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Total Hip Replacement

Total Hip Replacement also acknowledged as a hip arthroplasty, is moderately regular surgical procedure performed to restore whole or part of the hip joint with an artificial joint. The procedure is meant for transforming a deteriorated hip joint to make it further functional. The non-natural joint called” Prosthesis", is usually made of metal, ceramic, plastic, or a range of combinations of these materials. Total Hip Replacement surgery was first conducted in 1960 after which it had observer several best technological developments in recent times which have radically improved the value of total hip surgery.

Necessity of Total Hip replacement:

Total Hip replacement or Hip arthroplasty is intended at attaining two primary objectives together with pain relief and purposeful improvement of the hip joint. The list of conditions that engross pain and dysfunction of hip joint are:

  • Rheumatoid arthritis (RA)-
  • Osteoarthritis (OA) –  
  • Trauma- Damage to the hip joint from a fall or drop, vehicle accident, office or sporty injury may trigger the route of cartilage crash in the hip joint
  • Avascular necrosis- Disarray grounded by the loss of blood supply to bone tissue
  • Congenital deformity

Symptoms and signs of Total Hip replacement:

  • Unrelenting hip pain while inactive
  • Restricting daily routine activities that involve walking and bending
  • Rigidity in the hip joint reducing the capacity to be in motion or lift leg
  • No liberation from anti-inflammatory drugs or glucosamine sulfate or having harsh side effects with medications  
  • Pain managing ideas like physical therapy or applying a cane for support do not relieve pain

Total Hip replacement is not advised for the following patients:

  • Unusual obesity such as weighing over 300 pounds
  • Delicate muscles of the thigh or quadriceps
  • Unwholesome skin around the hip
  • High levels of mental dysfunction

Benefits of Total Hip replacement:

  • Total hip replacement can help diminish pain, add to mobility and the patients are able to enjoy their normal activities in daily life
  • Most patients can start driving around two months following the operation and go back to work full time after taking rest for about 10 weeks, depending on the intensity and type of physical efforts their job requires.
  • Long lasting outcome. As per a study, 65% of the prostheses in patients who have undergone this surgery before the age of 50 were still integral and kept working well even 25 years past surgery.
  • Cost is moderate and Surgery need not be pre-planned

Tip for medical tourists:

  • Medical tourists can aspect to return approximately 10-12 days after surgery

Disadvantages of Total Hip Replacement: 

  • A few people may have slackening or dislodgment of the new hip joint.
  • For a very long period of 20 to 25 years, the artificial hip joint may slacken off and a subsequent replacement may be needed
  • Young and overactive people may have more chances of wearing-out of their new hip parts. Replacement is a must before the artificial hip loosens out.
  • Walking frame or crutches serve handy for patients until a long time till they recoup completely and can be mobile and strong in their hip as before

Risks and Complications involved in Total Hip Replacement:

  • Blood Clotting and infection is possible
  • Dislocation of bones
  • Additional bone formation
  • Femur fissure
  • Pain and inflexibility
  • Limitation of the Leg movements
  • Arterial Injury
  • Bleeding
  • Allergic reaction to Prosthesis or anesthesia
  • Fat Embolism

Preparation before Total Hip Replacement:

  • Discussion with the surgeon or doctor two weeks ahead of the surgery
  • Note down the list of medicines which are to be continued or have to be discontinued before the surgery is to take place
  • Disclose the habit of smoking and alcohol to the surgeon
  • Quit smoking immediately
  • Shed weight if the surgeon suggests to do so
  • Ensure the possible routes for blood transfusion arrangement during the time of the procedure
  • Pre arrange for leave from work, assistance at home, assistant for driving, and organize smooth running of usual tasks and commitments
  • People recuperating from hip replacement surgery must reduce bending, leaning forward, and avoid any chances of falling
  • Keep clothes handy and stack easy to wear clothes
  • Use slip-ons in the place of normal shoes or fastened them with Velcro

Total Hip Replacement surgery after-care:

  • The after-care schedule includes the Postoperative exercise program mainly, which is indeed indispensable to revitalize the hip joint and strengthen the surrounding tissues
  • Medication will be specified to manage pain and avert infection. After the surgery, the patient needs to have-on special compression stockings on the operated legs to advance blood flow and induce appropriate healing
  • Patients may start with their physical therapy after two days of the surgery

Special Precautions following surgery:

  • Try not to cross legs
  • Bending forward in the angle of 90 degrees should be consciously avoided
  • Use an elevated toilet seat
  • Be careful not to let knees and/or toes turn in
  • Patients can depend on the support of walking frame or crutches for the coming weeks until they recover fully and can be confident of their usual mobility and might in their hips.
  • In case the patient has prosthesis,  it is necessary to take special care to protect themselves against any infections

The physical therapy routine should also include: 

  • Being able to do the normal activities such as sitting down, standing up, and taking the stairs
  • Exercises that are to be repeated for a specific number of times a day and those which are particularly designed to re-establish movement and strengthen up the hip joint
  • A measured walking program that steadily enhances mobility and stamina of the patient
  • Getting back to the routine household activities 


Health Tips

Make a puree of 4 tomatoes. Soak some rice for 30 minutes and grind it coarsely. Add this to the pureed tomatoes. Apply this mixture all over the body and leave it on for about 15 minutes. Bathe with warm water; this is a good scrub recipe for oily skin.

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