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Hip Replacement Surgery

Hip replacement surgery is a procedure in which a doctor surgically removes a painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic component known as prosthesiss . It usually is done when all other treatment options have failed to provide adequate pain relief.The surgery to increase mobility, relieving pain and improving the function of your hip joint.

Procedure for hip replacement surgery

The traditional method to surgical approach of total hip replacement uses a single, long incision to view and access the hip joint. A new variation of this approach is a minimally invasive procedure in which one or two shorter incisions are used. The goal of using shorter incisions is to reduce pain and speed recovery. Since the muscles and tendons are not cut, there is less pain while the patient recovers because they are not forced to sit on the incisions. With this technique, the patient also has a reduced risk of dislocating the new hip.

Types of Hip Replacement Surgeries

Total Hip Replacement

Determining the cause of your hip pain can be difficult, Alphine life will get you  orthopaedic evaluation which is essential. Alphine life suggested top orthopaedic surgeon will work to identify the cause of your hip pain and develop a treatment pathway for you.

Ultimately, restoring the highest level of movement and function with the least amount of risk is our goal. And before surgery is recommended, non-surgical treatments, including lifestyle changes, medication, injections and physical therapy will be exhausted. For a majority of patients, non-surgical treatments provide adequate relief and recovery to return to the best possible quality of life.

The purpose of hip replacement surgery is to remove the two damaged and worn parts of the hip joint – the hip socket (acetabulum) and the ball (femoral head) – and replace them with smooth, artificial implants called prostheses, which will help make the hip strong, stable and flexible again. The artificial joints are attached to the bone with arcylic cement. If only one part is fixed with cement, it is known as Hybrid Total Hip Replacement.

Minimally Invasive Hip Replacement

In minimally invasive total hip replacement, the surgical procedure is similar, but there is less cutting of the tissue surrounding the hip. The artificial implants used are the same as those used for traditional hip replacement. However, specially designed surgical instruments are needed to prepare the socket and femur and to place the implants properly.

Minimally invasive total hip replacement can be performed with either one or two small incisions. Smaller incisions allow for less tissue disturbance.

Single-incision surgery. In this type of minimally invasive hip replacement, the surgeon makes a single incision that usually measures from 3 to 6 inches. The length of the incision depends on the size of the patient and the difficulty of the procedure.

The incision is usually placed over the outside of the hip. The muscles and tendons are split or detached from the hip, but to a lesser extent than in traditional hip replacement surgery. They are routinely repaired after the surgeon places the implants. This encourages healing and helps prevent dislocation of the hip.

Two-incision surgery. In this type of minimally invasive hip replacement, the surgeon makes two small incisions:
A 2- to 3-inch incision over the groin for placement of the socket, and
A 1- to 2-inch incision over the buttock for placement of the femoral stem

Hip Resurfacing.

It is For people who are young and active, hip resurfacing is an alternative to total hip replacement. Unlike total hip replacement, hip resurfacing doesn’t require removing the femoral head and replacing it with a ball of metal or ceramic material. Instead the damaged femoral head is reshaped and fitted with a metal covering that fits into the socket.

Acetabulur Cup

One of the components your surgeon will select to reconstruct your hip is an “acetabular” cup to replace your natural socket, which is called the acetabulum. The acetabular cup is the part of a hip implant that forms the socket in the ball-and-socket structure of the hip joint.
The femoral head at the top of the thigh bone (femur) rotates within the curved surface of the acetabulum
In a hip replacement procedure, the acetabular cup, replaces the acetabulum or socket. It also includes a femoral head (ball) that allows the hip joint to rotate. The femoral head (or ball), replaces the natural head of the femur (thigh bone) and attaches to the stem.

Femoral Component

Over the last several years, a trend towards increasing femoral head size in total hip arthroplasty to improve stability and impingement free range of motion has been observed. The femoral component is the component that fits in the femur (thigh bone). Bone is removed and the femur is shaped to accept the femoral stem with attached prosthetic femoral head (ball). There are two types of fixation: cemented and uncemented. Cemented stems use acrylic bone cement to form a mantle between the stem and to the bone. Uncemented stems use friction, shape and surface coatings to stimulate bone to remodel and bond to the implant. Stems are made of multiple materials (titanium, cobalt chromium, stainless steel, and polymer composites) and they can be monolithic or modular. Modular components consist of different head dimensions and/or modular neck orientations; these attach via a taper similar to a Morse taper. These options allow for variability in leg length, offset and version. Femoral heads are made of metal or ceramic material. Metal heads, made of cobalt chromium for hardness, are machined to size and then polished to reduce wear of the socket liner. Ceramic heads are more smooth than polished metal heads, have a lower coefficient of friction than a cobalt chrome head, and in theory will wear down the socket liner more slowly

Articular interface

The articular interface lies between the femoral head and the acetabular cup. The properties of the interface can be selected after weighing up the patient’s demand for optimal implant function and the associated risks. The size of the interface is determined by measuring either the outside diameter of the femoral head or the inside diameter of the socket.
The Hip Replacement Surgery cost in India is very low cost compared to entire world.