Hip Removal

Dr.AKVenkatachalam,

Consultant Orthopaedic Surgeon

www.hipsurgery.in

arthritis of the hip in India affects young and the elderly of the difference in the west where the primary osteoarthritis of the hip before mainly affects the elderly. Surgery in this group of relatively young patients requires new techniques and implants. This article will shed light on the disease and current treatment modalities available.

Types of hip arthritis

arthritis of the hip is classified as primary and secondary osteoarthritis.

Primary osteoarthritis is age wear and tear related arthritis. It is rare in India.

Secondary osteoarthritis occurs at a younger age and is more common. Rheumatoid arthritis, avascular necrosis, traumatic arthritis and other connective tissue diseases such as SLE, psoriasis, etc., all lead to secondary osteoarthritis.

Rheumatoid arthritis is an autoimmune disease, affects all the joints especially the small joints, but also does not spare the hip and knee.

Avascular necrosis is a condition that reduces blood supply to the end of the bone. It affects patients with excessive alcohol consumption, steroid use, connective tissue diseases such as SLE. Systemic lupus erythematosus (SLE) is a connective tissue disorder affecting mainly young women A photo sensitive rash on the cheeks, renal disease and arthritis are notable features. Avascular necrosis affects a proportion of patients with SLE.

Gaucher disease is a genetic disorder of storage.

Post traumatic arthritis occurs after a severe hip injury. Fractures of the ball (femoral head) or socket (acetabulum) can lead to arthritis after inadequate treatment.

arthritis of the hip is very debilitating because it is a little ball and socket joint unlike the knee is great. In advanced disease a total hip replacement has been recommended by orthopedic surgeons until recently. Advances in orthopedic surgery now meet the specific requirements of these younger patients.

surgical solutions

This is the basis of conservative treatment measures fail to relieve pain. Total Hip Replacement (THR) is a time to test the operation and has a success rate of 93% survival at 10 years.

The hip joint may be necessary to replace an artificial joint when it is irreversibly damaged and can not be saved by replacement surgery. The patient complains of pain and restriction of movement. The pain can often be referred to the knee or felt in the knee and no symptoms of the hip. Sometimes the pain may be felt most in the region of the buttock, rather than to the groin.

Who needs a hip replacement?

In India, many young patients with ankylosing spondylitis, avascular necrosis, post septic arthritis, post injury suffer from arthritis of the hip and are advised a hip replacement for disabling pain. Thus, many operations are hip replacements performed in young patients. The surgery must meet the increased demands on an artificial joint in patients younger and more active. Naturally, an operation designed for Western elderly patients is not appropriate for younger patients.

What is total hip replacement?

Fig1. Shows the differences between a normal THR on the left and the right hip Proxima

In this operation the ball shaped upper end of the thigh bone (femur) and socket (acetabulum) are replaced. The ball is replaced by a long meeting.