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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.

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March 27, 2010

Squash Coach Beats Jimmy Connors MIS Hip Replacement Rehab

Squash Coach (Racket Sport Scientist) Tim Bacon hits tennis balls at 4 weeks post-op, versus Jimmy Connors at “just” 6 weeks. Both had Wright minimally invasive (MIS) total hip replacements. Jimmy: http://www.jimmysnewhip.com/JimmyConnors/The_Solution.asp; Tim: www.stephenmurphy.org. This is not about competition – just helping others make a good decision about hip surgery.

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Hip Replacements In Younger People

More & more young & active patients world wide are in need of hip replacement surgery. In such cases, it is imperative to pay special attention to the technique to ensure a successful outcome & longevity of the operation. Traditionally a total hip replacement was performed in the older age group. Young patients with hip pain either had to endure pain or subject themselves to a total hip replacement with its inherent disadvantages of dislocation and life span of 10 to 15 years. Now, recent advances in bio- materials and techniques have made it possible for young patients to get a satisfactory & successful outcome after a hip arthroplasty. Definition of a young patient – The deciding factor is not necessarily the patient’s age, but their activity level. Even many older patients like to play Tennis, Golf or participate in physical activity. This applies also to anyone who can be expected to live for a long time, is biologically (not chronologically) young and has good bone quality.

Today even septuagenarians meet these pre requisites. Surgeons have to re think their conventional strategy of putting in a total hip with a metal on poly bearing. Resurfacing also poses several un answered questions and cannot be considered as a panacea. Causes leading to hip pain in young patients- Avascular necrosis is the leading cause leading to hip arthritis followed by developmental dysplasia of the hip.

Perthes disease, slipped upper femoral epiphyses, sickle cell disease and post traumatic arthritis are other causes leading to the common outcome of secondary osteo-arthritis . In middle and older Caucasian patients, Primary osteoarthritis is the commonest cause of hip pain. Limitations of hip resurfacing Off late, hip resurfacing has been vigorously promoted on the internet as a possible & preferred treatment. However there are some inherent un answered problems with hip resurfacing. Elevated metal ion levels, metal allergy, metallosis are some of the side effects of metal on metal hip resurfacing. The long term impact of raised metal ion levels is unknown. Females in all age groups are high risk candidates because of the risk of fertility curbs in young & femoral neck fracture in the older.

However the attraction of a hip resurfacing drives many females to ignore these risks and choose a hip resurfacing. Dr.Venkatchalam discusses an alternate bone sparing safe approach in young & active patients. These approaches combine the advantages of a hip resurfacing and total hip replacement. Why do you prefer the short stem ? The various short stem prostheses like the Proxima hip & METHA combine the advantages of resurfacing & THR. On the acetabular side a full range of options is available to the surgeon.

The force transfer in the femur is more proximal and more biological. Lack of a distal stem component eliminates the incidence of thigh pain. In addition these implants open up the vast range of bio materials available. All bio-material combinations like metal on metal, metal on poly, ceramic on poly, ceramic on ceramic are possible. These promise excellent longevity. If a revision becomes necessary, then one can switch to a standard stem. Some of these models like the METHA hip make it possible for the surgeon to tailor the implant to the individual’s anatomy. What other innovations can you use to ensure a proper implant positioning?

Navigation allows the surgeon to place the implant in the optimal position. What are the special considerations in Asian patients? Dysplasia and osteo necrosis constitute the most common indications for total hip replacement in India & Asia. Primary osteo-arthritis is rare. Moreover these patients are younger and more active. Their social and religious habits such as sitting with crossed legs dictate to the surgeon that he must use a prosthesis which provides a large range of movement. Risk of dislocation has to be reduced.

Anatomic differences also exist. All these variables require a special implant concept and very wear resistant materials with a large diameter. To summarize, treatment of hip arthritis in the young poses a challenge to surgeons and scientists. Hip resurfacing while offering a possible solution has some draw backs. Short stem prostheses with newer bio materials promise to overcome these deficiencies and offer a long lasting surgical outcome.

Dr.A.K.Venkatachalam, MS, DNB, FRCS (UK), MCh. (Liverpool)has worked with leading Knee surgeons in the UK, Belgium and Dubai earlier. He is affiliated to the Madras Joint Replacement Centre.
Website- http://www.hipsurgery.in
http://www.kneeindia.com

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