Dislocation of the hip is a common injury to the hip joint. Dislocation occurs when the ball–shaped head of the femur comes out of the cup–shaped acetabulum set in the pelvis. This may happen to a varying degree. A dislocated hip, much more common in females than in males, is a condition that can either be congenital or acquired.
Total Hip Replacement (THR)
Total Hip Replacement
Arthritis of the Hip
Arthritis is one of the most common causes of pain in the hip. Arthritis is a progressive disorder, which means that it typically starts gradually and gets worse with time. The term arthritis literally means “inflammation of the joint.”
There are different types of arthritis that can affect the hip. The type of arthritis you have may affect your treatment options.
Types of Arthritis
There are five main types of arthritis that can affect the hip joint. They are:
- Rheumatoid arthritis
- Ankylosing spondylitis
- Systemic lupus erythematosus
- Psoriatic arthritis
There is no cure for any type of arthritis, but there are ways to treat the pain and other associated symptoms.
- Pain in the hip joint that may include pain in the groin, outer thigh, or buttocks
- Pain that is typically worse in the morning and lessens with activity
- Difficulty walking or walking with a limp
- Pain that worsens with vigorous or extended activity
- Stiffness in the hip or limited range of motion
Treatment of Hip Arthritis
Treatment should begin with the most basic steps and progress to the more invasive, possibly including surgery. Not all treatments are appropriate for every patient, and you should have a discussion with your doctor to determine which treatments are appropriate for your particular situation. Following are the range of options.
- Conservative Medication Physiotherapy
- Surgical Joint Preserving
- Total Hip Replacement
Total Hip Replacement (Procedure)
Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures. A total hip replacement (total hip arthroplasty) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is currently the most common orthopaedic operation, though patient satisfaction short- and long-term varies widely.
In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components.
- The damaged femoral head is removed and replaced with a metal stem that is placed into the hollow center of the femur. The femoral stem may be either cemented or “press fit” into the bone.
- A metal or ceramic ball is placed on the upper part of the stem. This ball replaces the damaged femoral head that was removed.
The damaged cartilage surface of the socket (acetabulum) is removed and replaced with a metal socket. Screws or cement are sometimes used to hold the socket in place.
- A plastic, ceramic, or metal spacer is inserted between the new ball and the socket to allow for a smooth gliding surface.
Prior to surgery you will usually have tried some simple treatments such as simple analgesics, weight loss, anti-inflammatory medications, modification of your activities, walking sticks, physiotherapy.
The decision to proceed with THR surgery is a cooperative one between you, your surgeon, family and your local doctor. Benefits of surgery include:
- Reduced hip pain
- Increased mobility and movement
- Correction of deformity
- Equalization of leg length (not guaranteed)
- Increased leg strength
- Improved quality of life, ability to return to normal activities
- Enables you to sleep without pain