We will discuss here what the reasons are behind having a hip replacement, what to expect at the time of the operation and how to get yourself right as fast as possible after the operation.



Sir John Charnley an eminent English surgeon is considered to be the pioneer of hip replacement surgery. His early work developing the basis of the artificial hips used today was being done in the 1960s.

Over the past decades advances in surgical techniques and materials have seen a diversification in types of hip replacement. There are however two basic types, namely cemented and uncemented. Thie importance of this will be covered further on.

So When Should You consider Having a Hip Replacement?

The answer to this question is basically when your quality of life is such that having a 'new' hip would improve it. You may well need to discuss matters with your physician or surgeon in order to ascertain whether having a hip replacement wil help you.

Why Do People Need Hip Replacements?

The most common reason behind needing a hip replacement is arthritis of the hip, primarily osteo-arthritis. Over a period of years the hip degenerates, becomes less able top do its job of movement and taking weight and as a result becomes painful, stiff and less functional.

Signs and Symptoms of Hip Degeneration

Sufferers of hip degeneration often walk with a noticeable limp, commonly leaning to the painful side as they take weight on the hip in question. Particular movements become painful and limited. These are normally backwards, sideways and rotation movements. Pain is often described as a deep ache which can be felt in the buttock, hip, thigh and knee.

Surgery

There are many variations in the actual surgery and different surgeons prefer different techniques. The basis of the surgery is the removal of the degenerate head of the femur and the to replace it with the prosthetic implant together with a new socket or acetabulum in the pelvis. This creates a totally new articular structure commonly called A TOTAL HIP REPLACEMENT or THR.

What To Expect After Surgery

After your operation it is likely that you will have drains to remove any bleeding from the hip. You are also likely be on some form of analgesia and possibly blood thinning medication.

You will likely be encouraged by your physical therapist to do soime simple bed exercises to maintain good circulation and aid your recovery very soon after your operation.Within the first two days of surgery you will normally be helped by your therapist to get out of bed and walk.Initially this is likely to be small distances but this will increase gradually over time. You will probably require crutches or even a frame initially but as you get more confident over the coming days and weeks you will be able to discard these on the advise of your therapist.

If you have an uncemented hip you will be advised to probably use your crutches to reduce the amount of weight your hip has to take for the first six weeks. A cemented hip however is able to take your full body weight the first time you can get up so it will be up to you and your therapist how long you continue with walking aids for.

After surgery you will be encouraged to walk regularly and correctly. This has for a long time been considered the very best way of rehabilitating after a hip replacement. Specific exercise regimes are not usually advocated after a hip replacement.

It is important that you avoid certain positions and actions to avoid the possibility of a dislocation of your hip. Crossing your legs or excessive bending at the hip is not advised. Both of these positions especially if they are done together and particularly so with weight on the leg are considered to be the positions most likely to result in a dislocation.

It is also possible that your operated leg will feel as if it is longer than the other one. This is not necessarily the case and this sensation will commonly disappear over the coming months.

Patients are routinely advised to wear anti-embolism stockings for the first six weeks to reduce the possibility of an embolism. Although relatively rare they can be life threatening and feeling breathless or unwell may be a sign that you are suffering form such a condition. If this is the case medical atteention should be sought as an emergency.

You will be able to play golf, dance and walk as well as many other normal activities after your operation. Aggressive sports of a high intensity and of a contact or jarring nature are not recommended however.

Don't forget it can be a good few months and even up to two years in cases especially if you have had an uncemented hip before you reach your true potential again. So patience is a must.