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Total-Hip-Replacement Surgery in
Thiruvananthapuram

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Amitabh Bachchan

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What is Hip Replacement Surgery?

Hip replacement surgery, also referred to as total hip replacement, is a pivotal medical procedure aimed at mitigating pain and enhancing the functionality of the hip joint. This surgical intervention has ushered in a new era of improved quality of life for individuals grappling with incapacitating hip conditions. In this in-depth article, we will delve into the intricacies of hip replacement surgery, encompassing its indications, preparatory measures, procedural details, post-surgery protocols, potential risks, recovery timeline, success rates, and alternatives.

To Whom & When the Hip Replacement Surgery Is Required?

Hip replacement surgery is typically recommended for individuals who have exhausted non-surgical treatments like medication, physical therapy, and lifestyle modifications. When the pain becomes intolerable, movement is substantially restricted, and everyday activities are greatly hampered, it is frequently taken into consideration. After a comprehensive review of the patient's medical history, imaging results, and general health, the decision to have surgery is decided jointly by the patient and their orthopaedic surgeon. Indications for Hip Replacement Surgery 1. Hip surgery becomes necessary when the hip joint deteriorates due to various factors such as arthritis, trauma, or structural deformities. Individuals experiencing chronic hip pain, limited range of motion, reduced functionality, and diminished quality of life despite conservative treatments ...
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Who is at Risk?

    Even though hip replacement surgery is normally risk-free, there are some possible hazards and issues, such as infection, blood clots, implant dislocation, nerve or blood vessel damage, and negative anaesthetic responses. Minimising these risks involves careful surgical technique, infection prevention measures, and following post-operative guidelines.

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Things To Do Before Hip Replacement Surgery

    Preparing for hip replacement surgery involves several important steps to ensure a successful procedure and recovery. Begin by consulting your surgeon, discussing your medical history, and undergoing necessary tests. Review your medications with the medical team and consider quitting smoking to promote healing. Maintain a balanced diet, stay hydrated, and follow prescribed exercises to strengthen hip muscles. Modify your living space for post-surgery comfort and arrange for assistance during recovery. Understand the rehabilitation plan and post-surgery exercises. Follow preoperative instructions carefully, including fasting if required. Being well-prepared physically and mentally enhances the surgical outcome, minimises risks, and contributes to a smoother rehabilitation process, ultimately leading to improved mobility and quality of life after hip replacement.

Steps Involved in Hip Replacement Surgery

    In hip replacement surgery, a multi-step procedure is undertaken to alleviate pain and enhance mobility. Procedure Steps: 1. Anaesthesia: The patient is administered either general anaesthesia or regional anaesthesia to numb the surgical area and ensure a painless procedure. 2. Incision: A surgical incision is made on the side or back of the hip to access the joint. 3. Hip Dislocation: The hip joint is carefully dislocated, providing access to the damaged hip socket and femoral head. 4. Reshaping: The damaged cartilage and bone from the hip socket and femur are removed, ensuring a clean area for the new components. 5. Implant Placement: The artificial hip components are inserted – a prosthetic socket in the hip bone and a stem with a ball attached to the femur. 6. Acetabular Cup Insertion: The prosthetic attachment, called the acetabular cup, is safely positioned into the hip attachment. 7. Femoral Stem Insertion: The stem, alongside the ball, is embedded into the femur, making the new hip joint. 8. Closure: The incision is closed using sutures or staples, and the surgical site is dressed. 9. Recovery: The patient is monitored as they awaken from anaesthesia, and post-operative care begins, including pain management and physical therapy.

How Much Time Does Hip Replacement Surgery Take?

    The duration of a hip replacement surgery typically ranges from 1 to 2 hours. Factors such as the complexity of the procedure, the patient's health, and the surgeon's experience can influence the length. Minimally invasive techniques tend to have shorter durations. Recovery time varies, usually requiring several weeks for basic mobility and several months for full activity. Post-Surgery Procedure The postoperative phase is critical for a successful recovery: 1. Hospital Stay: Most patients remain in the hospital for a few days for monitoring and initial rehabilitation. 2. Physical Therapy: Patients work with physical therapists to gradually regain joint mobility and strength. 3. Pain Management: Medications are administered to manage pain and discomfort. 4. Mobility Aids: Crutches, walkers, or canes might be necessary initially to aid walking.

Recovery Time for Hip Replacement Surgery

    Hip replacement recovery time for each patient is different. Patients may often anticipate regaining mobility and engaging in the majority of routine activities within 6 to 12 weeks. The full effects of the procedure may not, however, be felt for up to 6 months after the surgery. Physical therapy is still essential during the healing process for regaining the hip joint's strength, flexibility, and functionality. To attain the best results, patients are urged to adhere to the rehabilitation plan that their medical team has recommended.

Success Rate for Hip Replacement Surgery

    Hip surgery is widely recognized for its remarkable success rate. According to the American Academy of Orthopaedic Surgeons, the hip replacement success rate is over 95% that remains functional for a minimum of 10 years, with many implants exceeding this timeframe with continued effectiveness. Factors such as the patient's age, general health, the surgeon's expertise, and the type of implant employed can all impact the outcome. Ongoing advancements in surgical techniques and implant materials have contributed to achieving increasingly favourable outcomes over time. Long Term Results Successful hip replacement patients frequently report considerable pain alleviation and an improvement in quality of life. Activities that were previously challenging or impossible owing to hip discomfort are now doable for them. A healthy lifestyle, following medical advice, and post-surgery rehabilitation are a few examples of factors that might affect long-term outcomes. Even though the majority of patients experience long-lasting advantages, some may eventually need revision surgery because of implant wear or other complications.

Alternatives for Hip Replacement Surgery

    While hip replacement surgery is an effective option for managing hip joint issues, there are alternatives that individuals can explore before opting for surgery. These include: 1. Conservative therapies: Depending on how severe their ailment is, individuals may benefit from pain reduction methods, physical therapy, and lifestyle changes. These may aid in postponing the need for surgery. 2. Nonsteroidal anti-inflammatory medications (NSAIDs) and other painkillers may be recommended to treat pain and inflammation brought on by issues with the hip joint. 3. Injections: By lowering joint inflammation, corticosteroid or hyaluronic acid injections may temporarily relieve pain. 4. Lifestyle adjustments: Keeping a healthy weight, getting regular exercise, and avoiding behaviours that make hip pain worse can all assist with symptom management. 5. Procedures with a minimum of invasiveness: Some people may benefit from hip resurfacing, a minimally invasive operation that keeps more of the patient's native bone.

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Frequently Asked Questions

Total hip replacement, sometimes referred to as hip replacement surgery, involves replacing a diseased or injured hip joint with an artificial joint to reduce pain and increase mobility.

Location, hospital, surgeon fees, insurance coverage, and other factors affect how much a hip replacement procedure costs.

Recovery time varies but typically involves several weeks for light activities and a few months for full recovery.

There are different surgical approaches, including anterior, posterior, and lateral, each with its advantages and considerations.

Symptoms include chronic hip pain, limited range of motion, stiffness, and difficulty performing daily activities.