Total hip arthroplasty has become one of the most successful and reliable surgical procedures in the field of orthopaedics, bringing relief to countless patients suffering from hip pain.
Here are some tips on total hip arthroplasty
What is total hip arthroplasty?
The hip joint is one of the largest and most stable joints in the human body. It consists of the femoral head, acetabulum and femoral neck forming the joint, which is connected to the femur below. Total hip arthroplasty, also known as hip arthroplasty, refers to the surgical removal of the diseased component of the hip joint and its replacement with a new artificial component – what we call an artificial prosthesis (according to the composition of the hip joint, there are acetabular and femoral prostheses), with the aim of relieving hip pain and improving hip function.
Second, who is suitable for total hip arthroplasty?
Various diseases that cause hip pain and are not effective after conservative treatment.
Degenerative osteoarthritis.
Ankylosing spondylitis involving the hip joint.
Rheumatoid arthritis.
Traumatic arthritis.
Congenital hip dysplasia.
Advanced ischemic femoral head necrosis.
Fractures of the femoral neck in old age (>65 years).
Hip joint tumor.
Third, what benefits will be brought to you through total hip arthroplasty?
1. More than 95% of patients have complete relief of hip pain after surgery;
2.After the surgery, you can resume normal daily activities and participate in sports activities such as swimming under the guidance of your doctor;
3.If you have a limp before the operation, you will get a significant improvement after the operation.
Fourth, how long can the prosthesis be used in the body after total hip arthroplasty?
Currently, all kinds of total hip prostheses are designed to last up to 50 years, but the life span of the prosthesis after implantation is affected by many factors. Recent literature reports on the follow-up of patients who have undergone total hip arthroplasty have found that 95% of patients have a prosthesis that lasts 10 years and 80% of patients have a prosthesis that lasts 20 years if proper rehabilitation instructions are followed. It should be noted that the current prosthesis design and technology and surgical techniques have made great progress compared to 10 or 20 years ago, so its service life in the body should be longer.
V. Is there an optimal design of prosthesis?
There are many ways to classify artificial total hip prosthesis according to different design concepts. For example, it can be classified as cemented or uncemented according to whether it is cemented or not, and it can be classified as metal-to-highly cross-linked polyethylene, ceramic-to-ceramic, metal-to-metal, etc. according to the material of the prosthesis head and acetabular lining. So far there is no literature to prove that there is that one design of prosthesis or which company’s prosthesis is the best. The surgeon will choose the most suitable prosthesis based on the patient’s general condition, age, bone shape and quality, and financial ability.
How is total hip arthroplasty performed?
Total hip arthroplasty is mainly divided into the following steps.
How long does it take to recover after the surgery? What do you need to pay attention to after the surgery?
From the first day after the surgery, you will undergo rehabilitation training under our guidance. If your condition allows, you can sit on the edge of the bed, stand or even walk with assistance the day after surgery. Full recovery may take up to 3-6 months after surgery, depending on your health status, the surgical approach and the progress of your rehabilitation.
If your incision is on the lateral side of the hip and thigh, you should avoid crossing your legs (either seated or in bed) for 6-8 weeks after surgery. DD should put a pillow between your legs, avoid hip flexion over 90, lean back when sitting, do not sit in a chair that is too low, ask someone to help you if you need to pick up things, put on socks or cut nails, avoid pointing the toe of the affected leg inward, and avoid lying on the affected side.
What preparations do you need to make before surgery?
Before surgery, you need to prepare yourself in the following ways.
Psychological preparation: Discuss your condition with your doctor and be informed that surgery is the best treatment, discuss with your family and accept the doctor’s treatment plan, and build up confidence in the surgery and its recovery.
Physiological preparation: If you have medical conditions such as hypertension, diabetes, coronary heart disease, anemia, etc., it is best to see an internal medicine specialist in advance to have a good control of these conditions. If you have been taking non-steroidal anti-inflammatory drugs (e.g. Fenbid, etc.) for a long time, please stop taking them at least 7 days before surgery or switch to Celebrex.
Prepare for your life: It is best to arrange a room in your home for your recovery after surgery. Please prepare a hard cushion to keep the hip joint higher than the knee joint after surgery. Practice using the potty in bed before surgery.