Tuesday, 25 October 2016

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A Quick Guide on Hip Replacement Surgery

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If your hip has suffered damage due to arthritis or a fracture or any other condition, simple every day activities like walking or getting up from a seat may be tough. You may experience pain and stiffness of hip. There may be discomfort even in the resting posture.

You may go in for hip replacement surgery, when all other methods fail, including lifestyle changes, medication and walking supports. Hip replacement surgery is an effective and safe procedure which increases motion, relieves pain and helps you resume normal activities such as walking and sitting. There is great demand for hip replacement doctors in India.

This surgery was first performed in 1960 and is one of the most successful techniques of surgery in medical history. Ever since then, improvements in technology and techniques have raised the effectiveness of   this type of surgery.

Anatomy of The Hip:

The hip is a ball and socket joint, one of the largest joints of the body. A portion of the big pelvis bone or acetabulum forms the socket. The ball is the femoral head that is the upper end of the thigh bone (femur). The hip joint is surrounded by a thin tissue called as synovial membrane. In a healthy condition, this membrane creates a small amount of fluid which provides lubrication to the cartilage and removes all friction during movement of hips. Ligaments or bands of tissue connect socket to the ball and makes the joint stable.

Causes of Chronic Hip Pain:

·         Osteoarthritis: There is wearing away of cartilage that cushions the bones. The bones rub against each other, resulting in stiffness and hip pain.

·         Rheumatoid arthritis: It is an auto-immune condition in which synovial membrane becomes thick and inflamed.  This inflammation causes stiffness and pain.

·         Post-traumatic arthritis: This starts from a serious hip fracture or injury.

·         Avascular necrosis: blood supply to the femoral head is disrupted by fracture or dislocation in the hip.
·         Childhood hip disease: some infants may face hip problems.

What Is Hip Replacement?

In a complete hip replacement, the damaged cartilage and bone is removed and substituted with prosthetic components. Prosthetics are made of plastic, metal or ceramic.

Who Needs Hip Replacement?

The decision for hip replacement must be made by you in consultation with your primary doctor and referred orthopaedic surgeon. Decisions are not based on age but on disability and pain. Main candidates for surgery are those:

·         who have hip pain during daily tasks like bending and walking.

·         Who have hip pain in even postures of rest

·         Stiff hips that hinder movement of legs

·         Lack of pain relief from anti-inflammatory drugs, walking supports or physical therapy.


Readiness for surgery will be decided by evaluations such as physical examination, medical history and X-rays. Evaluation can be done by hip replacement specialist in India.

Two Methods:

Hip replacement surgery can be done in two ways- traditional as well as minimally invasive methods. The two methods differ in size of incisions made. The traditional method uses one incision of 8 to 10 inch along the side of the hip. Minimally invasive technique uses two cuts of 2 to 5 inches long. The small cuts reduce loss of blood, time of healing, length of hospital stay and speeds up recovery.


One can move on the day of surgery and you can begin physical therapy from the next day by which you can walk using a cane or a crutch. Hospital stay may be for 4 to 6 days but physical therapy lasts for a few weeks or months. Apart from bending and squatting, one can do all light activities within weeks.

This is in sum, the nature of hip replacement surgery.


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