Hip replacement surgery is considered to be very successful with reliable results. The new hip performs the same function as a normal hip and significantly improves a person’s quality of life.
For total hip replacement, part of the pelvis and thigh head are completely removed. They are replaced by cup-shaped cuttings to serve as a socket, and a ball to be used as a thigh head. A metal rod is inserted into the femur to allow the new head to secure.
Types of hip replacement
Metal and Plastic Implants; These are the most common types of Implants used for hip replacement. The rubber and the hip joint socket are replaced by metal implants, usually titanium or stainless steel.
The implant is secured with bone by pressing or placing the cemented in place. In the press technique, the implant fits snugly into the bone, and a new bone forms around the implant to keep it straight. When the implant is reinforced, special bone cement is used to reinforce the prosthesis in space.
Metal-on-metal implants; use the same materials, but no plastic spacer inserted between the ball and the socket. Metal-on-metal implants were very popular because they seemed to have very good wear characteristics in the laboratory.
Ceramic Implants; These are becoming more popular with hip replacement. Ceramic hip replacement implants also use metal parts that fit inside the bone, but the bearing surface can be made of ceramic material. Ceramic hip implants are designed to be more durable and softer.
Problems with hip replacement
This is not the same as getting your car in to repair the faulty part. Consider undergoing major surgery again to remove the defective part and set a safer model.
Movement of the Legs; When the two components of the hip joint are rubbed together, a small percentage of these components are released and accumulate in a person’s tissues.
Mortality and Infection; Although death is not a common problem associated with hip replacement, it occurs in only one percent of people during their previous surgery, a rate that jumps to 2.5 percent for those undergoing corrective surgery.
Metal-On-Metal hip replacement; The frequency of complications that occur with hip replacement is associated with the type of material from which the implant is made. All metal joints have twice the problem of replacement of ceramic hips and about four times the number of cuttings using steel ball and plastic socket.
Purpose of hip replacement surgery
If you have tried other treatments to manage your symptoms without success, and they greatly affect your daily life, your healthcare provider may recommend hip replacement. These measures include pain medication, activity adjustment, physical therapy, and the use of walking aids. Hip replacement may be recommended in cases where the hip joint is affected due to:
- Osteoarthritis of the hip
- Rheumatoid arthritis
- Injury/fracture
- Hip osteonecrosis
Symptoms
The following symptoms may indicate hip replacement problems thigh pain. The best way to diagnose your hip condition is to talk to a specialist and have an x-ray.
Reaction; If the replacement of your original hip was before May 2016, your surgeon may have installed a cast-iron device. When these two pieces are rubbed together during daily activities, they can release small amounts of metals into your body. This can cause sensitivity or allergic reactions in some patients.
Recurring hip dislocations; The joints of your hips are made of stem, rubber and socket. Hip deformity occurs when the joint ball comes out of the socket. Hip fractures are the result of trauma, such as an accident, but if the hips are frequently dislocated after hip replacement surgery.
Instability; During your initial knee or hip surgery, artificial (artificial) structures were placed in a cement (attached to a bone marrow) or hammered into the bone so that they could eventually attach to your bone.
Fracture; After hip or knee replacement surgery the artificial limb will be connected to your surrounding bones. A fracture of one of these bones can cause your new joint to become deformed or damaged. A fracture may be the result of a fall or other injury, such as a direct blow to the hip or knee.
Infections; One of the biggest problems that may require hip replacement or knee replacement, is infection from bacteria that grow in and around the surface of the prostheses. Some people may develop the infection shortly after joint replacement surgery, but it can also occur several years later.
Stiffness; The difficulty of putting on your shoes or socks is a common sign of stiffness in your hip, especially if one leg is heavier than the other. You may also begin to feel your hip joint pressing, lifting or grinding in ways that affect your normal range of motion.
Complications of total hip replacement
Urinary tract infections; represents approximately 13% of all health care-related infections and in the context of postoperative hip replacement appears to be the most common postoperative collection. Estimated rates of urinary tract infection after surgery are 3.26.
Pulmonary complications after surgery; Lung problems are common after major surgery and are defined as the accumulation of respiratory failure, pneumonia, pleural effusion, atelectasis, pneumothorax and aspiration pneumonia.
Deep vein thrombosis; it is a common problem following total hip replacement due to venous stagnation and hypercoagulability that occurred during and after the procedure, adversely affecting the Virchow triad toward a thrombus formation.
Pulmonary embolism; Deep vein thrombosis carries the risk of spreading rapidly through the right side heart circulation to the pulmonary system. If a thrombus passes through the lungs it causes pulmonary embolism.
Fat embolism; In the same way that deep vein thrombus can pass through the pulmonary circulation, during implant implantation, rising intramedullary pressure from artificial and concrete can lead to embolization of medullary fat and contents in the venous system.
Common factors that cause hip replacement problems
Lower back pain from arthritis or sciatica, especially if the pain comes from below the knee. This can be seen up to 30% of the time and should be evaluated as a possibility by a hip surgeon before surgery.
Bursitis and inflammation or tendonitis. Point tenderness or pain with the placement of the hip joint may be a sign of trochanteric bursitis. It is very common in patients and is usually resolved by cortisone injection.
Tendonitis around the hip muscles or subtle tears. In some cases, swelling around these ligaments irritates the nerves of the area around the hips and can cause radiation or pain in the groin, thigh, and buttocks. These can also be treated with physical therapy, cortisone injections and anti-inflammatories.
High-resolution imaging can help eliminate such things as stress breakdown, labral tears, cartilage tears, and tendon tears or other conditions that cause hip pain such as back pain. Usually after physical examination and radiation of the hip radiation to remove hip bone defects or rheumatoid arthritis many doctors can diagnose the cause of hip pain, but it can still be complex and will require close monitoring.
Treatment of hip replacement problems lead to thigh pain
Many hip problems can be solved without complete hip replacement. There are a variety of treatments available, including physical therapy, medication and hip replacement that can better manage your symptoms.
1. Physical therapy
A physical therapist can help you with exercises that you can do in the hospital and at home to recover quickly. Exercise and exercise should be a regular part of your day to regain the use of your joints and muscles.
Your physical therapist will recommend exercises for strength and mobility and will help you learn how to use walking aids, such as walking, crutches or crutches. As the treatment progresses, you will usually increase the amount of weight you put on your leg until you can walk without assistance.
2. Resting and Sleeping
When resting or lying in bed, it is recommended to lie on your side that does not work for the first four to six weeks after surgery. Make sure you have a pillow between your legs, as well as a second pillow to support your foot and ankle.
If you are lying on your side of surgery, keep in mind that this may not be as good in the first weeks after surgery and is not recommended immediately after surgery. When you lie on your back, you must have a pillow between your legs.
3. Walking
Following corrective surgery, you will need to use a brace or brace depending on your condition, which your occupational therapist or therapist will give you. Be sure to sit on your crutches or walk until your doctor or physiotherapist advises you to use a cane. Your doctor will determine how much weight you can put on your surgical leg.
In most cases, you will be able to put 100 percent of your weight on your surgical leg, unless you are notified otherwise. Your physical therapist will help you learn how to use your walker or crutches correctly and help you find the right equipment for home use. A bag or basket attached to your walker will allow you to carry small items while walking.
4. Climbing stairs
Your physical therapist will teach you the correct way to climb and descend using hands and crutches. Remember to use your good foot first, followed by crutches and a foot surgery. During the descent, the crutches and foot surgery go first, followed by a fine leg
5. Eating and Exercising
Eat well-balanced meals and make sure you complete the exercises you have been trained in physical therapy three times a day. Remember that it can take more than a year for your muscles to be strong, so it is very important to do your exercises to help ensure a safe and effective recovery.