Total Hip Replacement Surgery In Iran
Total hip arthroplasty surgery (THA) is one of the most cost-effective and consistently prosperous surgeries performed in orthopedics.
Total Hip replacement is the removal and replacement of portions of the pelvis and femur (thighbone) that form your hip joint. It is performed primarily to alleviate hip pain and immobility caused by hip arthritis.
This procedure is also sometimes used to treat injuries such as a broken or improperly growing hip and other situations.
The head of the femur is replaced with a prosthetic head on a shaft, and the joint surface of the acetabulum is lined with a bowl-shaped synthetic joint surface during a hip replacement. A partial hip replacement can also be done for the neck of femur ruptures (mostly displaced) where only the femoral part is returned.
Good Candidates For Total Hip Replacement Surgery
Patients of practically any age can have hip replacement surgery done, although it’s more commonly done in patients who are between 50 and 80 years old. When deciding whether or not you are a good candidate, your surgeon will estimate the amount of pain you encounter and how hard it influences your life.
Total hip replacement recovery
Recovery times can vary depending on the individual and type of surgery. It’s necessary to follow the hospital’s advice on looking after your hip.
On average, hip replacement recovery can take around two to four weeks.
Recovery from hip replacement surgery can be a long process. Everyone’s case is different, but here’s a rough outline of what will happen after hip replacement surgery — from the day of the operation to three months later. Recovery time can vary and will often depend on your age, health, diet, and how energetic you were before your surgery.
Attaining a certain activity level before surgery can help you jump back more quickly. We use a rehabilitation regimen, or prehab, to help patients get in physical shape to set them up for successful healing.
Recovery time can vary and will often depend on your age, health, diet, and how active you were before your surgery.
After the operation, you’ll be lying flat on your back and may have a pillow between your legs to keep your hip in the correct position. The nursing staff will monitor your condition.
You’ll check in several hours before your scheduled surgery during hip replacement recovery. The average length of stay for total hip replacement is 3 to 4 days.
The procedure will probably last about 2 to 3 hours. Recovery from anesthesia will presumably take about 2 hours.
Once you’re fully awake, you’ll go to your hospital room.
You will likely stick to a liquid diet for the rest of the day.
You will need medication to help with pain and prevent infection and blood clots.
Total hip replacement protocol after surgery
Total hip protocol after surgery should be followed for three months and include:
• Avoid hip flexion past 90°
• Avoid internal rotation of the lower extremity
• Avoid crossing the midline of the body
• Avoid sitting on low, soft surfaces
• Use a raised toilet seat for six weeks – to 3 months (discussed with the surgeon at the 6-week visit)
When Can a Hip Replacement Patient Leave the Hospital?
Most hip replacement patients will be discharged within 2 to 5 days. Typically, a surgeon will okay a patient’s discharge once the pain is under control and the patient can:
- Get in and out of bed and walk short distances (typically 150 to 300 feet) with assistive instruments, such as a walker or crutches.
- Eat meals sitting up.
- Perform simple exercises
- Follow precautions to avoid dislocating the new hip.
Back pain after total hip replacement surgery
It’s not uncommon for patients who need a total hip arthroplasty (THA) to also complain of lower back pain, often related to the change in body mechanics caused by osteoarthritis in the hip. In most patients – but not all – this back pain resolves after THA.
Lower back pain resolved in 82% of patients at a minimum of 1 year after THA.
Specialists in hip and knee arthroplasty say there is a group of patients whose back pain predictably goes away after hip replacement surgery. Those are people who have flexible spines. When standing and sitting, lateral [radiographs] were taken, and specific changes in patients with flexible spines were seen, with patients whose back pain reliably went away. Their back pain was exacerbated or even caused by their hip arthritis.
Then specific patients had a stiff, degenerative spine whose back pain did not go away, and that is because their spine arthritis had moved to the point beyond which the hip was causing an effect.
If you are interested to get more information regards to low back pain please see this article Low Back Pain Facts.
If you want to know more about the pain of hip replacement surgery compared to knee replacement, please read this article “Which surgery should be done first when both your hip and knee need to be replaced“
What are the different types of hip replacement surgery?
The three major types of hip replacement are:
- total hip replacement (most common)
- partial hip replacement
- hip resurfacing
The most common hip replacement type is the total hip replacement (also called total hip arthroplasty). In this surgery, worn-out or damaged sections of your hip are replaced with artificial implants. The socket is replaced with a durable plastic cup, which may or may not also include a titanium metal shell. Your femoral head will be removed and replaced with a ball made from ceramic or a metal alloy. The new ball is attached to a metal stem inserted into the top of your femur. (Learn more about types of hip implants.)
Partial hip replacement (also called hemi arthroplasty) involves replacing only one side of the hip joint – the femoral head – instead of both sides as in total hip replacement. This procedure is most commonly done in older patients who have cracked their hip.
Hip replacement of the femoral head and socket is most commonly done in younger, active patients.
Is it safe to get a hip replacement surgery?
Like any other surgery, total hip replacement might have some risks. Risks associated with hip replacement surgery can include:
· Blood clots : Clots can form in the leg veins after surgery. This can be risky because a piece of a clot can break off and travel to the lung, heart, or, rarely, the brain. Blood-thinning medications can reduce this risk.
· Infection : Infections can occur at the incision site and in the deeper tissue near the new hip. Most infections are treated with antibiotics, but a significant infection near the new hip might require surgery to remove and replace the artificial parts.
· Fracture : During surgery, healthy parts of the hip joint might fracture. Sometimes the fractures are small enough to heal on their own, but more extensive fractures might need to be stabilized with wires, screws, and possibly a metal plate or bone grafts.
· Dislocation : Certain positions can cause the ball of the new joint to come out of the socket, particularly in the first few months after surgery. If the hip dislocates, a brace can help keep the hip in the correct position. If the hip keeps dislocating, surgery may be needed to stabilize it.
· Change in leg length : Surgeons take steps to avoid the problem, but sometimes a new hip makes one leg longer or shorter than the other. Sometimes this is caused by a contracture of muscles around the hip. In these cases, progressively strengthening and stretching those muscles might help. Minor differences in leg length usually aren’t noticeable after a few months.
· Loosening : Although this complication is rare with newer implants, the new joint might not become solidly fixed to the bone or might loosen over time, causing pain in the hip. to correct the problem, surgery might be needed.
· Nerve damage : Rarely nerves in the area where the implant is placed can be injured. Nerve damage can cause numbness, weakness, and pain.
What Are The Signs You Need A Hip Replacement Surgery?
As with most types of treatment, you should try more conservative treatments before you consider surgery. Anti-inflammatory medicines like ibuprofen can ease hip pain, while walkers and crutches can enhance your mobility and help you walk more easily.
But suppose that physical therapy, exercise, and pain medications haven’t improved your hip pain or made it easier to get around. In that case, it may be a good idea to consider hip replacement surgery.
Pain medication and physical therapy don’t work. For some people, pain medication is an effective treatment for relieving hip pain. But medication can have unpleasant side effects, like sleepiness and decreased appetite. It can also be addictive. It can be hard to tolerate these side effects, especially when medication doesn’t give you the relief you want.
Hip pain affects your day-to-day activities and mood.
Your hip pain makes it difficult to walk, bend, go grocery shopping, or climb upstairs. Your hip pain makes you depressed or irritable most of the time. These are signs that hip replacement surgery may be a promising treatment option.
Your hip hurts when you’re resting.
Physical movement like walking or going upstairs can irritate your hip joints and cause pain. Taking a break from activity usually makes hip pain better. But if your hip hurts when you’re resting during the day or at night, you may want to consider surgery.
You know your hip is causing your pain.
Sometimes pain around your hip is caused by pain in your back or knee. In these cases, hip replacement surgery won’t help. Your doctor can numb your hip to see where your pain is coming from. If you still have pain in your hip afterward, your pain is probably coming from your back or knee.
Your hip joint is damaged.
If your doctor has told you that your hip joint is deformed or damaged, it may be good to consider hip replacement surgery. Damaged joints can get worse over time. If you wait too long, it may be harder for a doctor to fix them.
You have severe arthritis in your hip.
Different types of arthritis can affect your hip joints. These include osteoarthritis and ankylosing spondylitis. If your arthritis has caused severe damage to your hip joints, surgery may help. Hip replacement surgery can help relieve pain and make it easier to get back to your regular activities.
Stiffness makes it hard to move or lift your leg.
If your hip joints are so stiff that it’s hard to move or lift your leg, this may signify that hip replacement surgery is your best option.
You want long-lasting relief.
Most treatments for hip pain are only temporary. Injections usually last for a couple of months. Pain medications only last a few hours. Hip replacement surgery, on the other hand, lasts for decades—almost 85 percent of artificial hip joints used in hip replacement surgeries last 20 years.
Best exercises after total hip replacement surgery
Regular exercise to restore strength and mobility to your hip and a gradual return to everyday activities are essential for your full recovery after total hip replacement. Your orthopedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes a day, or even 2 to 3 times daily during your early recovery.
Start the exercises as soon as you are able. You can begin them in the recovery room shortly after surgery. You may feel uncomfortable, but these exercises will enhance your recovery and diminish your postoperative pain. Please follow this link to see the best practice after total hip.
Total Hip replacement Surgery Cost In Iran
The decision to experience hip replacement surgery needs to be made very carefully and with as much information as possible. Hip replacement cost is a critical consideration among the many other factors in the decision-making process. It’s essential to understand the facts about cost and how this complex topic should fit into the broader discussion of reaching your long-term pain relief goals.
Hip replacement cost varies depending on a wide range of factors, including the surgeon, facility, diagnostic tests, surgical implants, geographic location, and the procedure’s complexity.
If you’d like to learn more about the specifics surrounding the total hip replacement surgery, don’t hesitate to reach out to our team in Smart Behan with any questions. Our primary goal is to help you get back to the people and activities you love on the most cost-effective basis possible.
Dr.Zakieh Meshksar, an expert in minimally invasive and robotic-assisted total joint replacements, answers some common questions and shares tips about hip replacement recovery and rehabilitation.
5 Comments
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Hip or knee replacement? Which has priority? Smart Behan
[…] Total hip replacements are most often done to ease severe arthritic conditions. The surgery is also conducted for other issues like hip ruptures. Most total hip replacement patients are over 55 years of age. However, the surgery is sometimes performed on younger patients. Patients who are candidates for total hip replacement surgery generally have: […]