How to choose an artificial hip joint replacement

  Artificial hip replacement has been one of the more successful surgeries in the clinic, but both for doctors and patients, they will face the problem of how to choose, such as: whether to choose replacement; why to choose replacement, etc. Therefore, this article provides you with simple selection principles for your reference.  1, the choice of the purpose of treatment The purpose of artificial hip replacement should be three things: to relieve pain; to improve deformity; to restore function. In clinical work, patients often want to solve the problem of pain, followed by functional problems, and finally the problem of deformity. Especially in China, especially in the vast number of rural patients, surgical treatment is not usually an option when the condition is not very severe. Therefore, the choice of treatment purpose needs to be discussed between patients and doctors in order to achieve the most ideal treatment effect.  With the improvement of national education level and the development of the Internet, patients can obtain information from many sources, thus laying the foundation for diagnosis and providing the basis for the selection of indications. The common indications are: femoral head necrosis, hip osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, adult congenital hip dislocation, hip tumor, tuberculosis and so on.  3, the choice of hospital artificial hip replacement for the operating room requirements are relatively high, therefore, hip replacement should choose a relatively large hospital for surgery, our country has begun to artificial hip replacement hospital admission standards, but has not yet been implemented, therefore, in the choice of hospital, it is necessary for patients to consider a comprehensive consideration, not only the conditions of the hospital, but also to consider the technical level of doctors, but also to consider The medical insurance payment method.  4, the choice of doctor For patients, the choice of doctor is a very important, is one of the guarantees of successful surgery. However, as a patient, it is sometimes difficult to get to know the doctor well. Therefore, it can be based on the surrounding patients to understand, you can consult online, or in person, that is, outpatient consultation, but also according to the doctor’s years of work, the number of years engaged in joint replacement, the number of surgical cases, etc., multiple hospital visits, and finally a comprehensive consideration.  5. Patient selection For the doctor, anyone would like to have a successful surgery. But the first step to success is the choice of the patient, whether to choose the initial replacement or the revision surgery; whether to choose senior or middle-aged; whether to choose male or female and many other issues, all need to be considered by the doctor. However, what must be done before surgery is the assessment of surgical risk, the assessment of surgical risk is no more than two aspects: perioperative mortality and the incidence of complications, there are many methods of assessment, as a doctor, you can choose any one assessment method.  6, the choice of anesthesia The choice of anesthesia is the guarantee of successful surgery, you can choose general anesthesia, epidural anesthesia and so on, you can communicate with the anesthesiologist, especially emphasize with the artificial hip replacement replacement, such as bone cement type, the possible drop in blood pressure and other conditions of advance notice, and equipped with contingency plans.  7, the choice of incision There are many choices of artificial hip replacement incision, the traditional anterolateral approach, lateral approach, posterior lateral approach; and single small incision, double small incision, etc.. The choice should be based on the surgeon’s experience, but here is a suggestion: as a surgeon, you should be relatively proficient in a certain incision before you can find another way to explore the advantages and disadvantages of other incisions.  8. Choice of rehabilitation With regard to rehabilitation after surgery, there is a lot of promotional material available that is very instructive for rehabilitation. However, rehabilitation under the guidance of a physician should be the safest and most effective. As a patient, you should abide by your doctor’s advice and be sure to follow up regularly with questions and communicate with your doctor in person. The doctor should help the patient develop a good recovery plan based on the patient’s condition, the smoothness of the surgery, and the location of the incision.  If you have clearer answers to all the above questions, as a patient, you will get a treatment result that is consistent with expectations, and as a doctor, you will complete a very perfect hip joint replacement.