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| Hip Joint Replacement Surgeries |
| General Information about the Hip |
| The anatomy of the hip |
The hip joint creates the jointed connection between the trunk and the legs. It connects the pelvis and thigh bones. It is a ball-and- socket joint which, due to its shape, enables great freedom of movement. It consists of the socket of the hip bone (pelvic bone) and a ball (thigh bone), which is covered with a layer of cartilage.
The joint itself is sealed off by a joint capsule. Within the joint capsule, a mucosa layer produces the synovial fluid, which on the one hand nourishes the cartilage, and on the other hand produces friction free sliding. The synovial fluid also serves as a sort of shock absorber which intercepts the powerful forces that impinge on the joint during a person's lifetime. The bones are connected by the ligaments which impart the necessary stability to the joint. The joint is moved by muscles and tendons. |
| Diseases of the hip |
| There are a number of causes that can lead to diseases of the hip joint. The most common ones are: |
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Osteoarthritis
Pathological wear of the joint cartilage. |
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Secondary Osteoarthritis |
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Congenital deformities |
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Accidents - Resulting in injury to
bones or joint parts |
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| Symptoms |
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| X-ray of an Arthritic
hip |
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Pain on walking |
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Progressive reduction in the distance you can walk without pain |
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Hardly any relief from pain even on resting or with pain killers |
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Clear reduction in general mobility of the hip joint |
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Difficulty in sitting on floor in cross legged positions, using Indian toilets & doing activities of daily living like wearing shoes, stairs climbing etc. |
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| What's Involved in a Total Hip Replacement-THR? |
| What is Total Hip Replacement? |
In principle, Total Hip Replacement or THR is the replacement of the diseased joint by an artificial implant. Many decades ago, the relatively simple structure of the hip joint a ball-and-socket joint had inspired physicians and medical technicians to create an artificial hip, and in the course of time follow-up examinations and improvements in operative methods and materials have led to great progress, and the optimisation of total hip prosthesis.
Thus, we can view THR as a routine operation. |
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| Arthritic Hip |
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Over time, normal wear and tear may cause cartilage to crack or wear away. When this happens, the bones making up the joint rub together. Stiffness and pain occur when the ball starts to grind in the socket. |
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| Femoral neck
fracture |
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A bad fall or blow to the hip can break (fracture) the thigh bone, typically around the femoral neck region. If the broken bone does not heal properly, the joint may slowly wear down. Blood flow through the femoral head may be restricted or cut off, leading to the necrosis of the joint. |
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The hip prosthesis is designed to simulate the human anatomy and is comprised of a hip socket and a hip shaft. The ball head which articulates in the socket is placed on the hip shaft. The ball head may be a ceramic or metal head running against a polyethylene socket. The socket can also be entirely of ceramic. The materials used in the joints have been specially developed for medical purpose with good tissue tolerance and allow the function to be as painless and lasting as possible. |
| Having your hip replaced? |
The hip is a simple ball-and-socket joint where the thigh bone joins with the pelvis. When these joint surfaces become roughened, causing severe pain and stiffness, the ball-and-socket have to be replaced.
Total hip replacement is when a cup is inserted into the pelvis and fixed into place and a stem with a head attached is inserted into the shaft of |
| Orthopedic surgeons now commonly use one of three types of implant fixation : |
| Cemented prosthesis |
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-in which the hip socket and the shaft are fixed with special bone cement. |
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| Uncemented prosthesis |
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-in which the hip socket and shaft are screwed or press-fit Into the bone. Long-term fixation is attained by the growth of newly formed bone on the prosthesis surface. |
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| Hybrid Prosthesis |
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-in which the socket is cement-free and the prosthesis shaft is anchored in the bone with cement. |
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the femur. The artificial ball-and-socket are then fitted together to function as a normal hip joint. For each prosthesis type, there is wide range of models, manufactured in different sizes. Selection of the prosthesis is dictated by the bone condition and the weight and physical activities of the patient. The surgeon will prepare for the operation on your hip with a graphic plan compiled on the basis of X-rays and will thus determine the model, size and position of the prosthesis parts. |
| What are artificial hip joints made up oft |
Materials used for artificial joints are highly developed. They provide maximum tolerance and long-term acceptance by the human body, which is called bio-compatibility. For decades, Stryker has been a leader in material development and fundamental know-how in metallurgy, material, research and testing. In general, there are three different types of material employed for orthopaedic purposes: Metals, Polymers, Ceramics. |
| Ceramic on Ceramic hip implant |
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| Metal on poly hip implant |
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| When is total hip replacement required? |
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Persistent pain in the joint requiring regular pain killers, affecting activities of daily living and compromising your quality of life. |
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When other treatments like medicines, physiotherapy etc have failed and no other alternative treatment is likely to help. |
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X-ray confirming advanced arthritic changes in the joint. |
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