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Total Hip Replacement: Top five conditions where THR is needed

 


Total hip replacement is a surgical replacement of the portion of the hip joint. The prosthesis or implants are placed instead of that portion. It is the most successful surgery performed in the field of orthopedics. Those patients who are in the end stage of osteoarthritis get good results after the total hip replacement. THA improves the quality of life, restores functional activities, and helps in relieving the pain. There are more than millions of people who suffer from hip osteoarthritis but not everyone requires a total hip replacement. There are certain indications for it and the orthopedic surgeons will check the signs and symptoms that will confirm the indication.

What actually happened in hip replacement?

The doctor replaces the lemur's head with a prosthetic head on the shaft. 

For what conditions the hip replacement is done? 

The doctor recommends the hip replacement because of the pain, inflammation, and damage in the hip joint due to the following conditions:

  1. Osteoarthritis
  2. Avascular necrosis or osteonecrosis
  3. Rheumatoid arthritis
  4. Hip joint tumor
  5. Hip fracture

Difference between total and partial hip replacement:

There is the replacement of the ball and socket joint occurs in the total hip replacement. But in partial hip replacement, there is only a replacement of the head of humor, which is ball-like.


When the patient is in need of hip replacement?

It depends upon the quality of life a patient is suffering. If it is worsening due to hip pain, then there is time for hip replacement. Qualities of decreased quality of life are:

  • The patient becomes unable to get restful sleep due to pain.
  • He faces difficulty in performing simple tasks like dressing, and climbing stairs.
  • Unable to engage in the activities that he enjoys.

When we should not do the total hip replacement?

We can not perform the hip replacement in hip infection, sepsis, bacteremia, and severe vascular dysfunction. 

Complications of THR:

Following are some complications of THR:
  • THA Dislocation
  • THA Prosthetic Joint Infection. 
  • Venous Thromboembolism
  • THA Aseptic Loosening.
  • Wound Complications
  • THA Periprosthetic Fracture.
  • Melanosis
  • Leg Length Discrepancy
  • Vascular Injury
  • Nerve Injury
  • Heterotrophic Ossification
  • Iliopsoas Impingement

Recovery from Hip Replacement:

After the hip replacement, the doctor allows the patient to do a limited movement. To correct the position, the patient can use a pillow or special device. While doing the surgery, some amount of fluid losses and to recover that fluid, the patient receives fluids through an intravenous tube. 

What to do after hip replacement?

The doctor encourages the patient to get up and move around after the surgery. If the patient can walk, go in and out of the car, and walk up the stairs then he can go home. If the patient is unable to perform the mentioned tasks then he needs to spend some time in a rehabilitation center. The patient also uses a catheter, till he is able to go to the bathroom. 

Role of Physiotherapy in Hip Replacement:

The patient needs physical therapy for some weeks till he recovers good muscle strength and range of motion. Physical therapy is beneficial in reducing pain. It is the responsibility of a patient to attend all physical therapy sessions and complete the home exercises as well. 

What to do if the hip implant is damaged?

We can go for revision hip replacement surgery if the implant is damaged. The damage occurs due to injury or displacement. We can also go for revision in case of wearing and loosening of the hip implant. The average life of hip prostheses is 20 years and that we can increase with regular low impact exercise. We must avoid high-impact exercise .i.e jogging. We can also do the revision surgery in the cases of hip infection as well. 


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