What conditions are suitable for hip joint replacement surgery?
1, various inflammatory arthritis of the hip joint, including primary or secondary osteoarthritis, traumatic arthritis, rheumatoid arthritis, hemophilic arthritis, Charcot arthritis, etc.
2.Necrosis of femoral head.
3, congenital hip dislocation or subluxation, acetabular dysplasia.
4.Hip joint fusion or pseudarthrosis formation.
5, periprosthetic hip joint tumor.
6, Resting infectious arthritis (including tuberculosis).
7, failed repair after hip reconstruction surgery.
B. What circumstances contraindicate hip replacement surgery?
1, recent and current infection in the hip joint and infection in the distant compartment.
2, unstable medical condition.
Third, the advantages and disadvantages of artificial hip joint
Advantages.
1.Mature surgical technique.
2, The surgical treatment period is short, about one month.
3, joint pain can be completely removed.
Disadvantages
1.It has an effect on running and hiking.
2. Avoid sitting on a low stool and squatting completely for a short time after the surgery. Professor Yin Feng’s patients, after decades of follow-up, proved that the long-term does not affect.
3.After 10-15 years after surgery, there may be loosening between the bone and the artificial joint, and the percentage of replacement is about 5-10%. Our experience is 20 years. Of course, specific analysis, Professor Yin Feng’s patients, after years of follow-up, many nearly 30 years has not loosened a large number of patients.
4, artificial joint infection is very difficult to treat. 1% of people with infection after surgery, need to extend the treatment time, or even have to remove the artificial joint, after the infection control, joint replacement. The infection rate of the re-surfaced joint is higher than the first surgery.
5, the price is more expensive, but fortunately, all patients with medical insurance, the joint replacement operated by Professor Yin Feng in the Department of Orthopaedics of Shanghai Oriental Hospital, are eligible for a one-time reimbursement of 15,000.
Fourth, how to choose a good artificial hip joint?
When a patient decides to adopt the treatment of artificial joint replacement, a question often comes up: what kind of artificial joint is the best artificial joint? It should be said that different patients should choose different artificial joints. Artificial joint prosthesis has very strict requirements on its design, surface treatment, material selection, manufacturing process and packaging; it also needs sufficient clinical practice to prove the effectiveness of a certain artificial joint. At present, the artificial hip joint has become a very mature artificial joint, both in terms of the prosthesis itself and in terms of surgical techniques. The artificial hip joint has been widely used in clinical practice and has achieved good clinical results. The choice of artificial hip prosthesis is very different from the choice of other commodities, because once the artificial hip prosthesis is placed in the human body, it is not easy to “replace”, even if the “replacement” cost is also quite large, it can not be measured with money. Therefore, the choice of a good artificial joint should be made carefully under the guidance of experts.
V. The main process of inpatient treatment
First of all, you must make an appointment, because there are many patients in the orthopedic joint group of Oriental Hospital and the beds are very tight. Please wait patiently for our admission notification call, on the day of hospitalization and the next day, check in, arrange the bed, the doctor asks medical history and physical examination, routine tests and examinations before surgery.
The day before surgery: pre-surgery conversation and signing of medical documents such as consent form for surgery, drug allergy skin test, skin preparation and blood preparation procedures.
On the day of surgery: fasting, catheterization, infusion, and surgery. After surgery, we will leave the infusion tube, urinary catheter and bleeding drainage tube.
After surgery: 10-12 days to remove stitches, gradually enhance functional exercise, generally in about 3 days to crutch down.
VI. Post-operative examination
One, two, three, six months after discharge from the hospital to review, take X-rays to understand the position and stability of the joint prosthesis is good. Six months after the operation and then once again, and every year thereafter, the X-ray examination should be carried out. In case of discomfort, such as redness, swelling, pain or difficulty in moving the joint, or injury to the joint due to an accident, go to the hospital in time for examination.
VII. Duration and efficacy of the artificial hip joint
The hip joint is an important joint, which has various functions such as walking, running, jumping and squatting. Once the hip joint is diseased, the cartilage of the joint will be destroyed, and the surface will become rough or even defective from the original smooth surface like a mirror, which will further deform the bone. As a result, you will feel pain, have difficulty walking, limited movement, and limp. When the disease progresses to a certain level and the joint is destroyed, surgery is required. An artificial hip joint is used to replace the damaged joint to restore walking and other functions. The greatest benefit of artificial joint surgery is that it can eliminate joint pain after surgery, greatly improve the function of the joint, and improve the patient’s quality of life so that he or she can work and live well during his or her lifetime. Successful arthroplasty allows you to live a pain-free life and perform daily activities that no other treatment can achieve for a damaged hip joint. Nowadays, more and more patients are willing to accept the suggestion of artificial joint surgery. The longevity of the artificial hip joint is determined by two factors: the wear and tear of the joint and the loosening of the prosthesis due to wear particles. The strength and wear resistance of the artificial hip material can generally satisfy the patient for more than 20 years. Nowadays, the artificial joint can be used for more than 95 percent of the twenty years. Of course, the service life of the artificial joint is also related to many factors, such as the amount of movement of the patient, the choice of artificial prosthesis, the surgeon’s surgical technique and their own conditions.
VIII. Treatment of artificial hip joint after loosening or infection
Once the artificial hip joint becomes infected or aseptically loose, joint revision surgery is required. There are specially designed hip prosthesis and surgical instruments for the revision surgery. Revision surgery is more complex than the initial surgery and may require bone grafting, a different type of joint prosthesis, or the use of a special prosthesis. After revision surgery, the majority of patients can achieve a satisfactory outcome.
IX. Protection after artificial hip replacement surgery
After the artificial hip replacement, you need to develop good habits of life and activities to maintain the stability of the joint, and learn some simple rehabilitation knowledge and carry out joint rehabilitation exercises. Pay attention to the prevention and control of infections, and actively treat infections such as tonsillitis, skin infections, ringworm, etc. After surgery, you can do exercises such as cycling, walking, dancing and swimming, but strenuous exercises such as running and jumping, as well as long-distance walking and climbing are not encouraged. In addition, some hospitals provide post-operative rehabilitation manuals for patients to refer to.