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Hip Replacement

Getting old is our destiny. All of us are destined to become old, to slowly degenerate and lose the normal functioning of the bodies. Looking back at our childhood years, we were able to explore the world and move as freely as we can. But when we reach the point of late adulthood, we can never perform our activities of daily living effectively and that is because of the different illnesses that we might have when we are already old.

As we age up, our health especially the structures of our bone changes. Well, this is only true to those individuals who practice a sedentary lifestyle or those individuals having poor resistance and weak immune system. But for those practicing a healthy lifestyle, those who are observing and maintaining the body physically fit are less likely to acquire diseases when they get old.

Different bone problem arises as we grow old. Even the young already experience some bone disorders. The disease may be genetically acquired or perhaps there is just a problem with the bone structures that is why they suffer a certain type of bone disease. For the adults, they commonly experience pain in their backs, hips, knees and joints making difficult for them to move around and do their daily tasks.

Age alone is one of the factors why people experience different types of pain. Joint injury added with arthritis may result to the deterioration of the hip joints and thus will cause severe pain and other bone deformities. When this happens, undergoing surgery known as total hip replacement is a must.

Hip replacement is the choice of treatment for individuals having difficulty of moving around. The surgery focuses on pain relief, and achieving the maximum level of functionality of the knees and joints. Being able to perform the routine activities is also another objective of the surgery.

Before undergoing the surgery, have yourself assessed by the medical expert and report to him all the changes and the painful areas of your body that way he will know what type of hip replacement you will have to undergo. There are several types of hip replacement depending upon the presenting signs and symptoms and to what area is affected.

The first type of hip replacement is the total hip replacement. In total hip replacement, the two parts of the hip which is the ball and the socket are replaced with a plastic cup or the metallic ones. The second type of replacement is resurfacing. This is just similar to the first type only that the ball is only resurfaced and that no stem is placed. This type of surgery should be properly discussed with your physician so you will know the different advantages and disadvantages after the surgery. And the last type is the minimally hip replacement surgery. This is just an alternative method when an individual will undergo the standard incision hip replacement. Moreover, this type of surgery only needs less time for the surgery to be finished and less recovery time. Only that it also needs thorough explanation of the different advantages and disadvantages that will be experienced right after the surgery.

When we experience some discomforts in our hips and joints, we should visit our physician that way interventions can be implemented at an earlier time.

Hip replacement is the solution to the discomforts you feel in your hips and the joints. The surgery will somehow alleviate the pain and enables you do all your activities of daily living without feeling any discomfort and delay. You can visit http://www.minimallyinvasivehipsurgery.com for additional information on total hip replacement.

Article Source: http://EzineArticles.com/?expert=Jaimie_Max

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March 27, 2010

Anterior Hip Replacement Surgery

In this video, Dr. Kreuzer conducts an anterior hip replacement surgery using an Arch Table to manipulate the hip out of its socket.

Please visit http://www.stefankreuzermd.com for more information.

Duration : 0:6:50

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Birmingham Hip Resurfacing (BHR) Technique in Live Webcast

Shawnee Mission Medical Center will showcase a new, less invasive approach to hip replacement during a live surgical Webcast on Wednesday, September 20, at 7 p.m.
During the Webcast, Scott Cook, MD, will perform the Birmingham Hip Resurfacing (BHR) technique. Cook is one of just 40 doctors in the United States trained to do the procedure.

Rather than replacing the entire hip joint, as in a total hip replacement, hip resurfacing simply shaves and caps a few centimeters of bone within the joint. The bone-conserving approach of the Birmingham Hip Resurfacing System preserves more of the patient’s natural bone structures and stability, covering the joint’s surfaces with an all-metal implant that more closely resembles a tooth cap than a hip implant. This approach reduces the post-operative risks of dislocation and inaccurate leg length, and because the all-metal implant is made from tough, smooth cobalt chrome, it has the potential to last longer than traditional hip implants, which involved the removal of the entire femoral head and neck. The Birmingham Hip resurfacing technique, however, leaves the head and neck untouched.

Duration : 0:1:33

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How long will I have to stay in the hospital after a hip replacement?

Filed under: Hip Replacement,Total Hip Replacement — Tags: , — admin @ 7:23 am

I am 30 years old and in relatively good health. How long can I expect to stay in the hospital for a total hip replacement?
My husband had one in September. He was in otherwise excellent health and 40 years old. He had surgery on Thursday and was home on Sunday. He is a contractor and I was driving him around to job sites on Tuesday and he was back at work by the end of the week (although he could not drive for 3 weeks). He was finished with his physical therapy within 6 weeks of surgery and doing amazing things I’d never seen him do (like ties his shoe) only a couple of months later. His hip replacement was from a catastrophic fall 20 years earlier (4 stories) as opposed to degenerative arthritis which is apparantely a harder recovery. His recovery was exceptional, although I believe his stay in the hospital was typical. Hope that helps! Good luck! My husband hasn’t felt this good in 20 years!

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What’s Wrong With My Hip?

Filed under: Hip Replacement,Total Hip Replacement — Tags: — admin @ 6:58 am

A diagnosis of osteoarthritis of the hip generally progresses to the likelihood of requiring a hip replacement in the near future. As the degenerative condition advances, it causes a decreased range of motion, pain, muscle weakness, gait changes, and tight muscles. Specific exercises designed for hip arthritis can help maintain range of motion at your joint, prevent loss of muscle, stretch muscles that will become tight, and lubricate the joint to decrease stiffness and pain. In addition, performing exercises prior to surgery will speed up your recovery post operation.

Goals of a Hip Arthritis Exercise Program – Pre Operation:

There are two main goals to target with a pre operation hip arthritis exercise program. One is strength of the gluteal muscles and the other is to maintain range of motion by working within your pain free range. There are exercises that work both of these goals simultaneously. The gluteal muscles are extremely important to strengthen pre operation because they comprise the stability of the joint. Ironically, arthritis causes pain, decreased range of motion, and therefore less weight bearing which all contribute to atrophy, or shrinking, of the gluteal muscles. Therefore, it is paramount to actively engage in specific strength exercises that target these muscles. Although strength and range of motion are highlighted as the priorities here, cardiovascular or aerobic conditioning is also extremely important. Usually due to pain and decreased range of motion, both walking and overall activity are reduced drastically which negatively lowers an individual’s aerobic capacity. Using stationary bikes or participating in water classes are excellent non weight bearing options to keep your cardiovascular conditioning strong.

Hip Exercises Post Surgery

There are a series of exercises your physiotherapist will guide you through immediately post operation. They will guide you through an exercise program that will be safe with the goal of returning you to full function in daily activities. This program will last up to 6 to 8 weeks post operation. A lot of patients stop the exercises once they are discharged or released from the supervision of their physiotherapy. It is imperative that you continue hip strengthening exercises in a progressive format for at least one year post operation. Patients that have continued with an exercise program consistently for a full year post operation, receive amazing results in functional ability.

Goals of Hip Arthritis Exercise Program – Post Operation:

Follow the exercise program guidelines given to you by your physiotherapist for the first 6 to 8 weeks post operation. The post operation exercise program varies from the pre operation program on three aspects which include the following: range of motion stretches have to be modified to follow restrictions that protect your joint from dislocation, strength exercises will progress to weight bearing, and one leg balance exercises along with gait retraining become a priority. Post surgery, the goal of your exercise program should be to progressively advance your strength exercises, when your body is ready, from isolated muscular endurance exercises to dynamic, functional exercises. Again, the most important muscles to strengthen post operation are your gluteals. Your exercise program should also include quadricep strengthening and core stability exercises. When you are selecting exercises, it is highly advised to select unilateral or one limb exercises in order to make the strength equal across limbs.

The journey your muscles have endured from the pre surgery pain through the operation leaves them tight and contracted in a shortened position. Therefore, stretching is equally important to include in your post operation exercise program. Often the hip flexors, hamstrings, and quadriceps will be tight post operation and need to be stretched. The very exciting aspect of the post operation exercise program is that you are pain free and therefore can gradually increase your cardiovascular training time and intensity to your pre arthritic conditioned level.

When you are disciplined at consistently keeping up with your exercises and gradually progress through incremental stages of exercises, you will notice huge improvements in your cardiovascular, strength, flexibility, balance, gait, and overall functional ability. The importance of engaging in a regular, consistent exercise program both pre and post hip operation will impact your full recovery greatly. A hip exercise program is the best single action you can take to encourage a highly successful return to function post surgery.

Jody Kennett has specialized working with Joint Replacement clients pre and post hip replacement surgery for over a decade. She has a background in Kinesiology and is an A.C.E. Advanced Exercise Specialist. She gained knowledge and expertise with joint replacement exercises by leading and building a Joint Replacement Exercise Program that ran 6 classes of 12 participants. As she saw the incredible benefits her participants gained through exercise and realizing how specialized this program was, she created an instructor training manual and course. Most recently, she has created detailed eBoks on exercises for both hip and knee replacement designed to educate the patient. To find out more details on exercises or hip and knee replacement exercise programs visit:
http://www.hipreplacementexercises.ca and/or http://www.kneereplacementexercises.ca.

Article Source: http://EzineArticles.com/?expert=Jody_Kennett

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Advances In Hip Replacement

Filed under: Hip Replacement,Total Hip Replacement — Tags: — admin @ 6:43 am

Advancement in medical science is making the lives of several people easier. Recently, a successful hip replacement surgery has been conducted on a girl who was devoid of any hip socket since birth. The doctors have implanted a new hip socket made of special components. The patient has already shown positive results as she is able to sit properly now. It is expected that after few months she will be able to perform all the normal activities smoothly.

Every year numerous people undergo Hip Replacement Surgery. And it has been noticed that the success rate in this surgical method is almost near to hundred percent. The entire procedure of the hip replacement involves a number of steps. It is very essential that all these steps are properly completed to make a surgery successful.

Diagnosis

Doctors will conduct a complete physical examination of a patient in the beginning. He will then relate the patient’s present physical status with the previous record. This will help him to identify the exact problem that is persisting. Generally, the symptoms alone cannot be relied upon when a hip replacement surgery is conducted. Most of the doctors use X-Ray images of a patient’s hip. But in many cases, blood test is also conducted if hip infection is suspected.

Preparing before the surgery

The upper portion of the body must be strong enough to withstand the hip replacement surgery and for that proper diet is necessary. This is also required because the patient will have to balance himself/herself on a crutch after the surgery. Blood transfusion is often required after the operation. Many patients opt for auto transfusion where the patient donates blood for himself. This is another reason why a patient must have healthy physical status before the operation.

Surgical procedure

Broadly there are two types of procedure namely, cemented and non-cemented. The cemented one requires using of synthetic materials like bone cements. Whereas on the other hand the non-cemented procedure involves incorporating artificial joints that contain a special material which helps bone tissues to grow into the joint.

Precautions after the hip replacement surgery

Patients are required to follow several precautionary measures after the surgery. This helps in quick healing of the operated hip. A patient is generally asked to follow these measures in the first 6 to 8 weeks of the operation.

Texas Orthopedics, Sports and Rehabilitation Associates is a quality orthopedic clinic offering several therapies to cure musculoskeletal disorders. There are qualified orthopedic surgeons in this clinic. Visit their official website to know more about clinic in details.

Hip Replacement Austin – Texas Orthopedics Surgery Center provides patients with a high quality, safe and convenient environment in which to have surgical procedures performed. We specialize in hip replacement, orthopaedic surgery and more.

Article Source: http://EzineArticles.com/?expert=Kilian_Allen

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Too Early For A Hip Replacement?

Filed under: Hip Replacement,Total Hip Replacement — Tags: — admin @ 6:37 am

My world was split into two. With medication I was pretty well pain-free but unable to concentrate or focus on anything at all. Without it I was in serious pain and my mobility was so reduced that I could barely manage stairs let alone leave the house. Diagnosis – severe osteoarthritis. My life had become focused on my hip and the prospect of surgery.

A hip replacement at 52? No! Surely I was too young. I asked my medical friends, who were unanimous in their answers; “delay having a hip replacement for as long as possible”. Okay, I thought stoically, I’ll hang on. But for how long? How would I know when I’d reached “as long as possible”? How could I factor in the length of time I’d be spending on a waiting list? How was I going to function until then? And was waiting really the right answer? I entered “hip replacement timing” into Google and started reading.

The first thing I learnt was that all weight bearing implants have a finite life. As the two surfaces rub together they shed minute bits of debris. This debris sets up a reaction in the body which loosens the tight fitting implant. A loose implant is a painful implant. Sooner or later it will need to be replaced.

Wear is not just associated with the length of time we have the implant for, it’s also about what we do with it. The more active the patient is the greater the rate of wear and young people tend to be more active than their elders. From my point of view one of my desired outcomes from surgery was to get back to an active life. Maybe a bit more subdued than before (no more rock climbing) but still one where I challenged myself physically from time to time.

I learnt also that weight plays a key role in how quickly a weight bearing joint, such as a hip, lasts. Heavier patients wear out their hips faster than lighter ones. This is true for both the original joint and its replacement. Students of mechanical engineering will understand that 1kg of body weight puts approximately 4kg of pressure on a hip joint.

But did any of this really matter? If a hip replacement is a fairly straightforward, routine operation surely they could just change my implant once it wore out? Sadly that isn’t the case.

Revision surgery involves taking out the old implant and replacing it with a new one and is considerably more complex. Second time around (let alone third) there is less bone stock to work with and the tissues surrounding the joint, and holding it together, have lost much of their flexibility. Without that flexibility it is harder to align the new implant optimally and correct alignment is crucial to reduce the rate of wear.

There is also a higher chance of a serious post-operative complications following revision work. These are nasty. They include painful dislocation ( a trip to A&E), infections (possibly necessitating the removal of the new implant to clean out the infection) and deep vein thrombosis (potentially fatal!).

The case seemed to be made – delay surgery – let one implant last a life time.

I was convinced. I was convinced for all of 10 minutes which is when I started to think about what that would mean for me. Years more serious pain and heavy duty medication and an ever dwindling life both inside and outside the home.

I started looking for the other side of the argument. Might the new generation of implants come to my rescue?

With traditional implants the hip side of the replacement joint was made of polyethylene, which wears out relatively quickly. Replacing this to give a metal-on-metal implant worked well and extended the life span of the new joint. Better yet was ceramic-on-ceramic – where both sides of the joint are made from a type of metal oxide known as ceramic. This has a very low rate of wear and unlike its metal-on-metal counterparts isn’t associated with potentially hazardous metal ion debris. This form of ceramic is the 2nd hardest substance on the planet – the hardest being diamond. Somehow I doubted that would be available on the NHS. Still 2nd hardest sounded good. How long would that last?

Well the jury is still out on that question, mainly because these new prostheses are still evolving and sufficient time hasn’t yet gone by to evaluate their wear rate. It is hoped that they’ll last between 25-30 years – about double the life of a traditional implant. A quick calculation and I realised I’d only need one more (unless I was heading for a Guinness Book of Records type of life span).

I was already beginning to swing to the sooner rather than later approach when I found some information discussing the physiological problems associated with delaying surgery. Medics have always acknowledged that delaying surgery meant the patient would have to endure increasing pain and lack of mobility but the approach seemed to be it just had to be endured. Now the consequences of long-term severe pain and limited mobility are being recognised.

Whilst waiting for surgery my hip joint would continue to wear away increasing both the amount of pain I experienced and the need for very strong medication. Furthermore this wear might also gradually deform the joint itself and one consequence of that may be that options for less invasive surgery, such as hip resurfacing, were lost.

But it’s not just the affected leg that is being damaged. As the “bad” leg become less able to weight bear the “good” leg must take on more of the work. The danger here is that the additional stress on the “good” leg’s hip and knee joints will hasten their decline and may even result in further joint replacement work.

And it didn’t stop there. All this pain and decreased mobility would result in weight gain, loss of muscle mass, a deterioration in the quality of life and an inability to carry out activities of daily living such as shopping and socialising. It sounded like a recipe for depression as well.

A survey of younger patients undertaken by hip replacement and recovery.com – a one-stop information shop – showed that almost 30% of younger patients felt they should have had surgery earlier and that delaying surgery had significantly affected their lives. Their most often stated concerns were the loss of quality of life and further damage to their joints. One respondent wrote touchingly about how she had not been able to participate in the lives of her growing family due to pain and immobility.

There is no simple answer as to what is the best time. I believe it is imperative that all hip replacement patients understand the advantages and risks in either going for early surgery or delaying it. Such an understanding will allow an informed discussion with the surgeon. If your surgeon radically disagrees with you and you don’t accept his reasoning, then ask to be referred to someone whose views more closely match your own.

Some pointers as to when it might be time for the operation:

 

  • When the pain wakes you at night
  • When you are taking opiate based medication daily.
  • When you can’t walk a mile or carry a bag of shopping.
  • When you realise you can’t look after yourself
  • When you’re quality of life is significantly diminished.

So did I wait? Well I tried to put it off a bit. I called my consultant who explained that I was already practically bone-on-bone and the maximum I could hold out for was two years. That, we agreed, wouldn’t be worth the pain.

I am now 13 weeks post-op and pretty well pain-free. Yesterday I ran up the stairs. I’ve started going out – shopping and socially. I’ve got a life again. I love my new hip.

Pamela Maunsell underwent a total hip replacement at the end of October 2009. Knowing that she would sooner or later need to have the other hip and, at least, one knee replaced she set out to learn more about the procedure.

After months of research and interviews with patients and practitioners she set up http://www.hip-replacement-and-recovery.com – which she describes as a one-stop information shop for all things related to hip replacement and hip surgery.

Article Source: http://EzineArticles.com/?expert=Pamela_Maunsell

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