Do you know what the intervention of total hip replacement?

Written by: Dr. José Carlos Martí González
Published: | Updated: 12/11/2018
Edited by: Top Doctors®

 

What is the hip prosthesis?

The total hip replacement is the replacement of the hip joint, which is the joint that connects the trunk to the legs. This substitution can be performed by many pathologies. It can give young people and in older people, the most common time is approximately from 60 years. What is hip joint? The hip joint is the articulation of the pelvis with the femur and has an axis of movement that allows us to sit down, get up and cross your legs. This would be a normal hip, which over time can suffer wear phenomena, degenerative phenomena occur and what is commonly called or known as osteoarthritis. We have here a hip osteoarthritis which is coming out a series of peaks, the joint ceases to be regular and now beginning to produce symptoms which is basically of two types, pain and decreased movement. Based on these two parameters it is when we professionals indicate this hip replacement.

 

How the intervention hip replacement performed?

For this hip replacement is done by removing the part that is damaged and replace it with a series of pieces that together make up what we call total hip replacement. What are the characteristics? The characteristics of the prosthesis are basically three, the stem which is inserted into the femur, part or cup which is inserted into the pelvis and an intermediate joint which is the head itself. There are many types, many ways, many ways and there are many models of prostheses. This does not mean that some are better and some are worse, this simply means that as in cars are all very good but each chose a model based on its fundamental characteristics.

 

What treatment should be followed after surgery hip replacement?

Treatment therefore involves the replacement of the damaged hip we had seen previously, for this one, which already exist in these parts that are assembled. This is done by surgery, open surgery. There are many avenues of approach, but we will not go into it now because we understand that it is more important to understand what this intervention. It is an intervention that lasts about an hour, which requires a specialized team, who has a habit of using these resources. The patient is usually anesthetized with epidural anesthesia with spinal anesthesia, and exceptionally under general anesthesia.

 

How is the postoperative hip intervention?

The postoperative period is relatively simple. After a period of hours of bed rest, which, once past this period all those pipes and drains that we put to make easier the evolution of the surgical wound is removed. We proceed to start the sitting position, ie begins to sit. Approximately it occurs between 24 and 48 hours post-surgery. The beginning of the march is performed immediately after removal of all drains, ie approximately 24 to 48 hours. The period of stay in the hospital to a maximum of 3, 4 or 5 days is reduced, depending on the age, pathology that the patient has associated and is a relatively short period, but may be variable. Once the patient goes home the stitches are removed after 15 days and an exceptional period of rehabilitation begins, since usually not very common the need for the use of rehabilitation procedures. The best rehabilitation is underway.

*Translated with Google translator. We apologize for any imperfection

By Dr. José Carlos Martí González
Orthopaedic Surgery

Renowned specialist in Trauma and Orthopaedic Surgery. Dr. Martí is coordinator of the San Rafael Hospital Service of Madrid, with over 40 years experience. He is an expert in surgery of knee arthroscopy.

*Translated with Google translator. We apologize for any imperfection

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