Hip Replacement Surgery

What causes hip arthritis?
Conditions that cause Hip arthritis [wearing away of the hip joint] are

• A vascular necrosis/ Perthes disease, which shut down the blood supply of the hip.
• Ankylosing spondylitis.
• Rheumatoid arthritis.
• Other conditions such as dislocated hips and previous fractures.
• Long-term steroid use, alcoholism, etc.

Treatment options:
Management of hip arthritis includes exercises and medication in the initial Stages, In a few cases, corrective bone surgery [osteotomy], and in some severe cases hip replacement is done.

Timing of Total Hip Replacement (THR):
A hip replacement should be performed after conservative methods have failed and if a patient’s quality of life and ability to perform activities of daily living is significantly affected. Many different non-operative modalities should be tried first. These include anti-inflammatory medications, physical therapy, weight loss, and walking assistance devices.

Results:
In recent years, cementless hip replacements have become standard all over the world with a 90% success rate at an average follow-up of five years.

Hip replacement Types:

• Conventional cemented hip replacement.
• Cementless total hip replacement.
• Highly cross-linked polyethylene.
• Hip Resurfacing System. (latest).
• Metal on the metal total hip prosthesis. (latest)