Hip Replacement Surgery
4 min readGetting hip replacement surgery is a surgical procedure that involves replacing the hip joint with a prosthetic implant. The surgery can be performed as a total or hemi replacement. This surgery is an extremely effective method of restoring the functionality of the hip joint.
Resurfacing
Having a total hip replacement surgery can improve your hip’s function, but it is not without its downsides. For instance, it may increase the amount of metal ions in your blood, which can be dangerous at high levels. The ions can also cause an adverse local tissue reaction, which can lead to swelling and pain.
Hip resurfacing is a more conservative procedure, which may be better for younger, active patients with arthritic hip pain. The procedure removes damaged bone from the hip socket and replaces it with a metal cover. The procedure may help to improve hip mechanics and reduce dislocation rates.
The surgery is generally performed under sedation or general anesthesia. The incision is usually around 20-30cm long. Skin staples are usually used to close the incision, but may be removed after ten days.
Total hip replacement
Whether you are suffering from arthritis or just want to ease your pain, total hip replacement may be a good option for you. This type of surgery replaces damaged cartilage in the hip with components made of ceramic or metal. The new hip can help restore your range of motion and strength.
There are several different options available for pain control during your recovery. You may be given an oral pain medication, such as tylenol or celebrex. You may also receive pain medication through an intravenous line. These options can help you get back to your daily activities quickly.
You may also be given a device called a PCA that can reduce your pain after surgery. The PCA can also help you work on your hip muscles and restore your range of motion.
Metal-on-metal implants
Medications and Healthcare Products Regulatory Agency (MHRA) has published guidance on metal-on-metal implants for hip replacement surgery. These devices are a newer form of hip implant that differs from other types of hip implant, including polyethylene and ceramic implants. Metal-on-metal devices are designed to last for many years. However, clinicians must be vigilant when assessing patients with metal-on-metal hip implants.
The MHRA has received reports from suppliers, manufacturers, and healthcare professionals about adverse events. These reports include loosening and other problems. If these problems are confirmed, the MHRA issues a warning. The MHRA’s role is to assess the safety of medical devices. The MHRA also performs audits of private sector organisations that assess medical devices.
The metal-on-metal hips are a more durable option than polyethylene or ceramic implants, but they also have other risks. These risks include loosening, which is a major reason for implant failure. Also, metal particles, which can cause pain and discomfort, can build up at the site of the implant.
Preventive antibiotics
Surgical site infections after primary hip and knee arthroplasty are a devastating complication. They can require removal of the prosthesis and prolonged hospital stays. Preventive antibiotics for hip replacement surgery may reduce the risk of infection.
Orthopedic surgeons have differing opinions on antibiotic prophylaxis for total joint replacement. The most commonly used drug is cephalosporin, although teicoplanin is also an effective prophylaxis. The ideal antibiotic should be specific for orthopedic infections and have good tissue penetration. A long half-life and no toxicity are also important characteristics.
The American Academy of Orthopedic Surgeons (AAOS) has recommended intravenous antibiotic prophylaxis in primary total joint arthroplasty. However, AAOS did not recommend generalizing this recommendation to orthopedic surgeons. Rather, AAOS took a hard stance against CDC’s recommendation against postoperative antibiotics.
Recovery
Having a hip replacement can give you a fresh start. It’s also a good way to reduce pain. However, the recovery process can be tricky. You may need to see a therapist or rely on others for assistance.
Surgical techniques have evolved to make the recovery process quicker and more efficient. The medical team will be on the lookout for blood clots and infection.
During your recovery, you will need to practice daily exercises to increase strength, flexibility, and balance. You will also need to take special care to avoid bending or lifting heavy objects.
You may also be prescribed pain medications to ease your pain. The pain may last for a few weeks or months. You may also need a walker or cane for a few weeks.