Who need a Hip Replacement? If your answer is yes to most or all the questions below, you probably are a candidate for Hip replacement surgery.
Hip joint is exposed using a incision on the back of hip, over the buttock. Joint is exposed after separating the muscle and cutting through the capsule. The worn and damaged surface of bone and cartilage from upper end of femur (thigh bone) and pelvis are removed and shaped to accept the prosthetic implants. These surfaces are replaced with metal and plastic / Ceramic implants which closely mimic natural hip motion and function.
Points to remember after total Hip surgery:
After Hip replacement, certain important aspects of your recovery need to be kept in mind:
Frequently Asked Questions:
Q. When I shall be able to walk?
A. You will be made to walk on second day after operation; physiotherapist will be there to assist you. At the time of discharge you will be able to walk to toilet or bathroom on your own with the help of walker or cane.
Q. What is the material used for replacement?
A. The implant is a special highly polished alloy (Cobalt-Chrome) or ceramic head on femoral component articulating with high quality polyethylene.
Q. How long I have to stay in the hospital after surgery?
A. In case you are getting one hip operated you will stay in the hospital for six days after surgery. In case, both the hips are operated together, duration of stay is for nine days after surgery.
Q. I am staying alone, how long I will need someone for help at home after discharge from hospital?
A. As discussed above, you will be able to walk to toilet or bathroom on your own at the time of discharge, but, if you are staying alone, you should have someone around for a month after surgery to assist you in daily activities.
Q. When can I start driving?
You can start driving after two months of surgery depending on the muscle strength and comfort.
Q When can I climb stairs?
A. You can climb to first floor in one go approximately 3 4 weeks after surgery.
Q. When can I travel abroad?
A. Traveling in the city for short duration may be started after 2 3 weeks. Going out of city may be done approximately after a month. Overseas travel should ideally be undertaken 3 months after surgery.
Q. What are the lifelong precautions after surgery?
A. 1. Not to sit cross legged, squat or use an Indian toilet or a low chair.
2. Avoid impact sports like jogging, jumping, badminton etc
Q. How long I will need to do physiotherapy?
A. You will be guided in your exercises by our team of physiotherapist during your stay in the hospital. After discharge you will need to continue with some easy exercises that you can do on your own. This may be required for a period of 6 to 8 weeks or till the time you are comfortable with your walking. Physiotherapist assistance after discharge may be required for 2 weeks.
Q. I am over weight, should I lose weight first and then undergo surgery?
A. Thin patients are easy for us to operate and postoperative recovery is also good. But, losing weight and maintaining weight loss can be difficult in patients with osteoarthritis of the hip, since their symptoms often limit the amount and type of exercise in which they can participate.
Q. How long are these joints going to last?
A. Life of the artificial joint depends on number of variables, including the type of activities you are engaged, quality of bone, whether you are overweight etc. Normally these joints have a finite lifespan of 15 to 20 years.
Prof. Surya Bhan, Executive Chairman of Primus Super Speciality Hospital is former Head of Orthopedi ...