Wednesday 22 April 2020

HIP PROSTHESIS: SYMPTOMS, SURGERY AND RECOVERY

Hip-Prosthetic

Hip pain can limit your daily activities, even affecting daily movements such as walking, climbing the stairs, sitting or standing.

What is a hip prosthesis?

The hip prosthesis corresponds to a prosthesis that is usually recommended for patients with osteoarthritis, or with symptoms of hip dysplasia, osteonecrosis, inflammatory joint diseases, among others. In some cases, it is recommended for people with a hip fracture. Most of the time hip discomfort and pain is due to a significant joint deterioration between the femur and the pelvis. For the patient diagnosed with osteoarthritis of the hip - suffering from painful stiffness, severe cartilage damage or hip fracture - the only solution is a total hip replacement in Delhi.

In India, around 75,000 surgeries are performed annually hip prosthesis. This is due to the increase in life expectancy and, with this, the prevalence of osteoarticular diseases that cause inflammation in the joint, which include pathologies such as osteoarthritis, arthritis, and osteoporosis.

Symptoms: pain when walking 

Symptoms begin with discomfort and pain when walking or straining the joint, however, discomfort ceases after taking rest. With time it increases and manages to limit the activities of daily life, in movement or at rest, since it intensifies and becomes progressive. It is not uncommon for pain to be felt in the mid-thigh or groin.

In order to make a diagnosis of joint deterioration or hip fracture, orthopaedic in Delhi indicates that a simple radiograph of the pelvis and hip is usually sufficient to confirm the diagnosis of hip arthroplasty, and it is not necessary, in most cases, perform other more expensive exams.

To be a candidate for hip replacement surgery in Delhi, the most frequent cause of prosthetic indication is osteoarthritis, which can be primary or secondary to symptoms such as hip dysplasia, osteonecrosis, inflammatory joint diseases, among others. However, it may also be necessary to place a prosthesis in patients who present some specific types of hip fracture, the orthopaedic doctor in Delhi clarifies.

Hip surgery and treatment 

In the first phase, analgesic and anti-inflammatory drugs are indicated for episodes of painful crisis, always under medical supervision and indication.

However, if osteoarthritis has already developed, the only solution is a prosthetic joint replacement in Delhi.

Due to the large number of hip replacement surgery in West Delhi, it depends on multiple factors which will be ideal for the patient. This is why the orthopaedic doctor in Dwarka analyzes the characteristics of the patient such as age, bone quality, presence of anatomical alterations or sequelae of previous diseases.

Meanwhile, when the diagnosis is for the treatment of a hip fracture, there is no alternative to non-surgical treatment.

The total prosthesis or total hip arthroplasty -also known as joint replacement surgery- consists of replacing the damaged joint with a prosthetic joint that allows the patient to resume his daily activities, without pain or discomfort.

Important advances have been made in recent years: minimally invasive techniques, new prosthetic designs, and new friction pairs. This allows younger patients to access a prosthesis or joint replacement, by improving the results and their survival.

"New coating prostheses have been developed they sacrifice less bone, they are more durable, more resistant and less worn, which is especially important in patients under 50 years of age. Computational navigation techniques are also being developed to carry out the implantation of the prostheses with greater precision,” says orthopaedic surgeon in Delhi.

Usually, primary total hip replacement in West Delhi is indicated for patients over 60 years with osteoarthritis, but nowadays it is increasingly presented in younger patients, where other causes such as rheumatoid arthritis, avascular necrosis, post-traumatic sequelae and pinching hip.

In women, osteoarthritis occurs more frequently than men, because they have a higher incidence of hip dysplasia, which makes them more exposed to the wear of the joint.

The total primary hip prosthesis, with an adequate surgical technique, has a low risk of global complications of less than 5%, as well as a high survival rate in the long term: about 90% at 10 years and about 80% at 20 years. of follow up.

As an example, a hip prosthesis placed today on 100 patients, should continue to work on around 80 of these in 20 more years.

Recovery

In general, the rehabilitation of a total hip prosthesis seeks to try to regain movement early. The patient usually gets up for a walk the day after surgery, with the help of two canes, a walker or burrito. Adequate kinetic rehabilitation is essential during the first weeks, progressively achieving the removal of canes, the recovery of muscle strength and the safety and independence of the patient.

This makes recovery very fast, the patient's post-operative takes place at home, to return to normal activity in 20 to 30 days, says orthopedic in Delhi.

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