Hip Replacement Surgery is a procedure in which the doctor surgically removes painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic components. It is performed most commonly because of progressively worsening of severe arthritis in the hip joint.
People with the hip joint damage that causes pain and interferes with daily activities despite trying other treatments such as exercise, walking aids and medication without significant improvement are the candidates for Hip Replacement Surgery.
Ageing, Alcoholism, Drugs (such as prednisone and prednisolone), Bony Fractures of Hip Joint, Congenital abnormality of the hip joint or prior trauma to the hip joint generally leads to progressive worsening of Degenerative Arthritis or Osteoarthritis in the hip joint which is further treated with this procedure. It is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials making Walking, Stairs Climbing, Sitting up and down and other Hip Joint related movement easier and least painful to perform.
The shapes of a hip joint are like ball and socket, that is why it is called a ball and socket joint. The process involves surgical removal of the diseased ball and socket and replacing them with a metal or ceramic ball and stem inserted into the femur bone than an artificial plastic or ceramic cup socket. Alternatively, a “Cementless” prosthesis is additionally utilized that has microscopic pores that sanction bony in growth from the mundane femur into the prosthesis stem.
EXPECTATIONS AFTER THE PROCEDURE
Reduction in Hip Pain – The Pain will be reduced and usually eliminated.
Recovery of Mobility – You don’t have to put much efforts to move your hip anymore.
Improvement in Quality of Life – Your everyday activities will no longer be limited by pain.
But, all of this does not happen immediately just after you are Operated.
You will have to stay in the hospital at least for 6 days and may have to stay in bed with a V-Shaped cushion between your legs to keep the new hip joint in place.
Physical therapy It is extremely important in the overall outcome of any joint replacement surgery in Bangalore. The goals of physical therapy are to prevent muscular contraction, improve patient’s education, and strengthen muscles around the hip joint.
Pain is monitored during the exercise. As per the theory, some degree of discomfort is absolutely normal.
The important benefits of movement after surgery is to increase the blood flow, which reduces the risk of blood clots.
Physical activity increases the balance and strengthens muscles.
As you are getting better now, you will be given more exercises to improve your hip strength and mobility.
Patients are given home exercise programs to strengthen the muscles around the buttock area and thigh.
Before being discharged, you will need to accomplish several goals, such as:
- Being able to walk by yourself.
- Pain control.
- Able to eat, drink, and use the loo.
- Walking with a cane, walker, or crutches on a level surface and being able to climb three stairs.
- Being able to perform exercises suggested by the doctor.
Still not able to accomplish these goals?
It might be unsafe for you to go home immediately after discharge. You may be temporarily transferred to a rehabilitation center or to a skilled nursing center.
PAIN AFTER SURGERY
It is very common to experience pain after surgery. The pain can last less than three to six months. Pain can come and go with injury depending on the magnitude of the illness.
Blood circulation in your affected leg will be slow moving after the surgery, leading to a swollen calf and ankle.
Signs of Blood Clot
- Pain in your leg unrelated to your laceration.
- Redness on the upper or beneath your knee.
- Severe swelling on any parts of your leg.
You might get mild to moderate swelling for 3 to 6 months after the process. To reduce swelling, raise your leg slightly and apply ice. Wearing compression stockings might help reduce the swelling. Notify your doctor if you experience new swelling.
To reduce swelling, we recommend resting with your legs raised upwards– knees above the level of your heart – 4-5 times a day for fifteen to twenty minutes each time. Apply a cold pack to any sore or swollen region.
Treatments for pain
Managing your pain is more than taking prescription pain medicine. Here are some tips that you can follow to get rid of the pain :
- Proper medication
- Physical Therapy
- Ice Packs
- Relaxation techniques
- Psychological therapies
- Nerve blocks
Your role in managing pain
As you are the only one who knows where and how severe your pain is, it is important that you communicate well about the pain.
If you have pain, go to a doctor or talk to a member of your healthcare team.
All of the following information will help your medico prescribe the right medication and therapy for the pain:
- Where exactly you feel the pain and how much pain you have (tell the doctor your exact situation)
- What makes your pain better or worse
- What methods of pain control have worked in the past?
- Do you take your medicines on a regular basis?
- if you have allergies or reactions to medicine(s)
- Your goals for managing your pain
Side effects of hip replacement surgery include dislocation, irritation, rash, and infection.
The clinical experts recommend avoiding certain movements, like pulling the knees to the chest, in the first weeks after surgery to avoid dislocation of the new implants. The doctors would prescribe anti-inflammatory drugs to reduce inflammation.
In some patients, minor of pain or instability can occur after surgery. The patient might have to go through stiffness, bleeding or nerve injury.
Type of implant may increase the risk of certain complications
Patient’s natural hip is held in place by a ligament that connects the ball to the socket. It’s additionally held in place by thick, dense tissue that circumvents the joint.
During the surgery, this tissue is removed from the area, which is why dislocation can occur.
Correct placement of the implant during surgery is important for remaining in place for the long term.
The possibility of dislocation elevates as high as 20 percent during revision surgery. Dislocation leading to implant failure is most liable to occur within the first few months after the surgery.
Infections following hip surgery are not prevalent. If the infection is caught within 4 weeks of surgery, specialists may re-open the wound to completely clean it and inject antibiotics in the affected area.
If the process does not work or if the infection is not discovered until later, the implant may need to be eliminated and re-implanted after the infection has been eradicated. Infection is one of the most feared post-surgical complications.
In extremely rare cases, when the infection cannot be controlled by any medical means the entire hip and leg may have to be amputated.