The bilateral hip disorder is a common finding that can occur in about 42 percent of the population with osteoarthrosis, and it was estimated that 25 percent of individuals with osteoarthritis require a total hip replacement. This is a test of the greatest strategy to drive hip replacement without increasing the likelihood of perioperative comorbidities, using simultaneous bilateral hip replacement or as options for a sequential operation.
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Types of bilateral hip replacement
Simultaneous Bilateral Hip Replacement – When both knees are replaced in a single operation at the same time, it is called bilateral bilateral replacement,
Staged Bilateral Hip Replacement – This involves both knees being replaced at different time intervals, this is called bilateral knee replacement.
Hip resurfacing – re-attaching the first socket and ball of the thigh bone. This type of operation reduces the risk of clutter and may cause the person to return to some higher level of physical activity.
Minimally invasive total hip replacement – minimizes fragile tissue damage resulting in shorter healing time, somewhat less after surgical complications.
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Diagnosis for hip replacement surgery:
Osteoarthritis is a degenerative joint disorder also known as wear and tear arthritis, in which the characteristic smooth surface of the bone reaches the bone causing pain in the bone.
Rheumatoid arthritis is an autoimmune disorder where the mucous membrane becomes inflamed. This tissue then produces extra subcutaneous fluid, therefore damaging the articular cartilage.
Trauma – Cartilage damage as a result of severe hip fracture or injury
Necrosis – When there is insufficient blood flow to the hip joint, bone fractures can worsen.
Developmental dysplasia, congenital dislocation of the hip
Test before hip replacement surgery
Medical background past and present – To know about scope and duration of pain, surgery is done, if any, due to Beyond Harm
A physical evaluation is done to understand the stability, movement of this joint.
X-ray and MRI to ascertain the degree of loss, bone disease, and soft tissue.
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Symptoms of hip replacement
Despite taking drugs, physical therapy and other traditional approaches:
- Debilitating pain persists
- limited mobility
- Interferes with regular activities
- Makes it harder to grow with a sitting posture
Before surgery
Pre-evaluation to announce your fit for the operation, including current past health history, complete blood count, urine analysis, clotting factor analysis, ECG
X-rays and MRI scans to understand the state of the disease and to select the treatment choice.
The doctor will check your regular medication and discontinue some medications before surgery.
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During surgery
Surgery involves replacement of the femoral head and acetabulum with synthetic elements or prostheses.
This process can take about 3-4 hours, surgery is done under general / spinal anesthesia.
The skin incision is made above the hip, the surgeon carefully separates the muscles and ligaments to reach the hip joint.
The next stage the surgeon dislikes the joint and removes the femoral head from the acetabulum.
The damaged cartilage inside the acetabulum was removed and lost, the inner hollow surface of the acetabulum is analyzed for an acetabular metallic prosthesis fastened with special screws or cement.
The femoral head is replaced with a metal stent that has a ball-like structure and stem outside a metal shaft.
The new ball of the thigh is then inserted into the socket portion of the hip
After the acetabular and femur part is set up, they are confident to see that the movement and balance of the hip joint is complete to confirm the X-ray whether the joint is properly placed
Subcutaneous tissue closure with principles
After surgery
Transferred to a recovery location and kept under surveillance
Compounds and painkillers will be given.
The patient may need to stay in the hospital for 6–8 days. Stitches or staples will be removed in about two weeks after the operation. The patient will have the ability to resume their regular daily tasks within 3 to 6 months after surgery.
Physiotherapy: very important within the first six weeks. It is important to help strengthen the hip joint
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Complications of hip replacement surgery:
Like any other operation, hip replacement operation carries the risk of complications.
- Infection (redness, swelling, bleeding, or another drainage from the incision site)
- Blood clots
- Nerve damage – leg pain and / or tingling
- A limp, or difficulty when walking, grinding, or tingling in the hip
- Uneven legs outstretched
Factors Affecting the Cost of Hip Replacement Surgery
Following are the factors that will affect the medical value:
The hospital is opting for the person.
Room-living room, living room, luxurious living room for a defined number of nights (including nursing charge, meals, room rate and room service).
Running Room, I.C.U.
Fee for the team of doctors (surgeon, anesthetist, physiotherapist, dietician)
The medicines
Physiotherapy session
Standard Diagnostic and Testing Procedures
Depending on the treatment option:
Form of Implants staged / bilateral simultaneously
Implant used
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