovery. Minimally invasive hip replacement has not been practiced for long, so there are no reliable studies comparing it to the traditional method.
Revision hip replacement Artificial implants wear down over time, and may need to be replaced. Revision hip replacement surgery is a procedure to replace a worn out implant. Revision hip replacements are more complicated then the first hip replacement and their outcomes are not as good. The risk of complications increases with each revision.
What are the tests required? The tests required before the procedure is:
Blood Tests
Urine
EKG,
Chest X rays
How much time is required? The time required for the hip replacement is 2-3 hours whereas the hospitalstay would last for 4-6 days. The patient would have to stay in the hospital for 4-6 weeks.
What is the cost of the procedure? The cost for single hip replacement is 5500-6000 USD and if both are replaced then the cost is around 9000-11000 USD.
What type of anesthesia will be given?
General anesthesia or spinal anesthesia (anesthetizes your body from the waist down)
How will patient recover?
Recovery depends on your general health, age, and the outcome of the surgery. Physical therapy is a very important factor in the overall outcome of hip replacement surgery, and will usually start as soon as possible after the surgery.
What are the possible common complications?
Serious complications occur in fewer than 2% of patients. The mortality rate from hip replacement surgery is well below 1%.
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