Health - Your Joints Specialist
Wouldn't you like to stand up tall even when you are old? Don't let joint pain ruin your life. Be ready to enjoy day-to-day activities once again like you did when you were young.
Knee Replacement - Hip Replacement - Spine SurgeryFeel again the joy of life - After Joint Replacement
Total knee replacement, unicompartmental or partial knee replacement
Hemi hip replacement, total hip replacement, surface replacement
Discectomy, foramenotomy, laminectomy, spine fusion, spinal disc replacement

Hip Replacement

  What is a hip joint replacement?     Who needs a new hip?     Kinds of Implants or Prostheses     What does a normal hip comprise of?
  Types of Hip Replacement     Total Hip Replacement Surgery Procedure     Post Operative Management     Typical Home Exercises after a Total Hip Replacement (THR)
  Advanced Exercise     Post-operative Complications     Life After a Hip Replacement

Regular hip pain limits day-to-day activities in patients. One may not be able to walk or bend properly due to a degenerating hip joint. One of the key reasons that cause disability in the elderly people is osteoarthritis of hip and knee. A debilitating hip joint may also be due to Rheumatoid disease, Ankylosing Spondylitis etc. In some cases the joint pain continues even while you are taking rest. Most common cause of THR in India is post traumatic or drug induced avascular necrosis of the femoral head.

When one turns to inflammatory drugs and other treatments to relieve himself of the pain, it might lead to harmful side-effects including stomach ulcers and aggravated hypertension. Therefore, as one advances in age, it is mandatory to maintain a good quality of life, to enjoy the daily activities and lead a normal life. Hip replacement surgery proves highly beneficial to people who, due to pain in the buttocks and hip stiffness, are unable to walk, bend or climb the stairs.

What is a hip joint replacement?
Today, hip replacement has become one of the most accomplished orthopaedic operations. The hip joint is a ball-and-socket joint. One suffers from aggravating hip pain due to damage in the joint surfaces. A hip joint replacement, therefore, removes the damaged surfaces of the joint and it is replaced with a set of artificial ball-and-socket implants. In a Total Hip Replacement, the head of femur (thigh bone which extends from the hip up to the knee) is replaced along with the surface layer of the pelvis (two large bone resting on the lower limbs). The ball part is made up of highly polished durable metal or ceramic material while the socket part can be made of plastic, ceramic or metal. After the surgeon has taken the accurate measurements, the prosthesis or the implants are fixed in place with the help of bone cement.

Who needs a new hip?
Hip replacement surgery is done on individuals who suffer from a variety of hip problems. These problems may result due to wear and tear from lifetime activities or due to a specific disease or serious injury. You might have an enfeebling hip due to various diseases including Osteoarthritis, Rheumatoid arthritis, Traumatic arthritis, Avascular necrosis etc. Many drugs causes decrease in blood supply to the femoral head leading to its avascular necrosis, e.g. Corticosteroids, alcohol, smoking, etc. Benign and malignant bone tumours can also alter the congruency of the joint. Most of the individuals who require a hip replacement are in the age group of 60 and 70. However, people in their teens and in their 90s may also be in need of a hip replacement surgery.

Kinds of Implants or Prostheses
Depending on the age and the physical ability of individuals, the implants can be set in two ways - with bone cement and without bone cement. The set of the ball and socket implants is always the same. But bone cement is preferred in the case of older people. In younger people or those with a good bone quality, the implants can be impacted without using the bone cement. A non-cemented prosthesis requires tight wedging into the joint. Normally acetabular component in noncemented THR is fixed with screws. However, in certain conditions, the prostheses can be a mix of the cemented and non-cemented implant, also known as hybrid hip replacement.

What does a normal hip comprise of?
A normal hip (a ball and socket joint) is comprised of the following:

Head of the femur (femur is commonly termed as thigh bone)
Pelvic Socket (Acetabulum of the pelvic bone)
Ligaments of the hip joint (iliofemoral ligament, pubofemoral ligament, ischiofemoral ligament and articular capsule)

Types of Hip Replacement
Hip joint replacement can be classified into three types:

Hemi/Bipolar Hip Replacement - In this kind of surgical operation, only the head of the femur is replaced.
Total Hip Replacement - A THR replaces the ball and the socket is resurfaced.
Surface Replacement - In this type, the head of femur is shaved off and capped while the pelvis socket is scrapped and resurfaced with metal lining.

Quadriceps Sets or Quad Sets
Hemi/Bipolar Hip Replacement
Heel Slides
Total Hip Replacement
Straight Leg Raises
Surface Replacement

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