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Primary Total Hip Replacement

Primary Total Hip Replacement

Conventional Total Hip Replacement (THR) is a very successful procedure for the treatment of arthritis of the hip, a condition causing considerable pain and loss of movement. The hip is a ball and socket joint, which allows the upper leg to move from side to side, back to front, and to rotate. The joint is made up of the head of the femur (the ball), which fits into the acetabulum (the socket). In the healthy hip, both the head of the femur and the acetabulum are covered with cartilage, a smooth surface which allows the joint to move freely. Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Total hip replacement surgery replaces the upper end of the thighbone (femur) with a metal ball and resurfaces the hip socket in the pelvic bone with a metal shell and plastic liner.

Doctors may attach replacement joints to the bones with or without cement.Cemented joints are attached to the existing bone with cement, which acts as glue and attaches the artificial joint to the bone.Uncemented joints are attached using a porous coating that is designed to allow the bone to adhere to the artificial joint. Over time, new bone grows and fills up the openings in the porous coating, attaching the joint to the bone.

SURGERIES PERFORMED

Joint replacement aims to restore painless motion to a joint and function to the muscles, ligaments, and other soft tissues that control the joint. Either a part or the total damaged bone is removed and replaced with artificial components made out of metal and polyethylene and the bones of the joint are "realigned" so that the weight that passes through the joint is normally distributed. Hip and knee the major weight bearing joints are the most commonly affected joints and are commonly replaced. Ankles, shoulders, elbows, wrists and fingers can also be replaced.

Joint replacement relieves pain, restores function and the newer type of joints allows unrestricted activities.

Previously it was recommended for patients more than 60 years but now it is being more and more recommended for younger patients.

This can be answered by asking yourself the following questions.

  •   For whom is this surgery?
  •   Do I have Daily Pain?
  •   Does my pain restrict my activities and enjoy life?
  •   Do I avoid going out due to pain?
  •   Do I avoid walking, exercising etc?
  •   Has my world become smaller because of pain?
  •   If you answer yes for one or more of these questions it is better to consult your doctor and decide
  •   regarding having a joint replacement surgery.