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Before the surgery, there is pain and inflammation in your joint, your mobility is decreased and there is difficulty in walking. Your joint aches while walking, but after the surgery, you would feel relief from pain and inflammation. Your movements will be smooth and frictionless.
Hip Replacement or arthroplasty is the surgical removal of a damaged hip joint and replaced by an artificial one. The hip prosthesis is implanted in place of the original hip joint. It is made up of metallic and plastic parts. Surgery can be of two types:
It is usually performed on those with chronic hip pain, often associated with old age, but can also be performed in cases of severe accidents, bone fractures, osteoarthritis, rheumatoid arthritis, bone tumors, avascular necrosis, and other bone abnormalities.
The painful joint can be approached from four sides:
The general procedure is as follows:
You are anesthetized to help you avoid pain during the surgery. After this, an incision is given whose size varies in accordance with the surgery being performed. Muscles are displaced at sides to make the joint visible. Cartilage, tendons, and ligaments are ligated. A saw is used to separate the ball portion of the joint from the femur. It is removed and a hip prosthesis is inserted in place of it. An adhesive material called Polymethylmethacrylate (PMMA) cement is used to fix the prostheses there. Muscles are then re-attached to their place and the incision is stitched. Bandages are applied to cover the cut.
Nowadays, another common technique known as a minimally invasive method is used by surgeons, in which 1 or 2 cuts are given, 2 to 5 inches long. After this, standard hip replacement surgery is performed. This method is prevailing because of its advantages, such as less blood loss and pain, less healing time and less stay at hospital duration.
You have to stay at the hospital for 4 to 8 days after surgery. Length of stay in the hospital varies with age, health and your physical conditions. People above 70 years of age require a 2-week stay at the hospital. Other factors such as gender, obesity and any type of physical ailment help in determining the length of your stay. Previously, hip replacements required a much longer hospital stay but with the advancement of medical science, this duration is decreasing. But you will be required to stay in Thailand for at least 2 more weeks after being discharged as follow up appointments with the surgeon will be required. After that, further check-ups with your local doctor back home will be sufficient.
Again, the recovery time depends upon your natural healing capacity and will power. Stitches are removed 2 weeks after the surgery. On average, 6 to 12 weeks are needed for complete recovery. Healing time varies in accordance with the type of surgery. In the case of minimally invasive surgery, you might be able to walk on the same day with the help of your medical staff. You can continue to drive 6 weeks after the operation.
58% of hip replacement surgeries have been reported to last for 25 years or more. But the average is over 15 years, after which metallic or plastic hip prostheses wear out. The success rate is 90 to 95% after 10 years of surgery. It falls to 80-85% after 20 years. The procedure is extremely effective in restoring your ability to walk and run and these surgeries are almost always successful. They can go wrong only in cases of infection and clot formation. A clot can cause pulmonary embolism and ultimately death, therefore, utmost care should be taken to avoid infection and clot formation.
Following aftercare factors should be kept in mind after being discharged from the hospital:
Hip replacement should never be the first option. There are some non-surgical alternatives to it. Some of them are:
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