Hip Replacement

 Replacement surgery of the hip is being successfully performed for the last forty years every year thousands of patients benefit from this surgery hip replacement India. For variety of hip disorders, this operation helps in relieving pain, gaining range of motion and improving walking ability. It converts a disabled person to an able person. It converts a liability to an asset. If you are advised hip replacement surgery, it is natural that you would want to know more about it. Here you will get all the information that you wish to know, in simple words, I have tried to explain what to expect before, during and after the surgery. It is meant to help you understand the intricacies of this complex surgery. In simple language, you are told, what will be done for you by the medical and paramedical staff and that you are required to do to achieve the desired result. It is recommended that you go through information before you undergo the surgery. If you have any questions, our team of doctors will be happy to answer them. The schedule given here is guideline, individual variations may occur. The result may vary in different individuals, and in two operated hips in the same individual.

Knee replacement in India, the result depends on various factors like the cause of arthritis, age and general condition of the patient, condition of the joint, affection of other joints of the body. No guarantee of any kind can be given for any surgical procedure. However, on an average the artificial joint works well up to 10 years in majority of cases. Further, with encouraging reports of success up to 20 years is also been seen. Every surgery carries certain risks. You are required to make yourself familiar with these risks and the shortcomings.

Conditions Requiring A Hip Replacement:

There are a number of conditions, which can result in a patient having to undergo hip replacement surgery. Perhaps the most common condition is osteoarthritis that is commonly referred to as ‘wear and tear arthritis’. Osteoarthritis can occur with no previous history of injury to the hip joint. The hip simply ‘wears out’. There may be a genetic tendency in some people that increases their chances of developing osteoarthritis.

 

A vascular necrosis is another condition that could lead to hip replacement surgery. In this condition, the femoral head (ball) loses a portion of its blood supply and actually dies. This leads to collapse of the femoral head and degeneration of the hip joint. A vascular necrosis has been linked to alcoholism, fractures and dislocations of the hip and long-term cortisone treatment for other diseases.

 

Abnormalities of hip joint function, resulting from trauma to the hip, fracture of the hip, and some types of hip conditions that appear in childhood, such as congenital dysplasia of the hip (CDH) can lead to degeneration many years later. The mechanical abnormality leads to excessive wear and tear.

 

Complications

In the long term, many problems relate to osteolysis from acrylic bone cement debris, and/or wear debris. An inflammatory process causes bone desorption and subsequent loosening or fracture often-requiring revision surgery. Very hard ceramic bearing surfaces are being used in the hope that they will have less wear and less osteolysis with better long-term results. Large metal heads (metal-on-metal hip Arthroplasty) are also used for similar reasons as these also have excellent wear characteristics and benefit from a different mode of lubrication.

 

However, large fixed metal heads, such as the Austin Moore devices, can result in protrusion acetabuli. A greater head neck ratio also contributes to stability. These new prostheses do not always have the long-term record of accomplishment of established metal on poly bearings. As metal-on-metal arthroplasty becomes more widespread, concerns are being raised about the potential dangers of metal particulate debris. There are new publications that have demonstrated development of pseudo tumors, soft tissue masses containing necrotic tissue, around the hip joint. It appears these masses are more common in women and these patients show a higher level of iron in the blood. The cause is unknown and is probably multifactorial. There may be a toxic reaction to an excess of particulate metal wear debris or a hypersensitivity reaction to a normal amount of metal debris.

Postoperative sciatic nerve palsy is another possible complication. A few patients who have had a hip replacement suffer chronic pain after the surgery despite normal imaging.

About Me

Dr Debasree Gangopadhyay currently working as Consultant Pediatric Cardiologist at Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata. She is a specialist interventional Cardiologist and has expertise in fetal cardiac imaging (fetal echocardiography). She is also involved in teaching and training of doctors in the field of Pediatric Cardiology.

Location

Rabindranath Tagore International Institute of Cardiac Sciences
Premises No: 1489, 124, Eastern Metropolitan Bypass, Mukundapur, Kolkata, West Bengal
Pin-700099

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