Hip Replacement

Hip joint replacement surgery is a sensitive procedure because of hip joint importance in the body; it transfers weight from the spine to the lower limbs for easy walking. The hip joint may affect by some disorders that lead to pain due to the damage or erosion of cartilage in the joint. Orthopaedic surgeons may perform hip replacement surgery after the failure of arthritis and analgesic medications and even physical therapy to solve the problem of hip pain.

Will be added soon, God willing

Orthopedic surgeons can decide to perform hip replacement surgery because of one of the following disorders:

• Osteoarthritis that causes damage to the cartilage of the hip joint and nearby bones.
• Rheumatoid arthritis; is an inflammation of the joints or surrounding synovial membranes.
• Fractures due to direct injury to the joint, which may also cause damage to the cartilage and wears it away.
• Tumor in the hip joint.
• Osteonecrosis.

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Hip joint replacement surgery may involve complications and risks, including:

• Infection.
• Bleeding.
• Moving the joint from its location.
• Need for re-operation or additional hip surgeries.
• Weakness and numbness due to nerve injury during the surgery.
• Blood clots in the legs and lungs.
• Stiffening of the tissues surrounding the new joint which reduces its movement.
• A difference in the length of both legs.

The patient should undergo some tests before hip joint replacement surgery, such as:

• Patient’s medical history.
• Clinical examination.
• Urine tests.
• Blood tests.
• Electrocardiogram (ECG).
• X-rays.

Hip joint replacement includes the following steps:

1. Anaesthesia of the patient (general anaesthetic mostly).
2. Removal of the damaged part of the cartilage and bone component of the hip joint (the hip joint consists of the convergence of the femur with the pelvic bone, known as the ball and socket), first remove the ball-like part connected to the femur and then scrape the damaged part of the bone and cartilage in the Acetabulum attached to the pelvic bone for the hip joint, using a special tool.
3. Preparation of the other part of the hip joint related to the femur, by implanting and fixing a metal stem that extends inside the femur cavity and then fixing a ball-like piece at its tip to form with the pelvic cavity the hip joint.
4. Preparation of the acetabulum (socket) or what is similar to the cup (attached to the pelvic bone) by installing the artificial piece on the surface.
5. Check the movement of the new joint with its stability.
6. Close the incision with stitches and cover it with a bandage.

Will be added soon, God willing

Will be added soon, God willing

The patient may take a long period to fully recover after hip replacement surgery, may be approximately 3 to 6 weeks, and adheres to all instructions and advice from the orthopaedic surgeon.

The surgeon in charge of the patient will give him a range of other tips related to the practice of normal activities such as exercise and others. Adherence to these instructions avoids many of the complications or risks that may occur, such as moving the new joint out of place.

According to results from the different studies, 85% to 90% of the replaced artificial hip joints may still functioning well from 15 up to 20 years.

Will be added soon, God willing

• Knee replacement surgery
• Herniated disc surgery
• Hip resurfacing surgery

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Last update on 13 September, 2021

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1. Cluett J. 2021. Hip replacement surgery: what to expect on the day of surgery? Retrieved from https://www.verywellhealth.com/steps-of-a-hip-replacement-2549548#before-the-surgery
2. UK National Health Services. 2019. Hip replacement. Retrieved from https://www.nhs.uk/conditions/hip-replacement/
3. Health Care. (n.d.). Life with an artificial hip. Retrieved from https://www.muhealth.org/conditions-treatments/orthopaedics/hip-pain/hip-replacement-surgery/life-with-an-artifical-hip
4. Cherney K. 2016. Hip joint replacement. Retrieved from https://www.healthline.com/health/hip-joint-replacement
5. Johns Hopkins Medicine. (n.d.). Hip replacement surgery. Retrieved from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/hip-replacement-surgery
6. Zelman D. 2020. Hip replacement surgery. Retrieved from https://www.webmd.com/arthritis/impingement-syndrome
7. Foran J. 2020. Total hip replacement. Retrieved from https://orthoinfo.aaos.org/en/treatment/total-hip-replacement/
8. Mayo Clinic. 2021. Hip replacement. Retrieved from https://www.mayoclinic.org/tests-procedures/hip-replacement/about/pac-20385042
9. Hip replacement. (n.d.). Retrieved from https://www.hss.edu/condition-list_hip-replacement.asp
10. Versus Arthritis. (n.d.). Hip replacement surgery. Retrieved from https://www.versusarthritis.org/about-arthritis/treatments/surgery/hip-replacement-surgery/