Types of Bilateral Hip Replacement
- Simultaneous bilateral Hip replacement – When both knees are replaced simultaneously in surgery, it is known as a simultaneous knee replacement.
- Staged bilateral Hip replacement – In this surgery, both knees are replaced at the same time. This is known as staged bilateral knee replacement.
- Hip resurfacing – Rise the authentic chamber and ball of the thigh bone. This kind of surgery has reduced the risk of disorder and patients can return to a better level of physical activity.
- Minimally invasive total hip replacement – It decreases the chances of soft tissue damage which leads to reduced recovery time and also minimizes the possibility of post-operative issues.
Diagnosis for Hip Replacement Surgery :
- Osteoarthritis – Regressive joint disease that is also known as Depreciated Arthritis occurs when the normal soft part of the bone decreases, causing pain at the bone-to-bone connection.
- Rheumatoid arthritis – It is an autoimmune disease in which synovial membranes get inflamed. This membrane ultimately makes more synovial fluid that damages the articular cartilage.
- Trauma – It leads to severe hip injury or fracture that damages the articular cartilage.
- Necrosis – If there is an insufficient supply of blood to the ball part of the hip joint, the bone may fall down and bend out of shape.
- Developmental dysplasia – It is an inherited disorder of the hip.
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Tests before Hip Replacement Surgery
- Medical reports of past and present to understand the extent and duration of pain, past injury, and if any operations were carried out.
- The purpose of the physical test is to determine the movement and strength of the joint.
- X-rays and MRIs are used to determine the extent of damage and the state of bones and soft tissue.
Helpful: What is a bilateral hip replacement?
Symptoms for Hip Replacement
Instead of taking medication, physical therapy, and other conservative methods:
- Weakening and pain remain.
- Regulate flexibility.
- Influence on daily activities.
- It is difficult to get up from a seated position.
Procedure for Hip Replacement
- Presurgical assessment to determine if you are fit for the surgery which includes current and previous medical history, complete blood count, urine test, lump testing, and ECG.
- X-ray and MRI are used to determine the condition of the disease and then decide on the treatment option.
- The doctor will examine your medications and restrict certain medications before surgery.
- This surgery includes the replacement of the femoral head and acetabulum with an artificial element or prosthesis.
- The process can take up to 3 – 4 hours. Surgery can be carried out under General or Spinal anesthesia.
- The skin opening is located above the hip. To reach the hip joint, the surgeon divides the muscles and ligaments carefully.
- The surgeon disconnects the joint and eliminates the femoral head from the acetabulum.
- Damaged cartilage inside the acetabulum is removed or rejected. In the interior hollow layer of the acetabulum, a metal prosthesis is fixed with a specific cement or screw.
- The femoral head is replaced with a metal stent with a distal ball form and a metal stem.
- The new ball component of the thighbone is then placed into the socket component of the hip.
- Following the fixation of the acetabular and femoral parts, the hip joint is observed for motion and stability. An X-ray is done to check if the joint is properly positioned in that place or not.
- Subcutaneous tissues joined with staples.
- The patient was kept for about 2 weeks.
- Moved to a medical facility and was placed in observation.
- Antibiotics and pain reliever medications are given.
- Patients will have to remain in the hospital for about 6 – 8 days. Stitches or staples will be removed after 2 weeks of surgery. Patients will be able to return to normal routine activities within 3 to 6 weeks after surgery.
It is done within the first six weeks of the surgery. This is essential to strengthen the hip joint.
Complications of Hip Replacement Surgery :
- There are some complications of Hip surgery as compared to other surgeries:
- Infection (redness, swelling, bleeding, or other problems from the opening).
- Blood clots.
- Nerve injury such as swelling and redness in the affected area.
- A problem with walking, sleeping, or grinding the hips.
- Leg size is unequal.
Factors Affecting the Cost of Hip Replacement Surgery
- There are some of the factors that will affect the treatment cost:
- The hospitals and the patient mainly choose:
- Room – Quality single room, luxurious room, super luxurious room for the number of nights described (it includes nursing fees, food, room rates, and services).
- Operating room, ICU fees.
- Doctors and their support staff (such as surgeons, anesthesiologists, physiotherapists, and dieticians).
- Quality test and diagnostic.
- Depend on the treatment options.
- Surgery types and stages.
- Transplant being used.