Hip Replacement Surgery

What is Hip Replacement Surgery? 

   The hip joint is the combination of a ball and socket. The top of the thigh bone, the femoral head, defines the part called the ball, while the other part, which is made up of bone and cartilage, defines the socket. Hip replacement surgey is an operation where the damaged hip joint is replaced with new and durable synthetic structures with similar properties. 

For Which Diseases Is Total Hip Replacement Used? 

   Total hip replacement surgery is usually performed in adolescence. Along with that, there are no limitations fort he upper age. It can be applied to anyone who has completed or is about to complete bone development. Hip replacement surgery; It is a surgery known to offer definitive solutions for people in the 20-40 age group, especially in cases such as hip dislocation called developmental “hip dysplasia” or “avascular necrosis”. 

We can list the diseases and disorders that hip prosthesis is applied in general as follows: 

  • Calcification.
  • Tumors.
  • Disease sequelae from childhood.
  • Rheumatic diseases.
  • Inflammation sequelae.

 • Bone necrosis that occurs after hip fractures and blood supply problems with advancing age. 

  People suffering from these diseases and conditions are good candidates for hip replacement surgery. Along with that,mainly non-surgical treatments are primarily applied. If non-surgical treatments do not provide a benefit or if it is anticipated that they will not, then hip replacement surgery will be in question.

How is the surgery Performed?

  If the patient does not have an active infection such as urinary tract or throat infection, blood samples are taken to start the preparations for the surgery. Then the anesthesiologist is consulted. If there is no obstacle to the realization of the operation, the patient is admitted to the hospital the day before the operation. Diabetes and blood pressure diseases do not constitute an obstacle to hip replacement surgery. However, patients who have diabetes or high blood pressure should be kept under close follow-up. In addition, smoking is not recommended as it will increase the risk of infection. Moreover, The operation can be performed under general anesthesia, known as narcosis, or by anesthetizing the waist. 

      At this stage of the surgery, your specialist will remove the damaged bones from the hip and relpaces with prosthesis. Moreover, he performs sutures for the capsule, fascia, muscle, skin and subcutaneous tissues. After an average of 4-6 hours after the operation, the patient is allowed to eat normally. On the evening of the operation or the day after the surgery, patients may start walking with support. In this process, patients must use compression stockings and a walker. 

Life After Surgery 

After your operation, your blood pressure, heart rate, pain level, need for medication and waking status after anesthesia is monitored. Average hospital stay is two nights after Hip Replacement Operation. 

PREVENT BLOOD CLOTHES

  There is an increased risk of blood clots in your legs after your surgery. There are of course further solutions to eliminate this complication. We encourage you to walk with crutches or a walker immediately after surgery.

PHYSIOTHERAPY 

   Your physical therapist will help you plan and do exercises that you can do in the hospital and at home to speed up your recovery. Activity and exercise should be an important part of your day to re-strengthen your joints and muscles. Your physical therapist will provide you with excersises strengthening and range of motion. These exercises will provide you with the assistance of how to use a walking aid. 

HEALING PERIOD AT HOME 

  Before you leave the hospital, you will be given tips on caring for your new hip. In addition, you can place the items that you use frequently in daily life near you. Keep your phone, tablet, TV remote and books close, where you will spend most of your time, especially during the recovery period. But avoid bending over or lying down. If you have a low toilet, it may also be beneficial for you to make minor changes to your living space, such as buying a raised toilet seat. In addition to these, one of the most important elements is to keep stair climbing to a minimum. Sit in a sturdy, straight-backed chair. Do not use recliners. You may remove any rugs or obsticles that may slide on the floor, keeping the rooms clutter – free. 

 What kind of symptoms are seen in hip replacement candidates? 

 The most common symptom in hip replacement candidates is severe pain. The pain, which occurs only when you walk in the first place, starts to bother you even when you rest in the later process. Apart from this, we can list other symptoms as follows:

  •  • Limitation of movement.
  •  • Shortness of the leg.
  • • Limping. 

What happens if we delay hip replacement surgery?

  When it comes to hip replacement surgery, non-surgical treatments may also be possible. Physical therapy applications, drugs, using a cane, injections for the joint such as PRP or stem cells are among the non-surgical options. However, if your specialist will suggest a surgical operation and the patient delays the operation. Serious calcification and deterioration risk may occur even in the two intact knees, other hips, and even back and waist regions. In the case where operation cannot take place, the risk for other parts of the body also increases, as other parts of the body will be more burdened than normal.

 Who is not a good candidate for a hip prosthesis? 

Hip replacement surgery; 

  • Individuals with poor personal hygiene. 
  • People with dementia or mental illness.
  • People with an active infection in the hip area.
  • Individuals with advanced insufficiency in arteries or veins.
  • It is not suitable for individuals with muscle paralysis around the hips related to neurological diseases. 

 What would be the durability of the hip prosthesis? 

     Meeting all the right conditions for the operation, the aim for the hip replacement surgery to last a lifetime. Although many factors determine the service life of the prosthesis, it is expected that the prosthesis will last for at least 15 years if the quality is not ignored. This period also can be 30 years or more.

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