If your hip has been damaged by arthritis, a fracture, or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult.

Total hip replacement (or hip arthroplasty) is a technique that has become widespread in recent years in response to the need for improving hip joints that have been damaged by injury or arthritis. Joint replacement surgery may offer the best treatment option for long-term improvement for the hip joint when other treatments have proven inadequate. In most cases, having a total hip replacement reduces joint pain and means a return to pain-free movement.

In Total Hip Replacement procedure; removes a painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic components. It can be performed traditionally or by using what is considered a minimally-invasive technique. The main difference between the two procedures is the size of the incision. It usually is done when all other treatment options have failed to provide adequate pain relief. The procedure should relieve a painful hip joint, making walking easier.

What causes hip pain?

The human hip is a ball and socket joint. It is the most flexible and free-moving joint in the body, and can move backwards and forwards, to the side, and can perform twisting motions. Full function of the hip is dependent on the coordination of bones, muscles, tendons, ligaments and nerves.

Hip pain can be caused by a variety of factors, including:

.An injury that does not heal properly. .A chronic illness. .Normal wear and tear from years of constant use. .Severe arthritic conditions, especially osteoarthritis. .Injuries as a result of trauma, such as a hip fracture or dislocation caused by a fall. .Osteoarthritis .Rheumatoid arthritis .Post-traumatic arthritis

If medications, changes in your everyday activities, and the use of walking supports do not adequately help your symptoms, you may consider hip replacement surgery. Hip replacement surgery is a safe and effective procedure that can relieve your pain, increase motion, and help you get back to enjoying normal, everyday activities.

Is Hip Replacement Surgery for You?

The decision to have hip replacement surgery should be a cooperative one made by you, your family, your primary care doctor, and your orthopaedic surgeon. The process of making this decision typically begins with a referral by your doctor to an orthopaedic surgeon for an initial evaluation.

Candidates for Surgery:

There are no absolute age or weight restrictions for total hip replacements.
Recommendations for surgery are based on a patient's pain and disability, not age. Most patients who undergo total hip replacement are age 50 to 80, but orthopaedic surgeons evaluate patients individually. Total hip replacements have been performed successfully at all ages, from the young teenager with juvenile arthritis to the elderly patient with degenerative arthritis.

When Surgery Is Recommended?

There are several reasons why your doctor may recommend hip replacement surgery. People who benefit from hip replacement surgery often have:

An evaluation with an orthopaedic surgeon consists of several components.
Medical history. Your orthopaedic surgeon will gather information about your general health and ask questions about the extent of your hip pain and how it affects your ability to perform everyday activities.
Physical examination. This will assess hip mobility, strength, and alignment.
X-rays. These images help to determine the extent of damage or deformity in your hip.
Other tests. Occasionally other tests, such as a magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of your hip.

Total hip replacement is one of the most successful procedures in all of medicine. In the vast majority of cases, total hip replacement enables people to live more active lives without debilitating hip pain. Over time, however, a hip replacement can fail for a variety of reasons.
When this occurs, your doctor may recommend that you have a second operation to remove some or all of the parts of the original prosthesis and replace them with new ones. This procedure is called revision total hip replacement.

Hip revision surgery is performed to repair an artificial hip joint (prosthesis) that has been damaged over time due to an infection, or due to normal wear and tear of the prosthetic hip. Revision surgery helps to correct the problem so the hip can function normally again.

The use of artificial hip implants is extremely effective in improving hip joints that are damaged by injury or some form of arthritis. Artificial joints, including hip joints, do not last forever. The typical life of an artificial hip joint is 10-15 years, depending on the patient’s daily use of the joint. Patients with artificial hip joints are typically over the age of 55 and have developed severe arthritis in the hip. After a period of normal wear and tear of the hip joint, the prosthesis does not fit as securely and is not as effective. In these cases, hip revision surgery may be recommended by your doctor.

Revision surgery may also be recommended if an infection has developed in the tissue surrounding the joint. If infected, the muscle, tendon and ligament tissues in the hip joint will become weakened and damaged. The infection will also damage the hip bone.

What are the benefits of hip revision surgery?

Relief from pain is the main benefit of having hip revision surgery. Many patients may find that hip revision surgery improves mobility, strength and coordination of the torso and leg, in addition to improving the appearance of the hip and leg. Revision surgery may enable patients to return once again to normal activity with a pain-free hip. But keep in mind that successful hip revision surgery is also contingent on the patient’s diligence with his or her rehabilitation program following surgery.

What are the risks of hip revision surgery?

Keep in mind that hip revision surgery is a voluntary, but safe procedure. Unforeseen complications may develop that are associated with anesthesia, such as respiratory or cardiac malfunction. In addition, complications may arise with an infection, injury to nerves and blood vessels, fracture, weakness, stiffness or instability of the joint, pain, or the possibility of needing more hip surgeries.

When Revision Total Hip Replacement Is Recommended?

.Implant Wear and Loosening
Staged surgery
.Recurrent Dislocation
.Reaction to Metal Ions and Allergy to Metal
Other Factors

Hip Joint is one of the largest weight-bearing joints in your body. The hip joint is a ball-and-socket joint: It include femur bone and pelvis. Head of femur bone has a shape like a ball that fits into a cup-like cavity called as acetabulum in pelvis. Hip Ligaments form a capsule connecting the ball to the socket and holding the bones in place.  

Injury or disease can damage your hip in several ways, resulting in a broken or deteriorated bone, irritated bursae, or worn cartilage. The most common cause of hip pain is osteoarthritis (OA). Other causes of hip pain include rheumatoid arthritis, osteoporosis, osteonecrosis (death of bone caused by insufficient blood supply), injury, infection, and bone tumors.

Injury or disease can damage hip joint that results in a broken or deteriorated bone or worn cartilage. The most common cause of hip pain is osteoarthritis (OA). Other causes of hip pain include rheumatoid arthritis, osteoporosis, osteonecrosis (degeneration of bone due to insufficient blood supply), injury, infection etc.

The most common hip arthritis is Osteoarthritis. It is a degenerative joint disease that causes the breakdown of cartilage in hip joints. Cartilage acts as cushion between femur head and pelvis. When cartilage is damaged, bones grind against one another. Patient can feel it walking, sitting, or doing any other activity that involves movement of hip joint.
The factors leading to the development and progression of Osteoarthritis include aging, obesity, joint injuries, and a family history of arthritis.

Following are the symptoms of hip osteoarthritis:

Joint stiffness that occurs while getting out of bed.

• Joint stiffness after patient sit for a long time
• Any pain, swelling, or tenderness in the hip joint
• A sound or feeling of bone rubbing against bone
• Inability to move the hip to perform routine activities

Nonsurgical treatment of arthritis of the hip may include Anti-inflammatory medications or Corticosteroids injections to block the inflammation in the joint.
Physical therapy or exercise programs to improve flexibility, build up strength, and maintain muscle tone.
Many people with arthritis with the hip are candidates for surgery. Surgery can help to reduce pain, enhance quality of life, and improve your ability to perform everyday activities with fewer or no restrictions.Total hip replacement may be appropriate if the hip joint is severely damaged

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