Total Hip Replacement

What is Hip Replacement? 
Total Hip replacement surgery (Hip arthroplasty) involves replacing a worn out hip affected by osteoarthritis, or other degenerative diseases, with an artificial metal prosthesis.
Hip replacement is usually carried out on patients suffering from severe pain due to osteoarthritis. It is the best option to relieve pain, regain mobility, correct hip deformation and improve the patient’s quality of life.
Who requires Hip Replacement?
Hip replacement is required when the pain is severe enough to limit your mobility and disturb sleep. The conditions needing hip replacement is usually Osteoarthritis, but can also be due to Avascular necrosis, Rheumatoid Arthritis, fracture, etc.
Hip replacement is offered when all the non operative methods such as injections, physiotherapy and pain killers fail to control symptoms.
How is Hip Replacement Performed?
A hip replacement is usually done under a spinal/Epidural anaesthetic (only half the body is numb) or under general anaesthetic (fully asleep). The Hip joint is opened and the diseased bone surfaces are cut. These ends are them replaced with metal prosthesis. In cemented hip replacement, the prosthesis fixes to the bone with help of special bone cement. In uncemented hip replacement, the implants are snuggly fitted into the bone and over time, bone grows around the implant to hold it. The surgery lasts for around 1-1.5 hr.  
What are the risks of Hip Replacement?
Although it is one of the most successful operations in orthopaedics with over 90% success, it does have risks. These can be:
•hip dislocation
•infection at the site of the surgery
  •       wearing out of hip over time(around 15-20yrs)
•injuries to the blood vessels or nerves
•Deep Venous thrombosis 
•a fracture in the bone around the hip replacement during or after the operation
•differences in leg length
The possibilities of these complications are less and in select cases may need a revision surgery.
What precautions do I need to take following Hip Replacement?
Our expert physiotherapist will help you walk the same day/following day after the operation. You will be having a walker/crutches for support for 4-6 weeks. You are suppose to follow certain precautions such as:
•Avoid combined movement of bending your hip and turning your foot inwards
•Keep a pillow between your legs while sleeping for 6 weeks
•Never cross your legs and bend your hips past a right angle (90)
•Avoid sitting on low chairs
•Avoid bending down to pick up things, instead a grabber can be used to do so
•Use an elevated toilet seat
My experience with Hip Replacement:
I have been trained in both cemented and uncemented hip replacements by the best in the business in UK and Ireland. I have successfully operated more than 1000 hip replacements during my fellowship. I have experience of using varied implants and types of hip replacement and also trained trainees for the same. Also I have experience of operating for various indications and complex cases.
Visit me to discuss which treatment suits you the best.