Hip Replacement Surgery

What causes hip arthritis ?

Conditions which cause Hip arthritis [wearing away of the hip joint] are

  • A vascular necrosis/ perthes disease, which shut down the blood supply of the hip.
  • Ankylosing spondylitis.
  • Rheumatoid arthritis.
  • Other conditions such as dislocated hips and previous fractures.
  • Long term steroid use, alcoholism, etc.

Treatment options:
Management of hip arthritis include exercises and medication in the initial Stages, In a few cases corrective bone surgery [osteotomy] and in some severe cases hip replacement is done.

Timing of Total Hip Replacement (THR):
A hip replacement should be performed after conservative methods have failed and if a patient’s quality of life and ability to perform activities ofdaily living is significantly affected. Many different non-operative modalities should be tried first. These include anti-inflammatory medications, physical therapy, weight loss and walking assistance devices.

In recent years, cement less hip replacements have become standard all over the world with 90% success rate at an average follow-up of five years.

Hip replacement Types:
  • Conventional cemented hip replacement.
  • Cement less total hip replacement.
  • Highly cross-linked polyethylene.
  • Hip Resurfacing System.(latest).

  • Metal on metal total hip prosthesis.(latest)