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.
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.
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)