Tag Archives: Hip Replacement in Delhi

Hip Replacement

Hip Surgery – Indications, Description of the Procedure, Complications

What is hip joint degeneration?

Contrary to appearances, degeneration of the hip joint is not a disease that affects only the elderly, because the first symptoms of this disease may be felt even in people over 45, and sometimes even earlier. If the disease is not properly treated, the accompanying symptoms worsen over time and cause pain in patients, mainly in the groin, hip and buttock, gait disturbances in the form of limping and rocking to one side while walking, such as also the stiffness and limitations of movement that are most troublesome in the morning.

Additionally, patients report to best orthopaedic in Delhi with symptoms such as jumping and crackling in the hip, and complaints of weakening of the thigh and buttock muscles on the degenerative side. All these ailments result from the weakening of the regenerative capacity of the articular cartilage, which due to the influence of various factors becomes thinner and loses its elasticity and, above all, ceases to act as a shock absorber. As a result, the surface of the head and acetabulum rub against the surface of the hip joint and secondary inflammation is formed in and around the joint, leading to reduced mobility.

The causes of hip osteoarthritis

Degeneration of the hip joints can be both primary, where the disease is mainly caused by natural wear and tear. The secondary causes responsible for the accretion of degenerative changes include: congenital defects of the hip joint (dysplasias), inflammation of the hip joint caused by e.g. rheumatoid arthritis or gout, acute injuries of the hip joint such as fractures and dislocations leading to the disturbance of the anatomical conditions of the hip. In addition, overloads that occur as a result of the nature of the work performed or the overweight or obesity of the patient are also important.

Hip osteoarthritis diagnosis

In most cases, a detailed medical history combined with an examination and an X-ray image are sufficient to make a diagnosis, on the basis of which the symptoms of degeneration are assessed, such as e.g. bone tissue thickening, bone spurs (osteophytes) on the edges of the acetabulum or narrowing of the joint space due to the loss of cartilage thickness. In some cases, the orthopaedic doctor in Delhi also orders an MRI of the hip, which allows him to assess in detail any damage to the labrum and cartilage of the hip joint.

When is a hip endoprosthesis necessary?

The indication for hip arthroplasty is critical and irreversible damage to the joint, which causes permanent and resting pain, the importance of limiting the range of motion. These ailments do not respond to treatment with other therapeutic methods. In these cases, arthroplasty is the only effective solution. Additional indications for the procedure are rheumatoid diseases, consequences of fractures in the area of ​​the hip joint, fractures of the femoral neck, early forms of sterile bone necrosis as well as neoplastic diseases.

What is a hip endoprosthesis?

An endoprosthesis is an artificial joint that replaces our natural one in the form of an implant. Thus, the endoprosthetics procedure consists in removing degraded and worn out elements of the hip joint and replacing them with artificial parts. Endoprostheses are made of metals inert to the patient’s body, such as titanium, which minimize the risk of implant rejection. The endoprosthesis consists of a shaft that is inserted into the medullary canal of the femur and the spherical head is mounted on it, which allows for movements. Additionally, the endoprosthesis includes an acetabular component in the form of a hollow hemisphere, which is implanted in the place of the diseased natural, bony acetabulum and it is between the acetabulum and the head that moves.

What types of hip endoprostheses are there?

Hip joint endoprostheses can be divided due to the way they are bound to the bone base, and they are:

  • cement prostheses where it is attached to the bone with the so-called bone cement. In most cases, this type of prosthesis is used in procedures in the elderly as well as in patients suffering from osteoporosis or rheumatoid arthritis.
  • Cementless endoprostheses, which are implanted directly into the bone and are used in the case of young patients who have not had bone degeneration
  • Hybrid endoprostheses, which are a combination of both previous types, because one element of the prosthesis, which is most often the cup, is embedded with the cementless method and the other element of the implant with the cement method

What does hip arthroplasty look like?

The duration of the hip replacement surgery in Delhi depends on the degree of deformation of the hip joint and lasts from 1 to 2 hours. The procedure is performed under spinal or epidural anesthesia, during which the feeling in the legs is turned off. After the surgical approach is performed, the orthopaedic surgeon in Delhi reveals the affected area and proceeds to resection of the head and neck of the femur, which creates space for an artificial joint element. In the next stage of the operation, the bone bed is prepared for the hip joint endoprosthesis and the endoprosthesis is fixed. At the beginning of implantation, an artificial acetabulum is implanted into the iliac bone, and then the endoprosthesis stem is inserted into the femoral canal. The stage that ends the procedure is the reconstruction of soft tissues, placing a layered suture on the surgical wound,

Does hip replacement surgery pose a high risk to the patient?

Correctly performed hip joint prosthesis implantation is a routine operation with documented good results. As with any surgical procedure, postoperative complications may occur, the most common being mechanical loosening of implants, infections in the skin and tissues near the prosthesis, the occurrence of venous thrombosis, change in limb length or joint ankylosis.

Do implanted endoprostheses need to be replaced? 

Due to the fact that modern prostheses are made of good-quality, long-lasting materials, a properly implanted endoprosthesis can serve the patient for decades. However, it should be emphasized that a hip joint prosthesis is an artificial element in our body that can simply wear out in the form of loosening, displacement, falling out of the joint or cracking. Although such situations rarely occur, it is good news for patients because virtually every malfunctioning endoprosthesis can be replaced during the so-called revision replacement of the hip joint endoprosthesis.

What is the patient’s life like after the hip replacement surgery?

Hospitalization after hip replacement in Delhi is approximately 5 – 6 days. For each patient, an antibiotic shield is used for 3-4 days after the procedure, as well as thromboprophylaxis, which is applied until the 30th postoperative day. The next day after the surgery, the patient is upright and learns to walk on crutches and skillfully weight the operated side of the body. As a standard, on the next day after the procedure, it is possible to start walking with gradual loading of the operated limb. It takes about 3 months to recover. During this time, rehabilitation is recommended, followed by a gradual introduction of physical activity such as walking, cycling or swimming.

Hip prosthesis implantation procedures are actually a rescue operation that will damage but a very important part of our skeletal system, which allows patients to regain the correct quality of life, eliminate pain as well as return to everyday life and work activities.

Hip Replacement

5 Myths About Hip Replacement

When hip osteoarthritis is in an advanced state, the pain is intense and limits our quality of life, it is time to consider the option of placing a hip replacement in Delhi.

The professional who can advise us when making this decision is the orthopaedic surgeon in Delhi; the orthopaedic doctor in Delhi who specializes in musculoskeletal injuries. This surgeon, together with the anesthetist, will be in charge of evaluating each specific case, taking into account all the factors that increase the risk of an intervention.

Many of you wonder how long do hip prostheses last? Am I too young for this intervention? Will I be able to play sports again?

Well, we are so helpful, today we bring you the 5 most popular myths about hip prostheses explained by the orthopaedic surgeon in Delhi.

  1. Hip prostheses only last 10 years

Hip replacement in Delhi does not have an expiration date. The figures are an estimated average of how long these prostheses last in other patients. The length of time depends on the type of prosthesis that has been placed and how it is implanted. One that is well implanted in the bone can last 20 years perfectly. The material from which the prosthesis is made also influences. Formerly they had a plastic component that was wearing out and loosening the prosthesis. Today, the new designs are made of ceramic that prevent wear and inflammation caused by loosening of the prosthesis, explains the orthopaedic in Delhi.

  1. Hip prostheses can only be put on from the age of 60

Prostheses now last 20-25 years, so an adult under 60 can be operated on, as long as there is no other way to avoid it. Ideally, this person should not need more than two replacements of said prosthesis throughout his life.

  1. Only two hip replacements can be made

Traditionally, the prostheses were cemented to the bone, so there was a risk of fractures when a hip replacement surgery in Delhi was performed. Nowadays, when using cementless prostheses, and under the concept of bone preservation to avoid that bone fracture, what is tried is to maintain the bone reserve for future implants and that patients can change their prosthesis three, four or five times throughout your life.

  1. After the implantation of a hip replacement you are left lame

If the patient has a history of lameness, this antalgic gait is likely to persist after the implantation of the new prosthesis, due to the bad habit acquired during those years. And that can be solved with physiotherapy sessions. But the normal thing in is not to remain lame and you cannot even notice that they are wearing a prosthesis.

  1. With a hip replacement, you cannot do sports again

You can do sports; another thing is that it is recommended or not to do some type of sport. If the prosthesis is well implanted, the patient will notice improvement and will be able to make movements that they could not before. What seems clear is that impact sports (running, soccer, basketball) would not be suitable because they would shorten the life of the hip replacement in Delhi due to small loosening of the implant in the bone. Orthopaedic in Delhi recommends that the patient exercise and maintain an active life: swimming, cycling, golf, ballroom dancing, or any type of activity as long as it is adapted to their condition.

Total Hip Replacement in Delhi

TOTAL HIP REPLACEMENT: WHAT TO DO?

Total hip replacement (arthroplasty) is a surgical procedure consisting in replacing the hip joint with artificial parts. Most often, it is people whose degenerative disease destroys the hip joint and causes chronic pain.

The World Health Organization (WHO) has said that approximately 28% of people over 60 years of age have osteoarthritis and, of this group, 80% have limitation in their movements of ordinary life. In India, as we continue to age, the possibility of this reality is becoming more and more frequent.

According to the orthopaedic in Delhi, Osteoarthritis of the hip, in musculoskeletal diseases, is perhaps the one that generates the greatest disability; the functionality of the patient decreases due to loss of movement and disabling pain. But let’s review what osteoarthritis really is to understand its treatment.

Articular cartilage is a specialized tissue that covers every joint, allowing mobility and ideal adaptation in these areas to favour arches of motion.

But how is cartilage formed? They are highly specialized cells called chondrocytes, which differ from the embryonic stage and, when located in the joints, have biomechanical properties; They are capable of supporting the necessary loads associated with movement, walking, etc.

These cells produce collagen, which makes it possible to better support the physiological loads of movement and determine the characteristics of structure and differentiation according to the stimulus. These cells accompany us throughout life in our joints.

The downside is that these cells are not capable of reproducing in vitro and if there is injury or local damage they do not regenerate.

There is still no proven drug that can stimulate the reproduction of new chondrocytes that have the same properties as the original cells. When the cartilage erodes, a cartilage with regular characteristics called fibrocartilage is produced, which is not capable of imitating the original functions of the original articular cartilage. If the injury is considerable, it will inevitably end in osteoarthritis, says the orthopaedic surgeon in Delhi.

Osteoarthritis has different origins. It can be presented by a degenerative process, such as collagen diseases and the best known is rheumatoid arthritis; due to mechanical alteration, as is the case of angular or rotational alterations of the extremities, which wear irregularly the articular surface, for example, untreated hip dysplasia in children will surely end in osteoarthritis at some point in life. Osteoarthritis, too, can occur due to intra-articular fracture, which destroys cartilage and ends in post-traumatic osteoarthritis.

Finally, patients who have been apparently healthy, for genetic reasons and individually end up developing osteoarthritis in a primary way.

The treatment of osteoarthritis is aimed at protecting the function of the joint; This implies controlling the patient’s weight, performing activities of daily living that reduce excessive loads on the compromised joints, maintaining an adequate balance of the muscles around the joints, and understanding that the progression of osteoarthritis will possibly end in a greater compromise, explains the orthopaedic doctor in Delhi.

Each case is different and therefore the approach must be individualized.

On the market they offer different drugs that promise to “improve” osteoarthritis; unfortunately, studies show that the vast majority either do not work or barely achieve a feeling of pain control and a placebo effect. But none have succeeded in making the destroyed cartilage regenerate hyaline cartilage. Caution should be exercised with the use of these options, some of which are expensive and do not guarantee substantial changes.

When osteoarthritis has compromised the hip and the pain becomes disabling, the patient should go to the orthopaedist in Delhi, who will assess the age, work activity, sports and family expectations of the patient. Generally, total hip replacement in Delhi will be the option, to control pain and regain mobility.

We owe the development of hip prostheses to the British orthopaedist Sir John Charnley, who through experiments on animals and then on humans in the 1940s managed to design and develop hip replacement using bone cement. (methyl methacrylate) to better adapt it to the bone.

This design allowed the hip joint replacement technique to be perfected in the following years, being today one of the most frequent surgeries in the world of orthopaedic surgery.

This managed to change the prognosis of the disease and allowed the patients to have an ordinary life, without pain, and with the functionality necessary according to their condition.

For this reason, when this procedure is defined, one must have the peace of mind of traceability over time, the high performance of prosthetic materials, refined techniques and in-hospital processes that favour a rapid recovery of the patient.

Of course, this total hip replacement surgery in Delhi embodies inherent risks such as infection associated with any procedure, thromboembolic disease and other entities that are generally associated with the condition of each patient.

They are risks that are tried to be minimized with guides and protocols that help to give patients an excellent post-operative period and that increasingly show us success stories.

So, when you have hip pain, lameness and functional limitation, go to an orthopaedic doctor in Delhi specialized in traumatology to guide you and improve your style and quality of life.

Hip Replacement Surgery

Hip Replacement Surgery- What you need to know

The specialty is generically known as the hip and deals with complex problems involving the pelvis region (pelvis), in addition to the hip joint itself, which is the meeting point between the femoral head and the pelvis.

The pelvis is responsible for the transmission of body weight and its distribution to the lower limbs, a frequent site of inflammation, pain, tendonitis, and muscle imbalances, which compromise the quality of life, both of sedentary patients, and of amateur or professional athletes.

The complicated anatomy characterized by an intimate relationship with the lumbar spine, in addition to pelvic organs and neurovascular bundles, often causes diagnostic doubt and treatment errors, says the orthopaedic in Delhi.

Hip pain, as in any joint (meeting between two bones), can be of intra or extra-articular origin. The most prevalent intra-articular diseases are: femoroacetabular impingement, arthrosis, and avascular necrosis of the femoral head. Tendonitis, also known as bursitis, is the main cause outside the joint.

When is hip surgery indicated?

Hip Arthroplasty or hip replacement in Delhi is surgery to replace the joint with a mechanical model called a hip prosthesis. It reproduces joint function very similar to the original biological model.

We know that the hip is a joint formed by the meeting of the head of the femur (thigh bone) and the acetabulum (part of the pelvis), stabilized by a reinforced set of ligaments.

In this way, Hip Arthroplasty is indicated when the patient has some type of disease in the hip that results in the joint’s inability to perform natural day-to-day activities.

The main advantage of hip replacement surgery in Delhi is the relief of pain and the recovery of the functions of the joint, which makes the patient return to perform daily activities painlessly, explains the orthopaedic surgeon in Delhi.

There are several factors that cause a person to experience pain in the hip. Some of them are:

  • Osteoarthritis: type of arthritis that causes wear of the cartilage that cushions the hip bones and is related to age. It can also be caused by small irregularities in the development of the hip in childhood.
  • Rheumatoid arthritis: autoimmune disease that causes inflammation and thickening of the synovial membrane, which can damage cartilage, causing pain and stiffness.
  • Post-traumatic arthritis: cartilage injury that may arise following an injury or severe hip fracture, causing pain and stiffness in the hip over time.
  • Avascular necrosis: limitation of blood supply to the femoral head caused by an injury to the hip, such as a dislocation or fracture.

Once the orthopaedic doctor in Delhi and the patient opts ​​for hip surgery, the specialist can request several physical exams before the surgical procedure, to confirm that the health conditions allow the surgery to be performed.

Before and after hip surgery

Now let’s talk a little more about everything that involves before and after hip replacement surgery in Delhi. Do you know how you know the care that must be taken by both patients and doctors?

Before surgery

Before surgery, the patient is advised to perform blood tests, chest radiography, electrocardiogram and urine samples. That’s because many elderly patients may have undiagnosed urinary tract infections that can lead to a hip infection after surgery, explains the orthopaedic in Delhi.

The type of anaesthesia can vary between general anaesthesia with a breathing tube or regional blocks. In some situations, where only a few screws are planned for fixation, local anaesthesia with heavy sedation can be considered, explains the orthopaedic surgeon in Delhi.

During surgery and for the next 24 hours, all patients receive antibiotics.

After surgery

After hip arthroplasty, patients may be discharged from the orthopaedic clinic in Delhi to return to their homes or to seek a stay in a rehabilitation unit. In all cases, assistance and attention is needed for patients to recover properly, says the orthopaedic in Dwarka.

Pain after hip surgery is a natural part of the healing process and so the doctor and the nursing staff work to reduce the pain. The drugs are prescribed for short-term pain relief.

It is possible that some patients will be encouraged to get out of bed the day after surgery with the assistance of a physical therapist, who will work to assist in the recovery of strength and the ability to walk. This process can take up to three months.

In some cases, a blood transfusion may be necessary after surgery. However, long-term antibiotics are generally not needed. Most patients can still receive a dose of blood thinning medications to reduce the chances of developing blood clots.

It is also important to note that, after hip replacement surgery in Delhi, most patients will regain the mobility and independence they had before the injury.

Some important precautions after hip surgery, to avoid complications such as prosthesis dislocation and bone fracture are:

  • Lie on your back and with your legs spread;
  • Do not cross your legs to avoid displacement of the prosthesis;
  • Do not sit in very low places;
  • Avoid turning your leg in or out;
  • Physiotherapy;
  • Perform activities only under the guidance of the doctor or physiotherapist.

What are the main diseases of the hip?

The patient should seek guidance from an orthopaedic specialist in the hip in the following cases:

  • Hip arthritis: inflammation of local joints. The most common type is inflammatory arthritis, which is when there is a change in the patient’s immune system, involving pain and swelling in the region.
  • Hip arthrosis: it is also known as osteoarthritis; it is degeneration of the cartilage that protects the bones. This damage also extends to the ligaments and joints causing pain, swelling and difficulty in movement.
  • Hip stress fractures: it occurs in the neck of the femur when stress is generated in the bone.
  • Fracture in the coccyx: occurs mainly in cases of fall or a very strong impact, capable of causing some type of injury at the site. It is common for the patient to feel a lot of pain in the region, in addition to having difficulty moving.
  • Hip dislocation: it is a dislocation of the bones of the hip joint. They happen in moments of trauma in the place, for example, in a fall. However, the condition can also be congenital, when the child is born with the dislocation or ends up acquiring it (developmental dysplasia of the hip).
  • Hip tendonitis: inflammation in the tendons of the region, capable of causing pain and swelling.
  • Hip bursitis: inflammation of the bursa that is between the muscle and the tendon, in order to avoid a large impact between tendons and bones. When the patient presents this condition, he feels pain in the joints and difficulties to move the inflamed site.
hip pain

Hip Pain- Causes, Treatment, Prevention

The hip is one of the most important joints in the body, in addition to being quite complex. However, because it is subjected to constant movement and for integrating several anatomical structures, such as muscles and bones, the hip may present with pain.

The function of the hip is to support the entire spine, as well as to make the connection with the lower limbs, allowing their movement. Thus, it is to be expected that a region that suffers so much with impact may present some pathologies related to it.

But what are the main diseases that cause hip pain? And how to prevent pain in that region? That’s what we’re going to check!

What are the main causes of hip pain?

Hip pain can have several different causes.

There are several factors related to hip pain, from problems caused by aging of the hip joint, to the development of other pathologies in younger patients.

Let’s talk about the main causes of hip pain.

1 – Trochanteric bursitis 

Trochanteric bursitis is a very common pathology resulting from inflammation of the bursa, which is a bag-like structure between the upper and lateral part of the femur. This structure can become inflamed due to the constant friction of the femur with the hip.

This region between the femur and the hip is called the trochanter and, in trochanteric bursitis, it becomes inflamed, causing pain in the hip.

The treatment of trochanteric bursitis involves administration of anti-inflammatory drugs, as well as rest until disinflation occurs.

In more severe cases, physiotherapy is mandatory, however, in some cases, surgery is indicated, since the region is quite deteriorated, requiring the placement of a prosthesis in it, says orthopaedic in Delhi.

2 – Tendinopathies 

There are all the problems that involve the tendons in the hips. When these tendons are in trouble, starting with inflammation, the patient suffers from pain in hip region.

There may be confusion between tendinopathies and trochanteric bursitis, so analysis by a orthopaedic surgeon in Delhi is essential for the correct diagnosis.

In the case of tendinopathies, treatment involves anti-inflammatory drugs and physiotherapy exercises with stretching.

3 – Herniated Disc and Sciatic Compression 

Many people experience pain in the lower back, not necessarily caused by a hip structure, but by herniated discs in the lower back.

Another factor that causes pain in the hip region is the compression of the sciatic nerve, pain that can remain in the gluteal region and extend until posterior to the thigh.

It is important for the orthopaedic in Dwarka to analyze the type of pain, as well as the limitation of movement and make imaging exams to evaluate the lower back with greater care.

4 – Fractures 

Fractures are the main cause of orthopedic surgeries for older people, and a number of factors contribute to this.

Among these factors, we can mention osteoporosis, lack of physical conditioning, lack of balance, as well as visual difficulties. All of these factors contribute to falls in the elderly and, consequently, fractures in the hip region.

Women are more susceptible to fractures for a number of reasons, including hormonal changes that contribute to osteoporosis.

The consolidation of fractures in the elderly can be quite challenging, especially if there are other comorbidities. For this reason, fractures end up leading a percentage of patients to death in the first 2 years.

On the other hand, there are quite evolved orthopedic materials and they can be options in several cases.

When there is a fracture of the femoral neck, the hip replacement in Delhi is necessary.

5 – Arthrosis 

Arthrosis is the wear and tear of the hip joint. It is common in older people and can cause pain in the hip and thigh region.

Over time, movement may become more difficult, limiting movement.

Treatment includes physiotherapy sessions and analgesic measures to relieve pain, restoring range of motion.

What is the treatment for hip pain?

Physiotherapy is essential to treat hip pain.

First, the correct diagnosis is necessary.

Thus, if you have persistent pain in the hip region, you should seek assistance from a specialist.

Often, treatment will include analgesic and anti-inflammatory medications, as well as rest and physiotherapy sessions.

Some cases will have surgical indications, but it is a minority. Most cases will have conservative treatment, with analgesic measures and physical therapy.

Surgical treatments must have associated physical therapy rehabilitation, so that the patient can return to movement as soon as possible.

How to prevent hip pain? 

Hip pain can be prevented with a few measures.

  • Stay within the weight;
  • Have an active life, with physical exercises supervised by an orthopaedic in West Delhi;
  • Always do stretching exercises;
  • Do specific strengthening for the hip region;
  • Don’t be sedentary;
  • At the pain signal, do not force and consult a specialist;
  • If treatment has been prescribed, do the recommended physiotherapy sessions.

What to do in case of hip pain?

In case of sever pain in hip rest is recommended.

If you experience pain in the hip area and cannot immediately seek specialized emergency care, some actions can help to temporarily reduce the pain.

But, it is important to remember that these actions only temporarily reduce pain, and cannot be replaced by a consultation and physiotherapy sessions.

  • Rest, lying on your back and try to raise the hip region, as in a bridge;
  • Apply hot compresses on the side of the hip;

Conclusion 

Persistent hip pain can be a sign of several problems. For the correct diagnosis, it is necessary to consult a specialist orthopaedic doctor in Delhi who will evaluate and prescribe the best treatment.

Physiotherapy is a strong ally in the treatment of pain, since it has analgesic measures and specialized treatment to reduce pain and improve the patient’s general condition.

In addition, physiotherapy is part of post-surgical rehabilitation in patients who have undergone surgery to place prostheses on the hip, however, most treatments indicated for hip pain are conservative, obtaining good results, says the orthopaedic in Delhi.

total hip arthroplasty

Total Hip Arthroplasty: Indications, Types of Prostheses and Risks

Known as ” total hip arthroplasty ”, this replacement surgery is an option for the patient whose hip pain interferes with your daily activities and the simplest treatments do not improve. Arthritis, and the damage it causes, is the most common reason why patients seek a hip replacement in Delhi.

Generally this surgery is performed for different disorders that damage the joints located in the hip, so a replacement is sought, says the orthopaedic in Delhi.

  • Osteoarthritis that is generated by wear and tear and damages the slippery cartilage that covers the ends of the bones and that also helps the joints have smooth mobility.
  • Rheumatoid arthritis occurs as a consequence of an overactive immune system. This produces an inflammation that usually erodes the cartilage and sometimes the bone that is underneath, which causes damage to the joints.
  • In Osteonecrosis, if there is any irregularity in the blood supply to the spherical part of the hip joint, the bone may lose its shape and collapse.

This option for hip replacement in Delhi may be considered if you have pain with these aspects.

If it worsens when walking, even if you have a cane, if it interferes with your sleep, with your ability to go up and down stairs, and if it is difficult to get up when you are sitting.

The two main indications for a total hip replacement are pain and functional disability suffered by the patient. After the hip replacement in Delhi, not only does the pain disappear, but the patient can regain normal mobility of the affected hip and return to performing their daily activities in a satisfactory way.

Currently, both young patients and elderly patients who have osteoarthritis or some other degenerative disease of the hip (necrosis or fracture of the femoral head, hip dysplasia…) benefit from this hip replacement surgery in west Delhi, recovering both quality of life, such as the hope of being able to perform demanding physical activities (swimming, cycling, …), explains the orthopaedic in Delhi.

What is hip replacement surgery and what types of prostheses are there?

The hip replacement surgery in Delhi consists of the replacement of the affected joint by a mechanical implant, the prosthesis.

There are many types of prostheses, but in a generic way we can say that a total hip prosthesis consists of three basic elements; an implant for the femur part (stem), an implant for the pelvic or acetabulum part (cup), and an implant between the stem and cup (head).

Both the stem and the cup are fixed to the bone, and this fixation will be responsible for a hip replacement lasting more or less time. Depending on the fixation of the stem or cup to the bone, prostheses are classified as cemented or non-cemented.

Another important part of the prosthesis is the friction torque (components that are in contact during movement), which is classified according to the material: metal-polyethylene, ceramic-polyethylene, ceramic-ceramic, oxynium-polyethylene, metal-metal. Currently, the most widely used total hip prosthesis, according to the orthopaedic surgeon in Delhi, is the uncemented one with a metal-polyethylene friction pair.

The choice of the type of prosthesis and friction torque will depend on different factors such as age, medical history of the patient…. But, in any case, the experience of the orthopaedic surgeon in Delhi is essential to choose the most suitable for each patient in this type of intervention.

The risks that are associated with this hip replacement surgery in Delhi can have:

Some blood clots after it, some clots can form in the veins of the legs, which can be dangerous, since some portion of the clot is able to break off and move to the lungs, the heart and even the brain. Most likely, your orthopaedic doctor in Delhi will prescribe blood-thinning medications to eliminate this risk.

Infections can appear at the incision site and in the deeper tissues in our hips. They are mostly treated with antibiotics, but some serious ones may be near the prosthesis, you may need another surgery.

Some fracture is probable, although little. In the healthy parts of the hip joint.

The adequate preparation for this surgery is a consultation with the orthopaedic in Delhi so that they can give you all the necessary recommendations for it.

This hip replacement surgery in Delhi will bring a total improvement, the pain felt before the surgery disappears completely, the range of motion of the joints will be improved. Generally, you could not do the same amount of things that you did before your hip replacement. For example, physical activities like playing basketball or running can be very stressful for an artificial joint.

COXARTHROSIS (OSTEOARTHRITIS OF THE HIP JOINT)

COXARTHROSIS (OSTEOARTHRITIS OF THE HIP JOINT)

Osteoarthritis, or arthritis due to wear and tear, is a common disease that occurs in people mainly middle-aged and elderly. According to rough estimates, in 2011 in the United States 29 million people suffered from this disease. Any joint of the body can be affected, however, the joints that bear the load are most often affected, including hip.

Osteoarthrosis of the hip joint or coxarthrosis in Latin – is characterized by the appearance of pain in the joint and limitation of movements. Patients may find it difficult to cope with everyday activities, such as tilting to tie shoelaces on boots, getting up from a chair, or taking short walks.

Osteoarthrosis progresses with time, so the sooner you start treatment, the less this disease will affect the way you live. There is no radical way to cure osteoarthritis, however, there are many ways to support therapy that will help you cope with pain and remain an active person, says the orthopaedic in Delhi.

HIP ANATOMY

COXARTHROSIS (OSTEOARTHRITIS OF THE HIP JOINT)

The hip joint is a spherical joint. Its “nest” is called the acetabulum, which is part of the pelvic bone. The second part of the joint is the spherical head of the femur.

The articular surfaces of the bones forming the hip joint are covered with a smooth tissue called articular cartilage. Cartilage provides unobstructed gliding of bones relative to each other.

Inside, the joint cavity is lined with a thin membrane called synovia. In a healthy hip joint, synovia produces a small amount of synovial fluid, which serves as a lubricant for articulating surfaces and improves their mobility.

WHAT IS COXARTHROSIS?

Osteoarthrosis is a degenerative joint disease that most often occurs at the age of 50 years and older, although it can also occur at a younger age, says the orthopaedic in Delhi.

With coxarthrosis, the articular cartilage of the hip joint gradually wears out. At the same time, its surface becomes uneven, it becomes thinner and the distance between the bone surfaces of the articulating bones decreases. As a result, the cartilage wears out completely and the bone surfaces begin to come into contact with each other. In order to somehow compensate for the loss of cartilage, on the periphery of the articular surfaces, the bone begins to grow and forms bone growths – osteophytes.

Coxarthrosis develops slowly and the associated pain syndrome progresses just as slowly.

CAUSES OF COXARTHROSIS

Coxarthrosis does not have any one specific reason, however, there are several factors in which the development of the disease is more likely:

  • Age
  • Family history of osteoarthritis
  • Previous hip injury
  • Obesity
  • Incorrect formation of the hip joint in the prenatal period – dysplasia of the hip joint

Even if you do not have the risk factors listed above, your likelihood of developing osteoarthritis still exists.

SYMPTOMS OF THE DISEASE

The most common symptom of coxarthrosis is pain. Pain usually develops and progresses slowly, but sometimes a sudden development of pain is possible. Joint pain and stiffness can be most pronounced in the morning, after prolonged sitting or a period of rest. Over time, the pain becomes more frequent, remains at rest and begins to bother the patient at night. Other symptoms include:

  • Pain in the groin and thigh radiating to the buttock or knee
  • Pain aggravated by intense physical exertion
  • Hip stiffness that makes normal walking and joint movement difficult
  • Sensation of joint blocking and crunching during movements associated with the presence of free fragments of cartilage and other tissues in the joint that interfere with normal movements.
  • Reduced range of motion, affecting the patient’s gait and causing lameness
  • Worse pain in rainy cold weather

CONSERVATIVE TREATMENT OF COXARTHROSIS

There is no radical way to cure coxarthrosis, but there are many ways to maintain therapy that can help you cope with pain and remain an active person.

As with degenerative damage to other joints, the initial treatment for coxarthrosis is conservative. The orthopaedic doctor in Delhi can recommend a variety of treatment options.

Lifestyle change. Some changes in your daily lifestyle will help protect your hip joint and slow down the progression of the disease.

  • Minimization of those types of activity that increase pain, for example, climbing stairs.
  • Replacing high-intensity loads (for example, running and tennis) with less intense ones (swimming and cycling).
  • Weight correction, which will reduce the load on the hip joint, thereby reducing the severity of pain and improving its function.

Physiotherapy. It includes special exercises that help increase the range of motion and flexibility of the joint, as well as strengthen the muscles surrounding the joint. The orthopaedic doctor in Delhi and physiotherapist will help you choose the individual exercise program that best suits your needs and lifestyle.

Supporting aids. Using canes, crutches, or walkers will help increase your mobility and make you more independent.

Drug therapy. If the pain interferes with your daily life and you cannot cope with it by other means, the doctor may recommend that you add medications to the treatment.

  • Over-the-counter analgesic can effectively help reduce the severity of pain in coxarthrosis. However, like any other drug, it can cause side effects and interact with other drugs that you take. We advise you to discuss possible side effects with your doctor.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) help reduce pain and inflammation, and most of them are also OTC drugs.
  • Corticosteroids are powerful anti-inflammatory drugs that can be administered orally or injected directly into the joint.

SURGICAL TREATMENT OF COXARTHROSIS

With severe pain and impaired joint function, when conservative treatment is ineffective, the orthopaedic doctor in Dwarka may recommend surgery.

Osteotomy. The operation consists in crossing the upper end of the femur or acetabulum and reorienting them in order to remove the load from the damaged part of the joint. In the treatment of osteoarthritis of the hip, this operation is rarely used.

Superficial arthroplasty. This operation consists in removing damaged cartilage and bone tissue of the acetabulum and replacing them with an artificial component. At the same time, the femoral head is not removed, and its articular surface is replaced by a smooth metal cap.

Total arthroplasty. This operation involves the complete replacement of the hip joint with artificial metal, plastic or ceramic components.

With total hip replacement in Delhi, the femoral head and acetabulum are replaced by artificial components.

Complications. Complications are possible in any surgical operation, and the orthopaedic surgeon in Delhi will do everything necessary to minimize their risk. The most common complications are:

  • Infection
  • Excess bleeding
  • Thrombosis
  • Hip dislocation
  • Difference in limb length
  • Blood vessel damage

RECOVERY AND REHABILITATION

After any operation on the hip joint, a rehabilitation period follows. The duration of this period depends on the nature of the operation performed.

Your orthopaedic in Delhi may recommend physiotherapy, which will help restore muscle strength and range of motion in the hip joint. After the operation, you will be using a cane, crutches, or walkers for some time.

In most cases, surgery can reduce joint pain and return you to an almost normal daily life.

HIP ENDOPROSTHETICS

HIP ENDOPROSTHETICS

Pain in the hip joint is most often the result of osteoarthritis and can seriously affect your ability to lead a full and active lifestyle. Hip osteoarthritis is called coxarthrosis in medicine.

Endoprosthesis of the hip joint can help relieve pain and return to normal life. Over the past 20 years, thanks to the introduction of new materials and techniques into practice, the results of endoprosthetics operations have significantly improved.

Endoprosthesis of the hip joint is becoming more and more prevalent as the world’s population is aging. At the moment, hip replacement surgery in Delhi is the most commonly performed in the world.

HIP ANATOMYHip Anatomy

The hip joint is spherical in structure, so movements in it are possible in many planes. The joint is formed by the acetabulum, forming, as it were, a deep bowl and the head of the femur, which has the shape of a ball, explains the orthopaedic in Delhi.

The femoral head is connected to its main part (diaphysis) using a short portion of the bone called the femoral neck. Strong and thick muscles and tendons surround the joint. The surfaces of the acetabulum and femoral head are covered with articular cartilage. The thickness of the articular cartilage is about half a centimeter in large joints. The articular cartilage is a hard and smooth material covering the bones in the joint area. The articular cartilage allows the bones coated with it to glide smoothly relative to each other without being damaged. The color of the articular cartilage is white and shiny.

The joint is surrounded by a dense waterproof capsule, inside which a special fluid is produced that lubricates the mating surfaces. The bones in the joint hold tight ligaments and muscles together. The design of the hip joint provides extremely high mobility while maintaining satisfactory stability. The powerful muscles around the joint allow us to move for a long time in an upright position, and also, if necessary, accelerate when running and jumping. Important nerves and blood vessels also pass around the joint.

WHEN CAN ENDOPROSTHETICS REQUIRED?

The main indications for hip replacement in Delhi are arthrosis of the hip joint (coxarthrosis), fracture of the femoral neck, aseptic necrosis of the femoral head.

With arthrosis, degenerative changes in the articular cartilage occur, which ultimately leads to cartilage wear. Bone growths (osteophytes) form around the joint.

Due to the deterioration of the cartilage, a decrease in its thickness, a significant decrease in smoothness, as well as a change in the shape of the articular surfaces, the friction in the joint increases, which leads to pain and a progressive violation of the movements in the joint.

Aseptic necrosis of the femoral head is another cause of destruction of the hip joint. With this disease, the femoral head loses blood supply and actually collapses. The shape of the femoral head changes, the bone tissue making up the head is resorbed.

The articular surfaces of the acetabulum and the femoral head cease to correspond in shape, pain and impaired movement in the joint appear. The causes of the disease can be previous hip dislocations, birth injuries, prolonged treatment with corticosteroids, as well as some infections.

The main goal of replacing the joint in any of the degenerative diseases with an artificial one is to reduce pain and return movements. To do this, damaged surfaces are replaced with artificial ones, as a result of which the smoothness and painlessness of movements in the joint returns.

Fracture of the femoral neck is also an indication for joint replacement surgery in Delhi.

In case of fractures of the femoral neck, the blood supply to the head is disturbed, in connection with which its gradual destruction occurs.

Fracture fusion in these conditions is impossible, hip replacement surgery in Delhi is the only way to activate the patient and return him to everyday activity.

PREPARATION FOR HIP JOINT REPLACEMENT

The decision about the operation is made by the orthopaedic doctor in Delhi together with the patient. After clarifying the medical history, the doctor performs a thorough clinical examination to measure the current range of motion, the level of pain, the patient’s functionality. During the examination of the patient, the orthopaedic surgeon in Delhi examines the radiographs, as well as the data of CT and MRI studies.

A thorough and complete medical examination before surgery is also required. This is done in order to minimize the risk of complications during hip replacement surgery in Delhi. If a long-term operation or hemoglobin level of the patient is expected to be below normal values, a blood transfusion may be required after or during the operation. Mandatory prophylaxis of thromboembolic complications.

TYPES OF ENDOPROSTHESES

There are several main types of endoprostheses – cementless and cement.

Cemented endoprostheses are held in the bone using a special cement that fixes the metal to the bone. The surface of cementless prostheses is made in such a way that the bone tissue grows into it over time, due to which the prosthesis is held in the bone. In order for the endoprosthesis to grow, the bone is treated with special tools.

Both types of fixation of endoprostheses are widely used in medical practice. Also, in some cases, a combination may be used where, for example, the acetabular component (cup) is fixed with cement, and the femoral component (leg) is cementless. The decision about whether to use a cement or cementless endoprosthesis is made by the orthopaedic surgeon in Delhi based on the age, lifestyle of the patient and the quality of his bones.

The endoprosthesis consists of two main parts.

The acetabular component (cup) replaces the articular surface of the acetabulum. The shell of the acetabular component is made of metal, inside of which is placed a plastic or ceramic insert that is directly in contact with the femoral component.

The femoral component replaces the head and neck of the femur, usually made entirely of metal. In some designs of the endoprosthesis, the head may be made of ceramic.

Endoprosthetics can be total when both components are replaced, and unipolar. With unipolar endoprosthetics (hemiarthroplasty), only the femoral component changes. Hemiarthroplasty is usually performed for fractures of the femoral neck in elderly and debilitated patients.

With this type of endoprosthetics, the earliest verticalization of the patient is allowed, the very next day. This significantly reduces the risk of thromboembolic and hypostatic complications in elderly debilitated patients with femoral neck fractures. Equally important is the shorter operation time for hemiarthroplasty compared with total arthroplasty, which also reduces the risks during anesthesia and blood loss during surgery. Currently, our clinic uses modern cemented bipolar hip arthroplasty. A bipolar endoprosthesis is a modern type of unipolar prosthesis in which the head is double.

A similar design of the endoprosthesis increases the life of the prosthesis, increases its stability and range of motion.

MORE ABOUT HIP JOINT OPERATION

The orthopaedic surgeon in Delhi performs access to the hip joint, a skin incision is performed in the upper third of the thigh. After the hip joint is exposed, surgeons dislocate the worn femoral head from the acetabulum.

Then, a resection of the damaged head and neck of the femur is performed with a special electric saw.

Then, using special mills, the acetabulum is processed. During the treatment, the worn cartilage is completely removed and a hemisphere is formed into which the acetabular component will be implanted.

After the formation of the acetabulum, the surgeon fills the cavity with bone cement and establishes a suitable acetabular component. At this stage, the correct spatial orientation of the acetabular component at the right angle is important. This affects the life of the endoprosthesis and the likelihood of complications in the postoperative period.

After cement hardens and fixation of the acetabular component, the surgeon proceeds to the femur. At this stage, the bone canal of the femoral canal is developed with special rasps to the required size.

Next, cement is placed in the prepared canal in the femur and the femoral component is installed.

A head of the required size is selected and the femoral component is set into the acetabular.

After the orthopaedic surgeon in West Delhi checks the stability of the thigh and range of motion.

As soon as the surgeon is convinced that everything is set properly, the wound is sutured in layers. Drainages are established for a day. The patient is sent to a special ward in the postoperative ward, explains the orthopaedic in Delhi.

From the first day, rehabilitation of the patient begins.

HIP PINCHING: SYMPTOMS, TREATMENT AND RECOVERY

If you have repeat (inguinal) hip pain and are an athlete or frequently engage in physical activity with discomfort during or after this activity, you may have a hip pinch or hip impingement. A lesion or incipient cartilage can give the first symptoms, explains the orthopaedic in Delhi.

The problem is in the case of those who are sedentary, because it is a disease that can appear silently. It has no symptoms, as it does not generate stress on the hip. Here the pain can appear late when the cartilage of the joint is totally worn, causing osteoarthritis of the hip.

This disease was discovered 20 years ago. Before its existence, most hip ailments were diagnosed as mono arthritis, causeless inflammation, idiopathic osteoarthritis, unknown cause, or joint wear and tear in late cases.

Over time, it was discovered that about 80% of these patients had an alteration in relation to the shape of the bones of the acetabulum with the femur. They already called this hip pinching.

This disease contains a lot of different pathologies, it is a set of alterations in the joint, which can be the deformity of the acetabulum or the femur.

Symptoms

The symptoms of hip impingement can be pain in the groin, discomfort in the hip area around a pain type C, after exercise or appears daily without physical activity. Patients who have been with the disease for a long time and have never had discomfort, the main sign is loss of mobility in the hip.

Also, knee pain that you don’t have any findings may be from hip problems. “The knee cries for the hip,” says orthopaedic doctor in Delhi.

Symptoms depend on the deformity and physical activity.

If there is a lot of deformity and a sedentary lifestyle, symptoms may start. In as much, if there is little anatomical alteration, but the patient is very active, it is more probable that the hip pinch is manifested. And finally, those who have minimal deformity and do little physical activity, it is likely that they can reach the age of 65 and their hip will never hurt.

Exams and Diagnosis

In the first instance, the orthopaedic doctor in Delhi performs a clinical examination, accompanied by the patient’s symptoms, in which he will move the patient’s leg and, specifically, the hip joint to assess pain and range of motion.

To make an accurate diagnosis, the traumatologist indicates a plain radiograph of the pelvis and hip, and an MRI or Artroresonance study. With the radiologist’s evaluation, it is possible to determine where the lesion is, what its size is, if there is a ruptured labrum, tendon injuries, among other types of specifications.

What is the Labrum?

The labrum is the ring of cartilage, which is located on the outside of the hip joint. It works as a “glue” between the femur and the acetabulum.

Hip-Labrum-Tear

A labrum tear can occur from high-impact sports or physical activity. Also due to hip abnormalities, says the orthopaedic in Delhi.

Treatment

The treatment for hip pinching in patients with little deformity, elderly and do not have a significant burden of physical activity, is palliative. That is, it seeks to reduce symptoms, before opting for hip surgery in Delhi, with anti-inflammatory drugs, kinesiotherapy, which has an effect on periarticular inflammation.

The other intermediate option is to inject the hip with anti-inflammatory drugs, such as corticosteroids. Which seeks to eliminate acute hip pain. It is a transitory treatment, because the pain will return. If you do little exercise, it will most likely last 1 to 2 years. However, in the case of active people, the hip ailment may go away for 1 month or 1 week.

Patients who have a lot of deformity, are athletes and young people, the treating doctor will probably indicate a surgery.

Hip arthroscopy

Hip arthroscopy in Delhi is a minimally invasive surgery that corrects acetabular and femoral deformities through two holes of 1 centimeter each. Damage is repaired, which is usually the labrum and cartilage. “The surgery lasts around 1 hour and a half. What we do is à la carte”, says the orthopaedic surgeon in Delhi.

In addition, in 10% of patients, the muscle area can be intervened, if there is a highly inflamed tendon that has not regenerated, a tenotomy is performed. If there are gluteal problems, the tendon is cleaned.

Recovery

Once the hip surgery in Delhi is performed, the patient must be hospitalized overnight in the clinic. However, recovery from a hip pinch is slow. During the first 2 or 4 weeks you should use canes.

The most important thing for an optimal recovery is the rehabilitation that expert hip kinesiologists must carry out.

“People who do poorly rehabilitation can have pain between 6 to 9 months. Those who do a good rehabilitation should not be more than two months with significant pain. Even so, the global rehabilitation to return to play sports, play ball -for example- is six months. If after 6 months I have significant pain, we must start looking for causes of why and treat it, “warns orthopaedic in Delhi.

In a year, the patient may have minimal or some periarticular discomfort, but should not have joint pain.

HIP PROSTHESIS: SYMPTOMS, SURGERY AND RECOVERY

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 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 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 complication 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.