Total Hip Replacement
What Is It?
Total hip replacement (also called hip arthroplasty) is a surgical procedure where a damaged hip joint is replaced with an artificial implant. The hip joint is a ball-and-socket joint, and in this surgery both the ball (femoral head) and the socket (acetabulum) are replaced to relieve pain and restore mobility.
Why Is It Needed?
Your doctor may recommend hip replacement if you have:
- Severe arthritis (osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis).
- Hip fractures or injuries that cannot be repaired.
- Persistent pain and stiffness that limit walking, climbing stairs, or daily activities.
- Failure of non-surgical treatments like medications, physiotherapy, or injections.
The Procedure Step-by-Step
- Evaluation – X-rays, blood tests, and physical exams confirm the extent of damage.
- Anesthesia –General or spinal anesthesia is given.
- Incision– The surgeon makes an incision to access the hip joint.
- Removal– The damaged bone and cartilage are removed.
- Implant placement – A metal or ceramic ball is attached to the thighbone, and a new socket is placed in the pelvis.
- Closure – The incision is closed, and recovery begins.
Recovery and Rehabilitation
- Hospital stay:Usually 3–5 days.
- Walking:Patients often begin walking with support within 1–2 days.
- Physiotherapy: Essential to regain strength and mobility.
- Return to activities: Most patients resume normal activities in 6–12 weeks.
- Longevity: Modern implants often last 15–20 years or more.
Benefits
- Significant pain relief.
- Improved mobility and independence.
- Better quality of life.
- Long-lasting results with modern implants.
Risks & Considerations
- Infection, blood clots, or dislocation (rare).
- Wear and tear of the implant over time.
- Need for revision surgery if the implant loosens or wears out.
Key Message for Patients
Total hip replacement is a safe and effective surgery for patients with severe hip pain or arthritis. It restores mobility, reduces pain, and helps patients return to an active lifestyle. With proper care and rehabilitation, most patients enjoy long-lasting results and improved quality of life.
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