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FAQs about Hip replacement surgery

19 June 2024

Hip Replacement | Dr. Pradeep Kriplani
FAQs about Hip replacement surgery

FAQs about Hip replacement surgery

Hip replacement surgery, also known as hip arthroplasty, is a procedure in which a damaged hip joint is replaced with a prosthetic implant. This surgery can be life-changing, providing relief from pain and improving mobility. Here are some frequently asked questions (FAQs) about hip replacement surgery:

What is hip replacement surgery?

Hip replacement surgery involves removal of the damaged or diseased parts of the hip joint and replacing them with artificial components. These components usually consist of a ball (made of metal or ceramic) and a socket (made of plastic, ceramic, or metal). This procedure is typically recommended when hip pain and mobility issues severely impact daily activities and non-surgical treatments have failed. The primary goal of this surgery is to relieve pain, improve function, and enhance the quality of life for individuals suffering from hip joint problems.

Why is hip replacement surgery necessary?

Hip replacement surgery is generally recommended for patients experiencing severe pain and disability due to arthritis (osteoarthritis or rheumatoid arthritis), hip fractures, or other hip joint disorders. When pain becomes chronic and significantly impacts daily activities, and when non-surgical treatments such as medications, physical therapy, and lifestyle modifications fail to provide relief, hip replacement surgery may be the best option.

Who is a Candidate for Hip Replacement Surgery?

Candidates for hip replacement surgery are typically individuals who have significant pain and stiffness in the hip that limits their ability to perform everyday activities, such as walking, climbing stairs, and bending. Other criteria include chronic pain that persists despite rest and medication, and a significant decrease in quality of life due to hip pain. While most candidates are over 50, younger patients with severe hip issues may also be considered.

What Are the Different Types of Hip Replacement Surgery?

There are several types of hip replacement surgeries, including:

1. Total Hip Replacement: This is the most common type and involves replacing both the acetabulum (hip socket) and the femoral head (thigh bone ball) with prosthetic components.

2. Partial Hip Replacement: Also known as hemiarthroplasty, this procedure involves replacing only the femoral head.

3. Hip Resurfacing: This procedure involves capping the femoral head with a smooth metal covering and placing a metal shell in the acetabulum.

What does the surgery Involve?

Hip replacement surgery is typically performed under general anesthesia or spinal anesthesia. The surgeon makes an incision over the hip, removes the damaged bone and cartilage, and implants the new artificial components. The surgery usually takes a few hours, and various techniques, including minimally invasive surgery, can reduce recovery time and minimise scarring.

What Are the Risks and Complications?

As with any major surgery, hip replacement carries potential risks and complications, including infection, blood clots, dislocation of the joint, implant loosening, and nerve or blood vessel damage. However, these risks are relatively low, and most patients experience significant improvements in pain and function after the procedure.

What is the Recovery Process Like?

Recovery from hip replacement surgery involves several stages:

1. Hospital Stay: Most patients spend a few days in the hospital post-surgery. During this time, pain management and early physical therapy are initiated.

2. Early Recovery: Patients are encouraged to move and walk with assistance shortly after surgery to promote healing and prevent complications. A walker or crutches may be used for a few weeks.

3. Rehabilitation: Physical therapy continues for several months to help restore strength, flexibility, and mobility in the hip joint. This includes specific exercises to improve muscle strength and joint function.

4. Long-Term Recovery: Full recovery can take three to six months, although many patients see significant improvements within the first few weeks. Adhering to physical therapy and follow-up appointments is crucial for a successful recovery.

How long do hip implants last?

Hip implants are designed to be durable and long-lasting, with most lasting 15 to 20 years or more. Advances in materials and surgical techniques have extended the lifespan of these implants. However, younger and more active patients may require a revision surgery at some point.

What activities can I resume after surgery?

Most patients can return to low-impact activities such as walking, swimming, and cycling within a few months after surgery. High-impact activities and sports that involve running or jumping are generally discouraged to prevent excessive wear on the implant. Always consult with your surgeon before resuming any activity to ensure it is safe for your new hip joint.

How can I prepare for hip replacement surgery?

Preparation for hip replacement surgery includes:

1. Medical Evaluation: Undergoing a thorough medical evaluation to ensure you are healthy enough for surgery.

2. Preoperative Instructions: Following your surgeon's preoperative instructions, which may include stopping certain medications and exercises to strengthen your hip muscles.

3. Home Preparation: Preparing your home for your recovery, such as arranging for help with daily activities and ensuring your living space is safe and accessible.

Conclusion

Hip replacement surgery can significantly improve the quality of life for individuals suffering from severe hip pain and mobility issues. By understanding the procedure, its benefits, risks, and the recovery process, patients can make informed decisions and prepare adequately for a successful outcome. Always consult with your healthcare provider for personalised advice and information regarding hip replacement surgery.

Dr. Pradeep Kriplani

Dr. Pradeep Kriplani

Sr. Orthopedic Surgeon
MBBS, Ms (Ortho), Training in Sports Medicine

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