Total Hip Replacement
It involves replacing the femoral head and the acetabular socket with high-quality metal and ceramic components. This procedure is the optimal solution for advanced hip osteoarthritis or avascular necrosis (AVN), restoring the patient’s ability to walk without pain.
Case Definition
Total hip replacement surgery is one of the most effective procedures for treating advanced hip osteoarthritis, avascular necrosis (AVN), or complex fractures. During the procedure, the femoral head and the acetabular socket are replaced with high-quality metal and ceramic components, helping to restore natural movement and eliminate chronic pain.
Symptoms:
- Persistent pain in the hip, thigh, or lower back
- Stiffness and difficulty moving the leg
- Pain while walking, climbing stairs, or standing for long periods
- Shortening of the affected leg or feeling of imbalance
- Weakness or atrophy of the muscles around the joint
Diagnosis:
- Thorough clinical examination to assess range of motion and pain
- X-rays to determine joint damage or advanced osteoarthritis
- MRI in cases of suspected avascular necrosis or hidden injuries
- Blood tests and preoperative assessments to evaluate overall health
Treatment Methods:
- In early stages: pain relievers, physical therapy, local injections, weight reduction
- If conservative treatment fails or the condition progresses: total hip replacement
- Removal of the damaged femoral head and acetabular socket
- Implantation of a balanced and stable prosthesis
- Use of wear-resistant materials to ensure long-lasting joint function
When is surgery necessary?
- In cases of severe osteoarthritis affecting daily life
- If pain interferes with sleep or movement
- In cases of avascular necrosis or loss of joint function
- When all medication and conservative treatments fail to improve the condition
- Presence of a hip fracture that cannot be repaired conservatively
Patient Education After Hip Replacement Surgery:
- Patients can begin walking with assistance one to two days after surgery
- Adherence to physical therapy is essential to restore muscle strength and joint flexibility
- Avoid bending the hip beyond 90 degrees during the first 6 weeks
- Sleep on the back or the non-operated side only
- Use assistive tools (high chair, sock aid) to avoid stressing the joint
Frequently Asked Questions About Total Hip Replacement
We fully understand the importance of having all the necessary information to make informed decisions about your health. That’s why we have compiled the most frequently asked questions about joint replacement surgery and provided clear and reliable answers. We hope this section helps you better understand the procedure.
It typically lasts between 15 and 25 years, and sometimes even longer with proper use and care.
Yes, usually after about 6 to 12 weeks, depending on the type of work and the level of physical activity required.
No, modern hip prostheses are designed to function smoothly without making any noise.
Yes, but it is recommended to engage in low-impact activities such as swimming and walking, while avoiding high-impact sports or jumping.
In some cases, it may be necessary, but many patients live for many years without needing a replacement, especially with regular follow-up and adherence to post-surgery instructions.
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