What is total hip replacement? Why is it done?

The hip is one of the largest joints that carries the entire weight of our body. The hip joint, which connects the femur and the pelvis, also called the pelvis, is a load-bearing joint. The parts that are the junction points of the joints are covered with cartilage tissue and get their strength from the surrounding muscles. The synovial membrane, which covers the entire surface of the hip joint, lubricates the joint and in this way the joint is protected from friction.

Tendons help muscles attach to bones. The muscles provide the necessary strength to move the hip and leg.

The hip bone can wear down over time for many reasons. Joint damage is sometimes caused by trauma, and sometimes by factors such as diseases or old age. In such cases, the hip joint, which is one of the main bearing joints, should be replaced with a hip prosthesis. The prosthesis is produced from special metal alloys such as titanium, cobalt and chromium. The materials used as auxiliary apparatus consist of polyethylene, ceramic and metal.

For the selection of hip replacement, the patient’s age and bone health are important. The method of application also varies according to the patient’s health status.

Why is total hip replacement surgery performed?

If the hip injury prevents the patient from walking, bending, or performing basic body actions such as climbing stairs, hip replacement surgery is needed to resolve the patient’s problems. It is aimed to increase the quality of life of the patient after the operation and to return to his normal life.

Who can have hip replacement surgery?

The most common cause of hip pain is arthritis. Diseases such as osteoarthritis, rheumatoid arthritis and traumatic arthritis form the basis of most problems that occur in the hip.

What is osteoarthritis?

The cartilage tissue surrounding the hip joint begins to crack over time as a result of wear and tear. Osteoarthritis, which is generally seen over the age of 50 and is also known as calcification among the people, cannot fulfill the function of bones and causes pain and stiffness in the hip as a result of friction.

What is arthritis?

Chronic diseases such as rheumatoid arthritis and gout cause an increase in intra-articular fluid, causing swelling and inflammation in the joints. As the disease progresses, wear on the cartilage tissue continues. This causes the intensity of the pain to increase.

What is traumatic arthritis?

Traumatic arthritis can occur after a serious hip injury, such as an accident, fall, or hip fracture. If the broken bone does not fuse properly, the hip joint begins to wear down.

Hip fracture can lead to malnutrition of the hip joint, which is called ‘avascular necrosis’ and prevents blood supply to the bones. As a result of the severity of the damage to the hip joint, long-term use of alcohol or cortisone, blood supply to the bones is restricted. Hip pain and stiffness occur as a result of destruction of the articular cartilage.

As a result of hip dislocation, leg length inequality occurs. As a result of hip inequality, deformations and hip joint destruction are seen.

Who is not suitable for total hip replacement surgery?

In patients who have had a stroke,

In infected patients,

Hip replacement surgery cannot be performed in patients with intense bone resorption and poor bone quality.

How is hip replacement surgery performed?

Hip replacement surgery is a serious operation performed under general anesthesia. The type of surgery is determined by the bone quality of the patient.

Bone density of patients over 60 years of age is generally reduced. The most appropriate treatment method for these people is the placement of prosthetic polymethyl methacrylate filler, known as bone cement, on the bone surface.

Since the bone structure is stronger in younger patients, a different prosthesis treatment can be applied by attaching porous prostheses to the bone. Your doctor will determine the most appropriate treatment for you.

Hip surgery takes an average of 2 hours. Postoperative hospital stay is between 3 and 7 days. If a complication does not develop, the patient is discharged within the expected time.

What is the preparation process before hip replacement surgery?

Eating and drinking is stopped until approximately 8 hours before the operation. Before the surgery, you should absolutely not smoke, tell your doctor if you are using drugs, and follow all your doctor’s instructions.

What should be done after hip replacement surgery?

After you are discharged from the hospital, the home treatment process begins and you will receive physical therapy if necessary. If there is no problem after hip replacement surgery, you will start walking with basic leg movements and accompanying after the 2nd day.

In this process, you should not use the Turkish style toilet, cross your legs, climb stairs, bend over or stay still for a long time, as this will force your hip prosthesis and cause unwanted situations.

What is the recovery process like after hip replacement surgery?

It is normal to have pain after hip replacement surgery and the appropriate painkiller treatment for these pains will be planned by your doctor. Your pain will disappear completely over time, or it will decrease significantly compared to the past. Also after hip replacement surgery

Your mobility will increase drastically,

Able to take long walks

If you have problems such as limp and limp, these will decrease, and most of them will disappear completely,

Differences in length between your two legs will be eliminated.

Hip replacement surgery frequently asked questions

Is hip replacement surgery a painful operation?

The purpose of hip replacement surgery is to relieve or minimize hip pain. Groin pain after hip replacement surgery or general pain in the operation area are pains that can be controlled with medication. Pain after hip replacement surgery will go away on its own over time.

Can I have an MRI after hip replacement surgery?

If an MRI is to be performed, you should inform your doctor about this. If the MRI will not be taken from the hip area, there will be no problem for the shooting. At the same time, you should tell the radiologist at the center where the procedure is performed that you have had hip replacement surgery.

Is hip replacement surgery covered by SSI?

SSI covers hip replacement surgery and all other prosthetic surgeries only if the patient is over 55 years old.

Does private health insurance cover hip replacement surgery?

Private health insurances cover hip replacement and surgery.

How long does the hip replacement last?

An average of 15-20 years is mentioned for a hip replacement lifespan. However, it is impossible to specify the same duration for everyone. The reason for this is the changes in the bone shape as a result of the decrease in the bone quality of the patient over time. As a result of changes in the shape of the bones, loosening may occur in the prosthesis. Bone supplementation or stem cell therapy is applied as an additional treatment to patients with median hip prosthesis loosening. Only doctors can decide for which patient these applications are suitable and not suitable for which patients.

It is very important for patients who have had hip replacement surgery to protect themselves from infection. Since there is no blood circulation in hip prosthesis and all other prostheses, a possible infection may not respond to antibiotic treatment and may have serious consequences.

Hip replacement surgery prices 2018

Hip replacement surgery fees cannot be stated on websites in accordance with the law. At the same time, since the prices of hip replacement surgery vary according to many factors such as the patient’s SSI or private health insurance, the quality and characteristics of the prosthesis to be used, and the length of stay in the hospital, there is no single price application for each patient. For this, after a detailed examination, your doctor will tell you the most accurate price.

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