An ailing hip can prevent you from doing your day-to-day activities efficiently. In some cases, however, conservative treatments are sufficient enough. If non-surgical treatments aren't helping you get rid of the pain, then hip replacement surgery is probably the solution. The surgery involves the removal of the injured parts of your hip and replacing them with artificial material like ceramic, metal, or rigid plastic, thereby providing the much-required relief, mobility, and ability to function.
“Hip replacement surgery is a procedure in which the surgeon removes your damaged hip and replaces it? with artificial materials like metal or ceramic. The artificial joint helps reduce pain and improves movement.
This surgery is usually carried out when all other non-surgical treatments do not provide you with any relief and are no longer effective.” Says Dr. Rajesh Thunuguntla, one of the best orthopedic doctors in Telangana.
Types of hip replacements
Majorly, there are two types of hip replacements which are described below.
- Total hip replacement- This type of replacement involves replacing both the acetabulum and the femoral head with a prosthesis. It is the most common method used.
- Partial hip replacement- Only the femoral head is replaced in a partial hip replacement. This is mainly done in the case of certain types of hip fractures.
After going through the reports, Dr. Rajesh Thunuguntla, one of the best orthopedic surgeons in Telangana, suggests which type of treatment might be required for you.
Below are a few signs that might help you decide if you require hip replacement surgery.
- Chronic Pain
A damaged hip joint can probably result in severe and chronic pain making your movements difficult and unbearable. The pain can be anywhere between the hip and your knee. If you are experiencing any of the below, you should consider seeing your orthopedic surgeon.
- A regular need for painkillers to get relief from the pain
- Have sleepless nights even after medication
- No relief despite proper rest
- Painful walks or even bending
- Conservative treatment does not provide the required relief
- Need to compensate for your pain with limp
- Need of relying on a walking aid to relieve your hip pain
Although chronic pain is the most common reason one thinks of hip replacement surgery, that is not the only reason for going for the surgery. Dr. Rajesh Thunuguntla, one of the best orthopedic surgeons in Telangana, provides you with consultation for all your hip-related issues.
2. Difficulty in carrying out routine activities
One of the most important points you should consider while a hip replacement is how your injured hip affects your daily life. Even though the pain is manageable, the severe disability of the hip joint can make it impossible for you to complete your routine tasks like
- Walking normal distances
- Wearing shoes
- Standing on one leg with support
3. Conservative treatments fail to relieve hip pain.
Few hip joint conditions, like arthritis, may not need immediate hip replacement surgery. Your doctor can attempt conservative treatment initially that may include
- Physical Therapy- Strengthens and stabilizes the muscles surrounding the hip joint, also preserves the hip's range of motion.
- Anti-inflammatory medicines- Helps relieve pain by reducing inflammation.
These treatments do not cure hip conditions but help improve functions and make the pain more tolerable. However, these treatments may be ineffective over a while and fail to provide you with the required relief. The doctor may suggest you go for hip replacement surgery in such scenarios.
4. Hip stiffness limits the normal range of movement in the joint
Hip stiffness is another indication of the hip being severely injured. Inabilities of carrying out regular activities like walking, lifting the leg, and bending may become difficult. In such cases, it is always advisable to consult your orthopedic surgeon.
5. No help from less complicated surgical procedures
There are few other surgical procedures available as an alternative to hip replacement surgery. Since hip replacement surgery has gained more popularity due to its high success rate, other procedures are seldom performed.
Are you a candidate for hip replacement?
Your hip is a ball and socket joint. The synovial fluid and the cartilage reduce the friction where the socket in the pelvic bone and the ball in the femoral head moves together. Severe joint damage caused either by arthritis or by other conditions can lead to inflammation causing the cartilage to wear out.
In the absence of the cartilage, the cushion between the rubbing bones diminishes, causing wear out.
If you face severe hip pain or disability, you probably are a candidate for hip replacement surgery. Hip joint surgery can become necessary in such an advanced condition of joint damage.
To find out the appropriate option for you, consult Dr. Rajesh Thunuguntla, one of the best orthopedic surgeons in Telangana.
Post Hip replacement surgery
You are likely to remain hospitalized for a week. During this period, you are supposed to stay bedridden with a cushion of wedge shape in your legs to keep the newly implanted hip joint intact
. The physiotherapy will usually start after the surgery, and you will begin to walk within a few days with the help of crutches or a cane, or a walker. The physiotherapy may continue until a few weeks to months post-surgery.
Activities to avoid after Hip Replacement Surgery
The doctor may advise you to avoid twisting or pivoting your involved leg for a period anywhere between 6-12 months post the hip replacement surgery. You may also be instructed not to turn the involved leg inward or cross the involved leg past your body's midline.
Activities like squatting and bending at the waist too may be asked to be avoided as it is not recommended to bend the hip more than 90 degrees. The role of the physiotherapist is crucial in the rehab process post-surgery. The mentioned guidelines can be supported with the help of tools and equipment recommended by the physiotherapist.
It is very important to follow the physiotherapists' instructions. If you don't follow the instructions given by the physiotherapist, it can result in dislodging the newly replaced hip joint.
This may call for another surgery. Even if your hip is healed and recovered post hip replacement surgery, it is advisable to stay away from sports and certain physical activities. This is because the artificial joint is designed to serve only the daily physical activities and not for extreme sports.