How to replace the hip joint
The main indications for hip replacement are: progressive deforming osteoarthrosis, aseptic necrosis of the femoral head, impaired mobility due to injury, hip fracture, dysplasia. All of these diseases lead to a significant reduction in mobility of the hip joint, limitation of physical abilities and painful pain that cannot be relieved with nonsteroidal anti-inflammatory drugs and non-narcotic analgesics.
During surgery to replace the hip joint, the patient is anesthetized or given spinal anesthesia. The femur and the articular surface of the pelvis are separated, the damaged areas are removed, the prosthesis is installed and fixed in the form of a cup into which a special insert is inserted. The leg of the endoprosthesis is fixed in the bone marrow canal with the help of bone cement and a ceramic or metal head is fixed over the tip of the leg. The pelvic and femoral component are combined.The final stage is suturing wounds. All takes about 3 hours.
Complications in the postoperative period are relatively rare. Dislocation or loosening of the prosthesis components occurs during early physical exertion. It is also possible the development of infection, deep vein thrombosis and flotation of blood clots in the lungs, brain, heart.
To avoid complications, blood thinners, compression tights and antibacterial therapy for 48 hours, analgesics are recommended in the postoperative period.
Cement fixation allows you to start walking in 1-2 days. With the cementless fixation method, the operated limb can be fully loaded only 12 weeks after the operation for hip joint replacement. Inpatient treatment lasts from 1 to 2 weeks. The period of full rehabilitation is 3-6 months and is carried out under the supervision of an orthopedist, a physiotherapist, and a doctor for therapeutic and restorative physical culture.
Modern implants serve from 15 to 25 years. After which they need to be replaced. Late re-operation to replace the face of loss of endoprosthesis, immobility and emergency hospitalization.After a successful endoprosthesis and the period of rehabilitation, the patient can ride a bike, swim, go in for sports walking. Only those sports are contraindicated in which an increased load will occur on the joint.
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