Hip Replacement
How the Normal Hip Works :

The hip joint is one of the largest weight-bearing joint. It consists of two main parts : a ball (femoral head )at the top of your thighbone (femur) that fits into a rounded socket (acetabulum) in your pelvis.

Bands of tissue called ligaments connect the ball to the socket and provide stability to the joint.

The bone surface of ball and socket have a smooth durable cover of articular cartilage that cushions the ends of the bones and enables them to move easily. A thin, smooth tissue called synovial membrane makes a small amount of fluid that lubricates and almost eliminates friction in the hip joint, all of these parts of the hip work in harmony, allowing us to move easily without pain.

Arthritis Of the Hip Joint :

The lining of the ball and socket wears off – called osteoarthritis of hip joint --- causing pain and stiffness in the joint Various forms:

•    Primary degenerative osteoarthritis(wear and tear arthritis)
•    traumatic arthritis
•    rheumatoid arthritis(an inflammatory form of arthritis) etc.

Management of Hip joint arthritis :

Early stage: treated with medication,exercises and walking aids. More advanced arthritis: may require total hip replacement surgery for effective long-term pain relief.

Following tips will help in alleviating pain due to hip OA:

•   Lifestyle modification
•   Weight Control(A healthy diet can facilitate weight loss resulting in reduced stress on weight-bearing joints and limiting further injury.)
•   Exercise and physical therapy(Exercise decreases pain, improves flexibility and helps maintain weight)
•   Anti-inflammatory medication(painkillers &NSAIDs (nonsteroidal anti-inflammatory drugs)
•   Steroid Injection.
•   Total hip replacement suregery.

Total Hip Replacement (THR) when ?

•    Experience significant pain.
•    Loss of Hip joint function.
•    Little or no mobility.
•    Leading to disability.
•    Limping gait
•    Poor Quality of Life due to pain & restrictions.

Objective :

•    To relevie pain.
•    To Provide painless gait.
•    To offer maximum rang of motion.
•    To settle normal mobile life.
•    To improve dailly living activity.

Implant Types :

•   cemented implant.
•   uncemented implant

Post surgery :

•    36 hrs confined to bed.
•    After 36 hrs mobilization(walking) with support.
•    3rd day walking without support.
•    4th & 5th day discharge.
•    At home mild exercise & day to day activity(no rest).
•    Between 12th -15th days stitch removal.
•    As per prognosis & recovery continuation of exercise at home fore further 1 to 3 weeks.
•    Enjoy free, mobile, painless life after 1 month.
•    As such no regular follow-ups are required but can be done as and when require.

Note :

No Newer technology (implant design)is yet registered internationally in which physiotherapy exercises are not require.

You will be advised to avoid some type of activities for the rest of your life -- including jogging and high impact sports. You will however be able to participate in low impact sport and activities such as golf and lawn bowls.

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