Total hip replacement, also known as total hip arthroplasty, is a surgical procedure performed to replace a damaged or diseased hip joint with an artificial implant called a prosthesis. This procedure is commonly recommended for individuals with severe hip pain and functional limitations caused by conditions such as osteoarthritis, rheumatoid arthritis, avascular necrosis, hip fractures, or other hip-related issues.
During the surgery, the damaged portions of the hip joint, including the femoral head (the ball-shaped top of the thigh bone) and the damaged socket (acetabulum), are removed and replaced with artificial components. The femoral component typically consists of a metal stem that is inserted into the femur (thigh bone), along with a metal or ceramic ball that replaces the femoral head. The acetabular component is a metal cup that replaces the hip socket and is often lined with a plastic, ceramic, or metal liner.
The primary goal of total hip replacement is to alleviate pain, improve hip joint function, and enhance the patient's quality of life. It can relieve symptoms such as pain during weight-bearing activities, stiffness, and limited range of motion. The procedure is performed under general anesthesia or regional anesthesia, and the recovery period involves pain management, physical therapy, and rehabilitation to regain strength, mobility, and function.
Total hip replacement is generally considered a highly successful procedure, with a significant reduction in pain and improvement in hip function. However, as with any surgery, there are potential risks and complications, including infection, blood clots, dislocation of the joint, leg length discrepancy, and wear or loosening of the prosthesis over time. Careful evaluation by an orthopaedic surgeon and thorough discussion of the potential benefits and risks are essential before deciding to undergo total hip replacement.
Post-operative rehabilitation, including physical therapy and following the surgeon's instructions, is crucial for a successful recovery and long-term outcomes following total hip replacement. Regular follow-up appointments with the orthopaedic surgeon are important to monitor the progress, assess the function of the prosthesis, and address any concerns.