- A hip replacement also known as Hip Arthroplasty is a common type of surgery where a damaged hip joint is replaced with an artificial one (known as prosthesis).
- Adults of any age can be considered for a hip replacement, although most are carried out on people between the ages of 60 and 80.
- A modern artificial hip joint is designed to last for at least 15 years. Most people experience a significant reduction in pain and some improvement in their range of movement.
Symptoms and causes that shows hip replacement is needed
When your hip joint is worn or injured to such an extent that mobility is reduced and you experience pain even while resting, you may require a Hip Replacement.
The most common reason for hip replacement surgery is osteoarthritis. Other conditions that can cause hip joint damage include:
- Rheumatoid arthritis
- A hip fracture
- Post-traumatic arthritis
- Avascular necrosis
- Disorders that cause unusual bone growth (bone dysplasias)
- Childhood hip disease
Who is offered hip replacement surgery?
Hip replacement surgery is recommended to anyone when:
- You have severe pain, swelling and stiffness in your hip joint and your mobility is reduced
- Your hip pain is so severe that it interferes with your quality of life and sleep
- Everyday tasks, such as shopping or getting out of the bath, are difficult or impossible
- You're feeling depressed because of the pain and lack of mobility
- You can't work or have a normal social life
Why Choose Jyotinursinghome for a hip replacement?
Choose a specialist who performs hip replacement regularly and can discuss their results with you.
Jyotinursinghome is an NABH (PRE Entry Level) Accredited & an ISO 9001:2015 Certified Hospital.
State of Art infrastructure specialty centre for Orthopedics & Joint Replacements.
First Hospital to recognize the needs of Emergency & Trauma Care.
Modern Diagnostic & Latest Treatment facilities at affordable cost.
Fully Automated Laboratory, Digital X-ray & High Speed CT Scan facility round the clock.
100 bed capacity, the ever growing need for high quality patient care.
Dr. J.P. Maheshwari is senior consultant orthopaedic doctor/surgeon in Jaipur and director Jyoti Nursing Home, Jaipur.
Joint Replacement has been his special field of interest.
His academic achievements include specializing in all the complex orthopedic surgeries (Knee & Hip Replacement), hand surgery and Arthroscopies.
He has been awarded with various fellowships both on national and international platforms.
He has performed a total of more than 15000+ successful orthopedic surgeries.
Dr J.P.Maheshwari Holds Membership Of many prominent associations including:
- IAA ( India Arthroplasty Association )
- IAA ( India Arthroscopy Association )
- IOA ( India Orthopedic Association )
- ROSA ( Rajasthan Orthopedic Surgeon Association )
- IMA ( India Medical Association )
- MPS ( Medical Practitioners Society )
Preparing for hip replacement surgery/preoperative instructions
An evaluation with an orthopaedic surgeon consists of several components.
- Medical history. Your orthopaedic surgeon will gather information about your general health and ask questions about the extent of your hip pain and how it affects your ability to perform everyday activities
- Physical examination. This will assess hip mobility, strength, and alignment.
- X-rays. These images help to determine the extent of damage or deformity in your hip.
- Other tests. Occasionally other tests, such as a magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of your hip.
- Before you go into hospital, find out as much as you can about what's involved in your operation. Your hospital should provide written information or videos.
- Stay as active as you can. Strengthening the muscles around your hip will aid your recovery. Continue to take gentle exercise, such as walking and swimming, in the weeks and months before your operation
How hip replacement surgery is performed?
Hip replacement surgery was first performed in 1960 and is one of the most successful surgeries in all of medicine. Since 1960, there has been significant improvements in joint replacement surgical techniques and technology which have greatly increased the effectiveness of total hip replacement.
- A hip replacement is generally carried out under a general anaesthetic.
- The surgeon makes an incision into the hip, removes the damaged hip joint andreplaces it with an artificial joint made of a metal alloy or in some cases, ceramic.
- It takes around 60-90 minutes for completion of a Hip Replacement surgery.
Cases of some metal-on-metal (MoM) hip replacements wearing sooner than expected has been recorded, causing deterioration in the bone and tissue around the hip. There are also concerns that they could leak traces of metal into the bloodstream
The Medicines and Healthcare products Regulatory Agency (MHRA) has issued new guidelines that certain types of MoM devices should be checked every year while the implant is in place. This is so any potential complications can be picked up early.
You should also see your doctor if you have:
- Pain in the hip, leg or groin
- Swelling in or near hip joint
- Problems walking
- Clunking/Grinding from the hip
These symptoms don't necessarily mean your device is failing, but they do need diagnosis.
Recovering from hip replacement surgery/postoperative instructions
- The rehabilitation process after surgery requires commitment.
- For the first 4 to 6 weeks post operation, you'll need a walking aid such as crutches for the support.
- You will also be asked to enroll for an exercise programme that's designed to help you in regaining and then improving the use of your new hip joint.
- Most people resume normal activities within 2 to 3 months, but it can take up to 1 year before you can experience the full benefits of your new hip.
Risks/complications of hip replacement surgery
Complications of a hip replacement can include:
- Hip dislocation
- Infection at the site of the surgery
- Injuries to the blood vessels or nerves
- A fracture
- Differences in leg length
However, the risk of serious complications is low – estimated to be less than 1 in a 100.
There's also the risk that an artificial hip joint can wear out earlier than expected or go wrong in some way. Some people may require revision surgery to repair or replace the joint.
What is the prognosis of hip joint replacement?
- Results for a Hip Replacement are excellent. Most or all of your pain and stiffness should go away.
- The prosthesis for a hip replacement (hip Arthroplasty) can be inserted into the pelvis and femur with or without cement. The options are designed differently for each patient by the orthopedic surgeon.
- Reasons for considering treatment with hip replacement are chronic pain and impairment of daily function of patients with severe hip arthritis.
- Identification for Complications and Risks of total hip replacement surgery has been recorded.
- Physiotherapy is an essential part of rehabilitation after a total hip replacement.