Anatomy of the Hip
The hip joint is a ball-and-socket joint. The ball at the top of the thighbone, is referred as the femoral head whereas the socket which is the part of the pelvis is referred as acetabulum. The ball that rotates in the socket allows the movements of the leg. The cartilage which is the soft tissue covers the ball and the socket and helps them to glide together smoothly. In case if the cartilage wears down or is damaged then the bones scrapes together and become rough which leads to severe pain and makes it difficult for the leg to move. Hip Replacement Surgery is recommended in such cases where all other conservative treatments have failed to provide the patient with relief.
Hip replacement surgery is also referred as hip arthroplasty. This surgery provides patients with relief from the severe pain and restores the movement of people who have severe pain or stiffness in the hip. Mostly hip replacement surgery is performed to remedy hip arthritis. Hip arthritis is where the cartilage between the bones of the hip joint wears down which leads to scraping of the bones together causing more damage, stiffness, and pain. Arthritis of the hip can be very painful and can restricts person’s movements. Hip replacement surgery is also performed to fix injuries such as bone breaks, hips that grow incorrectly, and other conditions related to hip.
People who are suffering from the following are recommended with hip replacement surgery:-
- People who have severe and persistent pain in the hip.
- People who experience limited mobility.
- Stiffness in the hip joints.
- Failure of any medications and treatments.
- People suffering from rheumatoid arthritis which leads to inflammation in the joints.
- People with swelling in the hip joints.
- People who experience worsens walking condition.
- People who experience difficulty in rising from a seated position.
- People suffering from traumatic arthritis which damages the joint.
- People suffering from osteoarthritis which is a degenerative form of arthritis and is most common in older people.
The Hip Replacement Surgery is made up of the following four components:-
- The metal socket.
- The liner to help the ball move easily within the socket.
- Metal or ceramic ball to replace the femoral head.
- The metal rod which is used to stabilize the thigh bone to which the ball is attached.
There are different types of joint prosthesis. Most orthopedic surgeons use an uncemented joint prosthesis. This prosthesis allows the bone to grow into the prosthesis with time. Whereas cemented prosthesis is attached to the hip with bone cement for quicker adhesion. Uncemented joint prosthesis and cemented joint prosthesis varies in terms of recovery.
Also Read: Types of Hip Replacement Surgery
Before surgery:- Before surgery, the patients are recommended to lose some weight and are advised to stop taking any medications, including blood thinners. A day before the surgery the patients are told not to drink or eat anything and are given with IV. The IV allows the patient to receive fluids and medications at the time of surgery.
Procedure:- Hip replacement surgery can be performed with traditional approach or by minimally-invasive technique. The main difference between these two procedures is the size of the incision. The type of approach used depends on the condition of the patient.
It is performed under general anesthesia which helps the patients from feeling any pain during the surgery. The orthopedic surgeon makes an incision along the side of the hip and moves the muscles which are attached to the top of the thighbone so they could to expose the hip joint. Next, the surgeon removes the ball portion of the joint by cutting the thighbone. The artificial joint is then attached to the thighbone using either cement or a special material which allows the remaining bone to attach to the new joint.
The surgeon then prepares the surface of the hipbone by removing any damaged cartilage and attaches the replacement socket part to the hipbone. The new ball part of the thighbone is then inserted into the socket part of the hip. Next, the surgeon puts a drain so the remaining fluid is drained out and then reattached the muscles and closes the incision.
It is comparatively a new technique. The minimally-invasive technique involves 2 to 5 inches long incision. The same procedure as traditional surgery is performed through this small incision. Smaller incision leads to less loss of blood, faster recovery, less disturbance to tissues, less scarring and shorten hospital stays.
It is important to choose the right orthopedic surgeon for hip replacement surgery. Before choosing the orthopedic surgeon you should consider their experience, skills, the success rate of the surgeries performed, educational qualifications and most importantly you should compare the fees of various orthopedic surgeons before zeroing on the best one. India has some of the best and top orthopedic surgeon in the world. Orthopedic surgeon in India are highly skilled and qualified. Hip replacement surgery has a huge success rate in India. Patients from different countries visit India to undergo hip replacement surgery. Hip replacement surgery in India is available at the most affordable costs.