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Unilateral total hip replacement

  • Posted on- Jan 06, 2018
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It is a surgical procedure in which the diseased ball and socket of the hip joint are completely removed and replaced with artificial materials. A metal ball with stem prosthesis is inserted into the femur (thigh bone) and an artificial plastic cup socket is placed in the acetabulum (a "cup-shaped" part of the pelvis).

What happens during unilateral hip replacement surgery?

Before surgery, you may be given a spinal anesthetic, which will knock out all feeling below your waist during your operation. If desired, you will be given a sedative (calmative) to help you relax or even sleep during surgery. Your surgeon will then make a 3 to 6-inch incision over your hip to expose the deeper tissues.

The capsule is divided and the damaged "ball" or head of the thigh bone (femur) is dislocated and removed.
Damaged bone and cartilage in the "socket" are removed, the socket is smoothed and enlarged slightly to receive the artificial metal shell implant. At times a screw is used to enhance fixation. A highly polished socket liner made of polyethylene plastic, metal or ceramic is then secured inside of the socket shell.

What is the procedure of unilateral total hip replacement surgery?

Modern Total Hip replacement surgery is divided into two different methods. With elderly people, it is often more reasonable to put in and fix the total hip by using bone cement. The advantage of this method is that the prosthesis holds from the very first day and will not loosen itself in the relatively soft bone of an elderly person. This represents a very stable and reasonable construction. Today, stainless steel prosthesis is inserted into the bone of the upper leg by using a little amount of bone cement and is immediately stable.

The inverse of the hip bone will be shaped and a piece of synthetic material will be fixed with bone cement. The connection is immediately stable. This method has been approved worldwide for over 40 years and is still recommended. The life expectancy of the prosthesis of this kind is a minimum of 10 years, normally 15 years and very often 20 years.

How to prepare for unilateral total hip replacement surgery?

Believe it or not, there is a lot to do before having this type of surgery. Of course, you have to get all the routine blood work and EKGs completed. For this surgery, you have to go to the dentist and get a dental clearance prior to surgery. Why a dental clearance when it's your hip that's the problem? It turns out that an infection in your mouth could cause damage to the new joint leading to more surgery.

Therefore, the surgeon needs to know before he does the surgery that you don't have an infection with potential access to the bloodstream. Fake joints are a magnet for infection because metal attracts bacteria. Furthermore, every time you go to the dentist for the rest of your life, you will have to take a preventative round of antibiotics prior to cleaning or any other procedure.

What to expect after unilateral total hip replacement surgery?

When you wake up from surgery, you'll have a foam wedge placed between your legs to keep the new hip in place.You'll take it out when it's time to get up, but you'll need to put it back when you get back into bed. So, plan on sleeping on your back for a while. Your doctor will let know when you can sleep without the wedge.

The most exciting part of total hip replacement occurs the first time you get up. Sure, you're going to have some post-surgical pain, but the most profound effect is the feeling of a nice strong leg holding you up. For someone, the pain from the surgery was nothing as compared to the pain anyone had been experiencing from bone rubbing on bone.

It's really important that you walk as much as you can the day after surgery. You have to walk a certain distance (with assistance from a walker) in order to be discharged home. If you can't walk the distance by the time the doctor is ready for discharge, you'll most likely have to go to an in-patient rehab center until you can.

What precaution should be taken after going home?

When you get home, especially if you are discharged straight home, you will need help! It's a good idea to have a raised toilet seat, because you're not going to want to bend all the way down and then get up from a regular toilet seat.

You can also expect to take blood thinner medication which will need to be monitored closely. Your hospital case manager will set up a home health service for you which will include a visiting nurse who will check your blood thickness every few days. It will also likely include a physical therapist who will come to your home to help with mobility issues. Welcome both of these services with open arms because your overall outcomes will be better.

Total hip replacement surgery minimum cost to Rs.3,30,000 to maximum Rs. 6,60,000.


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