Hip Replacement

01/05/2019

It is a surgery to replace all or part of the hip joint with an artificial joint. The artificial joint is called a prosthesis.

Description

The hip joint is made up of 2 main parts. One or both parts can be replaced during hip replacement surgery in Delhi:

The hip socket (a part of the pelvic bone called the acetabulum)
The upper end of the femur (called the femoral head)

The new hip that will replace the old hip is made up of the following parts:

A cup, often made of strong metal.
A liner, which fits inside the cup or acetabulum. It is almost always plastic. Some orthopaedic in Delhi are now rehearsing with other materials such as ceramics or metal. The lining allows the hip to move easily.
A metal or ceramic sphere that will replace the round head (top) of the femur.
A metal shank that fits into the femur to hold the joint.

You will not feel any pain during surgery. You will have one of two types of anaesthesia:

General anaesthesia. This means that you will be asleep and will not feel pain.
Regional anaesthesia (spinal or epidural). The medicine is injected into the back to desensitize it from the waist down. You will also receive a medication to induce sleep. Likewise, you may receive a medication that will make you forget the procedure, although you will not be completely asleep.

After you receive the anaesthesia, the orthopaedic in South Delhi will make a surgical cut to open the hip joint. This incision is often made on the buttocks. Then, the surgeon:

It will cut and remove the head of the femur.
It will clean the acetabulum of the hip and remove the remaining cartilage and arthritic or damaged bone.
It will put the new acetabulum of the hip in place, a lining is put on the new acetabulum.
Insert the metal stem into the femur.
It will place the ball of correct size for the new joint.
It will secure all new parts in place, sometimes with a special cement.
It will repair the muscles and tendons around the new joint.
It will close the surgical incision.

This surgery takes approximately 1 to 3 hours.

Why the procedure is performed?

The most common reason to have this hip replacement in south Delhi is to relieve arthritis. Severe arthritis can limit your activities.

Most of the time, hip replacement is done in people 60 years of age and older. Many people who have had this surgery are younger. Young people who have had hip replacement may put additional stress on the artificial hip. That extra stress can cause it to wear out sooner than in older people. If this happens, all or part of the joint may have to be replaced again.

Your doctor may recommend a hip replacement surgery in south Delhi for these problems:

You cannot sleep a full night because of hip pain.
Your hip pain has not improved with other treatments.
Hip pain limits or prevents you from doing your normal activities, such as bathing, preparing meals, doing house activities and walking.
You have trouble walking that requires you to use a cane or walker.

Other reasons to hip replacement in Delhi are:

Fractures in the femur. Older people often have a hip replacement for this reason.
Tumours in the hip joint.

Before the procedure

Always tell your health care provider what medications you are taking before joint replacement surgery in Delhi, including medicines, supplements or herbs you bought without a prescription.

During the 2 weeks before your surgery:

Prepare your house.
You may be asked to stop taking medications that make it harder for your blood to clot. These include acetylsalicylic acid (aspirin), ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), blood thinners such as warfarin (Coumadin), and others.
You may have to stop taking medications that make you more likely to get infections. This includes methotrexate, Enbrel, and other medications that suppress your immune system.
Ask your provider what medications you should still take the day of your surgery.
If you have diabetes, heart disease or another medical condition, your surgeon will ask you to see the provider treating you for these conditions.
Tell your provider if you have been drinking too much alcohol, more than 1 or 2 drinks a day.
If you smoke, you need to stop. Ask your provider or nurse for help. Smoking will slow the wound and bone healing. It has been proven that smokers have negative results after surgery.
Always tell your provider about any cold, flu, fever, herpes outbreak or other illness you have before your surgery.
You may want to visit a physical therapist to learn how to do some exercises before surgery and practice using crutches or a walker.
Arrange your home to make daily tasks easier.

Practice using a cane, walker, crutches or wheelchair correctly:

Getting in and out of the shower
Going up and down stairs
Sitting on the toilet and standing after using it
Using the shower chair

On the day of your surgery:

They will usually ask you not to drink or eat anything for 6 to 12 hours before the procedure.
Take the medications your orthopaedic in Dwarka told you to take with a small sip of water.

Your provider will tell you when to get to the hospital for joint replacement in Delhi.

After the procedure

You will stay in the hospital for 1 to 3 days. During that time, you will recover from the anaesthesia and the surgery itself. You will be asked to start moving and walking as soon as the first day after surgery.

Some people need to stay briefly in a rehabilitation centre after they leave the hospital and before going home. In a rehabilitation centre, you will learn how to safely do your daily activities on your own. Home health services are also available.

Expectations (prognosis)

The results of hip replacement surgery are often excellent. Most or all of the pain and stiffness should disappear.

Some people may have problems with infection, loosening and even dislocation of the new hip joint.

Over time, the artificial joint of the hip can be loosened. This can happen after more than 15 or 20 years. You may need a second replacement.

Young, more active people can spend parts of their new hip. It may have to be replaced before the artificial hip loosens.